Trial Outcomes & Findings for Screen to Save 2: Rural Cancer Screening Educational Intervention (NCT NCT04414306)

NCT ID: NCT04414306

Last Updated: 2026-02-02

Results Overview

A pre-test and post-test are conducted with participants to assess changes in knowledge related to key learning outcomes expected from the educational intervention (assessed via 14 true/false and multiple-choice questions, reported as a percent change in points). An increased % change in points represents increased knowledge of each survey question and a value of 0 indicates knowledge did not change (a negative value would indicate decreased knowledge). % change is a unique number that was calculated as the difference between the % answering correctly after the intervention minus the % correct before the intervention; it is representative of the entire data set and not calculated on an individual participant level. P values (\<0.05) are based on chi-square tests. Each row represents a unique survey question evaluating the topic listed in the row title.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

205 participants

Primary outcome timeframe

pre-test administered immediately before educational intervention; post-test administered immediately after the educational intervention on day 1.

Results posted on

2026-02-02

Participant Flow

Participant milestones

Participant milestones
Measure
Experimental Arm 1
Participants who meet eligibility criteria will be able to enroll and participate on-line, with some participating in online or telephone survey follow-up. Online educational video and website module: Participants will receive online education via a video and website. Key messages will include information on risk factors, prevention, screening recommendations, and screening options pertaining to colorectal cancer. Some participants will be asked to participate in three and/or six-month follow-up surveys administered online or by telephone.
Overall Study
STARTED
205
Overall Study
COMPLETED
205
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Screen to Save 2: Rural Cancer Screening Educational Intervention

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental Arm 1
n=205 Participants
Participants who meet eligibility criteria will be able to enroll and participate on-line, with some participating in online or telephone survey follow-up. Online educational video and website module: Participants will receive online education via a video and website. Key messages will include information on risk factors, prevention, screening recommendations, and screening options pertaining to colorectal cancer. Some participants will be asked to participate in three and/or six-month follow-up surveys administered online or by telephone.
Age, Customized
<55
40 Participants
n=41 Participants
Age, Customized
55-59
39 Participants
n=41 Participants
Age, Customized
60-64
57 Participants
n=41 Participants
Age, Customized
65-69
39 Participants
n=41 Participants
Age, Customized
70-74
30 Participants
n=41 Participants
Sex/Gender, Customized
Woman
165 Participants
n=41 Participants
Sex/Gender, Customized
Man
40 Participants
n=41 Participants
Sex/Gender, Customized
Non-binary/gender nonconforming
0 Participants
n=41 Participants
Race/Ethnicity, Customized
Non-Hispanic White
202 Participants
n=41 Participants
Race/Ethnicity, Customized
Other
2 Participants
n=41 Participants
Race/Ethnicity, Customized
Declined to Answer
1 Participants
n=41 Participants
Region of Enrollment
United States
205 participants
n=41 Participants
Educational attainment
High school diploma/GED or less
11 Participants
n=41 Participants
Educational attainment
Some college
39 Participants
n=41 Participants
Educational attainment
College graduate
155 Participants
n=41 Participants
Number of Forms of Insurance
None
2 Participants
n=41 Participants
Number of Forms of Insurance
Single
163 Participants
n=41 Participants
Number of Forms of Insurance
Two or more
40 Participants
n=41 Participants
Type of insurance
Current or former employer
112 Participants
n=41 Participants
Type of insurance
Individual plan
21 Participants
n=41 Participants
Type of insurance
Military
8 Participants
n=41 Participants
Type of insurance
Medicare
75 Participants
n=41 Participants
Type of insurance
Medicaid
12 Participants
n=41 Participants
Type of insurance
Other
18 Participants
n=41 Participants
Ever screened for CRC
Yes
170 Participants
n=41 Participants
Ever screened for CRC
No
30 Participants
n=41 Participants
Ever screened for CRC
I don't know
5 Participants
n=41 Participants
Number of methods of CRC screening
Single method
122 Participants
n=41 Participants
Number of methods of CRC screening
Two or more methods
48 Participants
n=41 Participants
Number of methods of CRC screening
Never screened/don't know
35 Participants
n=41 Participants
Type of CRC screening method
Colonoscopy
158 Participants
n=41 Participants
Type of CRC screening method
Sigmoidoscopy
20 Participants
n=41 Participants
Type of CRC screening method
FIT/FOBT
25 Participants
n=41 Participants
Type of CRC screening method
DNA (Cologuard)
21 Participants
n=41 Participants
Type of CRC screening method
Computed Tomography
1 Participants
n=41 Participants
History of polyps
Yes
71 Participants
n=41 Participants
History of polyps
No
115 Participants
n=41 Participants
History of polyps
Data Missing
19 Participants
n=41 Participants
History of CRC
Yes
5 Participants
n=41 Participants
History of CRC
No
200 Participants
n=41 Participants
History of CRC in any first-degree relatives
Yes
42 Participants
n=41 Participants
History of CRC in any first-degree relatives
No
163 Participants
n=41 Participants
History of CRC in any distant relatives
Yes
32 Participants
n=41 Participants
History of CRC in any distant relatives
No
173 Participants
n=41 Participants

