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| ID | Type | Description | Link |
|---|---|---|---|
| U01CA209861-01A1 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institutes of Health (NIH) | NIH |
| National Cancer Institute (NCI) | NIH |
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The investigators will conduct pre-implementations assessments of primary care clinics within a rural health system to determine current practices and capacities regarding colorectal cancer (CRC) screening and follow-up, preferred evidence-based interventions (EBIs) to improve follow-up, and factors that could influence successful implementation and eventual impact of a multi-level intervention to increase timely and complete follow-up after positive fecal occult blood test (FOBT) in rural patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Primary Care Provider/Staff Participants Interviews |
|
| |
| Patient Participants Interviews |
|
| |
| Patient Participants Anonymous Survey | -Patient participants will be recruited to take an anonymous mailed survey, which will address patient level barriers to screening and follow-up focusing on out of pocket costs. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Primary Care Provider/Staff Participants Interview | Other | -Approximately a 30 minute interview |
|
| Measure | Description | Time Frame |
|---|---|---|
| Determine current practice and capacity regarding screening and follow-up of colorectal cancer screening at rural health clinics | -This will be measured by interviews | Through completion of study (estimated to be 18 months) |
| Assess factors that could influence implementation of multi-level EBIs | -This will be measured by interviews | Through completion of study (estimated to be 18 months) |
| Evaluate the capacity for colonoscopy and diagnostic follow-up by identifying those clinics/practitioners who deliver colonoscopy | -This will be measured by interviews | Through completion of study (estimated to be 18 months) |
| Assess the care coordination and communication with primary care providers by colonoscopy clinics/practitioners | -This will be measured by interviews | Through completion of study (estimated to be 18 months) |
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Inclusion Criteria for Primary Care Provider/Staff Participants -Eligible providers and staff include physicians, nurse practitioners, nurses, case managers, medical assistants, administrative staff, or other employees of the clinic involved in the cancer screening and follow-up process.
Inclusion Criteria for Patient Participants (Interview)
-Positive FOBT or colonoscopy
Inclusion Criteria for Patient Participants (Survey)
Inclusion Criteria for Colonoscopy Provider/Staff Participants -Provider and a staff or mid-level provider in each office (5 colonoscopy providers in the Southern Illinois Healthcare region)
Exclusion Criteria for Primary Care Provider/Staff Participants
-None
Exclusion Criteria for Patient Participants (Interview)
Exclusion Criteria for Colonoscopy Provider/Staff Participants None
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Primary Care Providers/Staff Participants, Patient Participants, and Colonoscopy Provider/Staff Participants from Southern Illinois Healthcare.
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| Name | Affiliation | Role |
|---|---|---|
| Aimee James, Ph.D., MPH | Washington University School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Southern Illinois Healthcare | Carbondale | Illinois | 62901 | United States | ||
| Washington University School of Medicine |
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| Label | URL |
|---|---|
| Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine | View source |
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| ID | Term |
|---|---|
| D003110 | Colonic Neoplasms |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
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| ID | Term |
|---|---|
| D058007 | Physicians, Primary Care |
| ID | Term |
|---|---|
| D010820 | Physicians |
| D006282 | Health Personnel |
| D005159 | Health Care Facilities Workforce and Services |
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| Colonoscopy Provider/Staff Participants Interviews |
|
|
| Patient Participant Interview | Other | -Approximately 45-60 minute interview |
|
| Patient Participant Anonymous Survey | Other | -Survey completion will take approximately 15 minutes |
|
| Colonoscopy Provider/Staff Participants Interviews | Other | -Approximately a 30 minute interview |
|
| St Louis |
| Missouri |
| 63110 |
| United States |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |