Trial Outcomes & Findings for Increasing Uptake of Evidence-Based Screening Services Through CHW-led Multi-modality Intervention (NCT NCT02970136)

NCT ID: NCT02970136

Last Updated: 2021-12-28

Results Overview

As evaluated by participant self report and completed sampling kits. Female participants are to be screened on 4 conditions: HIV, HCV, Human Papilloma Virus (HPV) and Fecal Immunochemical Testing (FIT). Male participants are to be screened on 3 conditions: HIV, Hepatitis C Virus (HCV) and FIT.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

754 participants

Primary outcome timeframe

Baseline

Results posted on

2021-12-28

Participant Flow

Participant milestones

Participant milestones
Measure
Home Based Screening
The participant will be receiving home-based screening tests (OraQuick Swab, OraQuick Fingerstick, Human Papillomavirus (HPV) Self-Sampling Test, Fecal Immunochemical Test) delivered by the community health worker OraQuick Swab: OraQuick for oral fluid HIV antibody testing Fecal Immunochemical Test: Fecal Immunochemical stool test specific for human hemoglobin OraQuick Fingerstick: Patients will be tested for Hepatitis C infection using a fingerstick HPV Self-Sampling Test: Patients will be using swab to check for HPV infection Home Based Screening Tests: Patients will provided screening tests and instructed by Community Health Worker on how to perform home screening tests
Clinic Based Screening
The participant will meet the Community Health Worker and will be navigated to a clinic appointment for standard screening tests Standard Screening Tests: Patients will be navigated to a local health center for standard screening tests
Overall Study
STARTED
377
377
Overall Study
COMPLETED
297
282
Overall Study
NOT COMPLETED
80
95

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Increasing Uptake of Evidence-Based Screening Services Through CHW-led Multi-modality Intervention

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Home Based Screening
n=377 Participants
The participant will be receiving home-based screening tests (OraQuick Swab, OraQuick Fingerstick, Human Papillomavirus (HPV) Self-Sampling Test, Fecal Immunochemical Test) delivered by the community health worker OraQuick Swab: OraQuick for oral fluid HIV antibody testing Fecal Immunochemical Test: Fecal Immunochemical stool test specific for human hemoglobin OraQuick Fingerstick: Patients will be tested for Hepatitis C infection using a fingerstick HPV Self-Sampling Test: Patients will be using swab to check for HPV infection Home Based Screening Tests: Patients will provided screening tests and instructed by Community Health Worker on how to perform home screening tests
Clinic Based Screening
n=377 Participants
The participant will meet the Community Health Worker and will be navigated to a clinic appointment for standard screening tests Standard Screening Tests: Patients will be navigated to a local health center for standard screening tests
Total
n=754 Participants
Total of all reporting groups
Age, Continuous
57.33 years
STANDARD_DEVIATION 4.54 • n=99 Participants
57.40 years
STANDARD_DEVIATION 4.49 • n=107 Participants
57.37 years
STANDARD_DEVIATION 4.51 • n=206 Participants
Sex: Female, Male
Female
282 Participants
n=99 Participants
282 Participants
n=107 Participants
564 Participants
n=206 Participants
Sex: Female, Male
Male
95 Participants
n=99 Participants
95 Participants
n=107 Participants
190 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
239 Participants
n=99 Participants
241 Participants
n=107 Participants
480 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
138 Participants
n=99 Participants
136 Participants
n=107 Participants
274 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
142 Participants
n=99 Participants
143 Participants
n=107 Participants
285 Participants
n=206 Participants
Race (NIH/OMB)
White
205 Participants
n=99 Participants
214 Participants
n=107 Participants
419 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
28 Participants
n=99 Participants
19 Participants
n=107 Participants
47 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Baseline

Population: There were 282 female participants and 95 male participants enrolled for each arm for a total of 377 total enrolled participants per arm. Female participants are to be screened on 4 conditions: HIV, HCV, Human Papilloma Virus (HPV) and Fecal Immunochemical Testing (FIT). Male participants are to be screened on 3 conditions: HIV, Hepatitis C Virus (HCV) and FIT.

As evaluated by participant self report and completed sampling kits. Female participants are to be screened on 4 conditions: HIV, HCV, Human Papilloma Virus (HPV) and Fecal Immunochemical Testing (FIT). Male participants are to be screened on 3 conditions: HIV, Hepatitis C Virus (HCV) and FIT.

Outcome measures

Outcome measures
Measure
Home Based Screening
n=377 Participants
The participant will be receiving home-based screening tests (OraQuick Swab, OraQuick Fingerstick, Human Papillomavirus (HPV) Self-Sampling Test, Fecal Immunochemical Test) delivered by the community health worker OraQuick Swab: OraQuick for oral fluid HIV antibody testing Fecal Immunochemical Test: Fecal Immunochemical stool test specific for human hemoglobin OraQuick Fingerstick: Patients will be tested for Hepatitis C infection using a fingerstick HPV Self-Sampling Test: Patients will be using swab to check for HPV infection Home Based Screening Tests: Patients will provided screening tests and instructed by Community Health Worker on how to perform home screening tests
Clinic Based Screening
n=377 Participants
The participant will meet the Community Health Worker and will be navigated to a clinic appointment for standard screening tests Standard Screening Tests: Patients will be navigated to a local health center for standard screening tests
Percentage of Participants Who Are Screened for All Conditions
Female Participants
25.18 Percentage of participants
Interval 20.22 to 30.24
8.16 Percentage of participants
Interval 5.24 to 11.99
Percentage of Participants Who Are Screened for All Conditions
Male Participants
32.63 Percentage of participants
Interval 23.36 to 43.02
15.79 Percentage of participants
Interval 9.02 to 24.7

SECONDARY outcome

Timeframe: Baseline, Up to 6 months

Population: There were 282 female participants and 95 male participants enrolled for each arm for a total of 377 total enrolled participants per arm. Female participants are to be screened on 4 conditions: HIV, HCV, Human Papilloma Virus (HPV) and Fecal Immunochemical Testing (FIT). Male participants are to be screened on 3 conditions: HIV, Hepatitis C Virus (HCV) and FIT.

As evaluated by participant self report and completed sampling kits. Female participants are to be screened on 4 conditions: HIV, HCV, HPV and FIT. Male participants are to be screened on 3 conditions: HIV, HCV and FIT.

Outcome measures

Outcome measures
Measure
Home Based Screening
n=377 Participants
The participant will be receiving home-based screening tests (OraQuick Swab, OraQuick Fingerstick, Human Papillomavirus (HPV) Self-Sampling Test, Fecal Immunochemical Test) delivered by the community health worker OraQuick Swab: OraQuick for oral fluid HIV antibody testing Fecal Immunochemical Test: Fecal Immunochemical stool test specific for human hemoglobin OraQuick Fingerstick: Patients will be tested for Hepatitis C infection using a fingerstick HPV Self-Sampling Test: Patients will be using swab to check for HPV infection Home Based Screening Tests: Patients will provided screening tests and instructed by Community Health Worker on how to perform home screening tests
Clinic Based Screening
n=377 Participants
The participant will meet the Community Health Worker and will be navigated to a clinic appointment for standard screening tests Standard Screening Tests: Patients will be navigated to a local health center for standard screening tests
Change in Percentage of Participants Completing Screening Test From Baseline to 6 Months
HCV Screening Test
71.88 percentage of participants
Interval 67.35 to 76.42
31.56 percentage of participants
Interval 26.87 to 36.26
Change in Percentage of Participants Completing Screening Test From Baseline to 6 Months
HIV Screening Test
46.15 percentage of participants
Interval 41.12 to 51.19
20.95 percentage of participants
Interval 16.85 to 25.06
Change in Percentage of Participants Completing Screening Test From Baseline to 6 Months
HPV Screening Test
24.47 percentage of participants
Interval 19.45 to 29.49
12.06 percentage of participants
Interval 8.26 to 15.86
Change in Percentage of Participants Completing Screening Test From Baseline to 6 Months
FIT Screening Test
39.26 percentage of participants
Interval 34.33 to 44.19
18.57 percentage of participants
Interval 14.64 to 22.49

SECONDARY outcome

Timeframe: At baseline and at 6 months

Population: There were 282 female participants and 95 male participants enrolled for each arm for a total of 377 total enrolled participants per arm. Female participants are to be screened on 4 conditions: HIV, HCV, Human Papilloma Virus (HPV) and Fecal Immunochemical Testing (FIT). Male participants are to be screened on 3 conditions: HIV, Hepatitis C Virus (HCV) and FIT.

As evaluated by participant self report and completed sampling kits. Female participants are to be screened on 4 conditions: HIV, HCV, HPV and FIT. Male participants are to be screened on 3 conditions: HIV, HCV and FIT.

Outcome measures

Outcome measures
Measure
Home Based Screening
n=377 Participants
The participant will be receiving home-based screening tests (OraQuick Swab, OraQuick Fingerstick, Human Papillomavirus (HPV) Self-Sampling Test, Fecal Immunochemical Test) delivered by the community health worker OraQuick Swab: OraQuick for oral fluid HIV antibody testing Fecal Immunochemical Test: Fecal Immunochemical stool test specific for human hemoglobin OraQuick Fingerstick: Patients will be tested for Hepatitis C infection using a fingerstick HPV Self-Sampling Test: Patients will be using swab to check for HPV infection Home Based Screening Tests: Patients will provided screening tests and instructed by Community Health Worker on how to perform home screening tests
Clinic Based Screening
n=377 Participants
The participant will meet the Community Health Worker and will be navigated to a clinic appointment for standard screening tests Standard Screening Tests: Patients will be navigated to a local health center for standard screening tests
Median Number of Screenings Completed
Female Participants at Baseline
1 screenings completed
Interval 1.0 to 2.0
1 screenings completed
Interval 0.0 to 2.0
Median Number of Screenings Completed
Female Participants at 6 months
4 screenings completed
Interval 2.0 to 4.0
2 screenings completed
Interval 1.0 to 3.0
Median Number of Screenings Completed
Male participants at Baseline
1 screenings completed
Interval 0.0 to 1.0
1 screenings completed
Interval 0.0 to 1.0
Median Number of Screenings Completed
Male Participants at 6 months
3 screenings completed
Interval 2.0 to 3.0
2 screenings completed
Interval 1.0 to 3.0

Adverse Events

Home Based Screening

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Clinic Based Screening

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Olveen Carrasquillo

University of Miami

Phone: 305-243-5505

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place