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NCT07173985NARecruiting

Strategies for Optimizing a Mailed FIT Program in Appalachia

Ohio State University Comprehensive Cancer Center

Start Date

1/20/2026

Completion Date

7/31/2028

Summary

The proposed study is examining strategies for optimizing mailed fecal immunochemical test (FIT) programs. In doing so, it will assess the efficacy of two promising strategies, FIT kit materials and patient navigation delivery mode. These strategies may help to improve colorectal cancer screening rates.

Detailed Description

PRIMARY OBJECTIVES: Determine the efficacy of two strategies for increasing colorectal cancer screening. OUTLINE: Participants are randomized to 1 of 4 groups. GROUP I: Participants receive a standard FIT kit plus telephone patient navigation. GROUP II: Participants receive a standard FIT kit plus text message patient navigation. GROUP III: Participants receive an enhanced FIT kit plus telephone patient navigation. GROUP IV: Participants receive an enhanced FIT kit plus text message patient navigation.

Eligibility Criteria

Age Range: 45 years to 74 years

Inclusion Criteria: * Resident of an Appalachian county * Medical visit at a participating health system in the past two years * Average-risk for colorectal cancer * Not currently within colorectal cancer screening guidelines Exclusion Criteria: \-

Interventions

BEHAVIORAL

Standard FIT kit

BEHAVIORAL

Enhanced FIT kit

BEHAVIORAL

Telephone patient navigation

BEHAVIORAL

Text message patient navigation

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Conditions

Colonic Neoplasms

Locations

Ohio State University Comprehensive Cancer Center

Columbus, Ohio 43210

United States