PRIMARY outcome

Timeframe: pre-test administered immediately before educational intervention; post-test administered immediately after the educational intervention on day 1.

A pre-test and post-test are conducted with participants to assess changes in knowledge related to key learning outcomes expected from the educational intervention (assessed via 14 true/false and multiple-choice questions, reported as a percent change in points). An increased % change in points represents increased knowledge of each survey question and a value of 0 indicates knowledge did not change (a negative value would indicate decreased knowledge). % change is a unique number that was calculated as the difference between the % answering correctly after the intervention minus the % correct before the intervention; it is representative of the entire data set and not calculated on an individual participant level. P values (\<0.05) are based on chi-square tests. Each row represents a unique survey question evaluating the topic listed in the row title.

Outcome measures

Outcome measures
Measure
Experimental Arm 1
n=205 Participants
Participants who meet eligibility criteria will be able to enroll and participate on-line, with some participating in online or telephone survey follow-up. Online educational video and website module: Participants will receive online education via a video and website. Key messages will include information on risk factors, prevention, screening recommendations, and screening options pertaining to colorectal cancer. Some participants will be asked to participate in three and/or six-month follow-up surveys administered online or by telephone.
Experimental Arm 1 Post-Education
Participants who meet eligibility criteria will be able to enroll and participate on-line, with some participating in online or telephone survey follow-up. Online educational video and website module: Participants will receive online education via a video and website. Key messages will include information on risk factors, prevention, screening recommendations, and screening options pertaining to colorectal cancer. Some participants will be asked to participate in three and/or six-month follow-up surveys administered online or by telephone.
Change in Correct Responses Regarding Knowledge Related to Colorectal Cancer Risk, Prevention, and Screening
Early detection improves outcome
-.5 Percent Change
Change in Correct Responses Regarding Knowledge Related to Colorectal Cancer Risk, Prevention, and Screening
Role of polyps in the development of CRC
0 Percent Change
Change in Correct Responses Regarding Knowledge Related to Colorectal Cancer Risk, Prevention, and Screening
CRC can be asymptomatic
1 Percent Change
Change in Correct Responses Regarding Knowledge Related to Colorectal Cancer Risk, Prevention, and Screening
Where CRC starts in the body
2 Percent Change
Change in Correct Responses Regarding Knowledge Related to Colorectal Cancer Risk, Prevention, and Screening
What is Lynch Syndrome
13 Percent Change
Change in Correct Responses Regarding Knowledge Related to Colorectal Cancer Risk, Prevention, and Screening
Purpose of colonoscopy
1 Percent Change
Change in Correct Responses Regarding Knowledge Related to Colorectal Cancer Risk, Prevention, and Screening
Important not to skip screening if asymptomatic
-.5 Percent Change
Change in Correct Responses Regarding Knowledge Related to Colorectal Cancer Risk, Prevention, and Screening
What the stool test checks for
5 Percent Change
Change in Correct Responses Regarding Knowledge Related to Colorectal Cancer Risk, Prevention, and Screening
Recommended age to start colonoscopy
16 Percent Change
Change in Correct Responses Regarding Knowledge Related to Colorectal Cancer Risk, Prevention, and Screening
Recommended age to start FIT/FOBT
24 Percent Change
Change in Correct Responses Regarding Knowledge Related to Colorectal Cancer Risk, Prevention, and Screening
Family history of CRC
.5 Percent Change
Change in Correct Responses Regarding Knowledge Related to Colorectal Cancer Risk, Prevention, and Screening
Poor diet
4 Percent Change
Change in Correct Responses Regarding Knowledge Related to Colorectal Cancer Risk, Prevention, and Screening
Red and processed meats
3 Percent Change
Change in Correct Responses Regarding Knowledge Related to Colorectal Cancer Risk, Prevention, and Screening
Being overweight or obese
7 Percent Change
Change in Correct Responses Regarding Knowledge Related to Colorectal Cancer Risk, Prevention, and Screening
Tobacco use
11 Percent Change
Change in Correct Responses Regarding Knowledge Related to Colorectal Cancer Risk, Prevention, and Screening
Lack of physical activity
18 Percent Change
Change in Correct Responses Regarding Knowledge Related to Colorectal Cancer Risk, Prevention, and Screening
Heavy drinking
19 Percent Change
Change in Correct Responses Regarding Knowledge Related to Colorectal Cancer Risk, Prevention, and Screening
Role of physical activity in reducing CRC risk
18 Percent Change

PRIMARY outcome

Timeframe: pre-test administered immediately before educational intervention; post-test administered immediately after educational intervention on day 1

A pre-test and post-test are conducted to assess behavioral intention related to five prevention and screening behaviors (assessed via 5 questions on a 5-point Likert scale: strongly agree (5), agree, unsure, disagree, strongly disagree(1). The values reported represent the difference between pre-intervention and post-intervention scores, calculated as a unique number for the total responding participants (not calculated individually). A positive change represents increased intent. Each row represents a unique survey question evaluating the topic listed in the row title.

Outcome measures

Outcome measures
Measure
Experimental Arm 1
n=205 Participants
Participants who meet eligibility criteria will be able to enroll and participate on-line, with some participating in online or telephone survey follow-up. Online educational video and website module: Participants will receive online education via a video and website. Key messages will include information on risk factors, prevention, screening recommendations, and screening options pertaining to colorectal cancer. Some participants will be asked to participate in three and/or six-month follow-up surveys administered online or by telephone.
Experimental Arm 1 Post-Education
n=205 Participants
Participants who meet eligibility criteria will be able to enroll and participate on-line, with some participating in online or telephone survey follow-up. Online educational video and website module: Participants will receive online education via a video and website. Key messages will include information on risk factors, prevention, screening recommendations, and screening options pertaining to colorectal cancer. Some participants will be asked to participate in three and/or six-month follow-up surveys administered online or by telephone.
Change in Colorectal Cancer Screening and Other Risk Behavior Intentions
Get CRC screening
4.54 score on a scale
Standard Deviation .68
4.66 score on a scale
Standard Deviation .59
Change in Colorectal Cancer Screening and Other Risk Behavior Intentions
Talk to a healthcare provider about CRC screening
4.39 score on a scale
Standard Deviation .81
4.5 score on a scale
Standard Deviation .68
Change in Colorectal Cancer Screening and Other Risk Behavior Intentions
Eat healthier diet
4.08 score on a scale
Standard Deviation .78
4.22 score on a scale
Standard Deviation .72
Change in Colorectal Cancer Screening and Other Risk Behavior Intentions
Increase physical activity
4 score on a scale
Standard Deviation .8
4.2 score on a scale
Standard Deviation .71
Change in Colorectal Cancer Screening and Other Risk Behavior Intentions
Talk about CRC with family or friends
3.89 score on a scale
Standard Deviation .9
4.15 score on a scale
Standard Deviation .84

Adverse Events

Experimental Arm 1

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

Judith Rees

Dartmouth-Hitchcock

Phone: 603-646-5492

Results disclosure agreements

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