Evaluating a Health Literacy Intervention to Improve Colorectal Cancer Screening in Underserved Areas

Summary

The aim of this project is to assess the impact of a health literacy (HL) intervention combining HL and CRC screening training for general practitioners with a short brochure and video targeting eligible patients to increase CRC screening and other secondary outcomes in four underserved geographic areas in France. The investigators will use a two-arm randomized controlled cluster trial at 8 clusters (2 per area) primarily serving underserved populations across 4 geographic areas in France with 32 primary care physicians and 1024 patients recruited.

Conditions

• Colorectal Cancer Screening

Interventions

BEHAVIORAL

Health literacy intervention

We will translate and adapt an intervention developed by Ferreira et al. to address health literacy and improve CRC screening. This intervention combined a 2-hour health literacy training targeting primary care physicians (which also included information about CRC screening) and a patient level intervention that consisted of a brochure and video. In order to promote generalizability, large-scale diffusion, dissemination and sustained use beyond the funded-research period, we will use blended learning to develop a 2-hour e-learning health literacy training in French and a one-hour booster session. The patient-facing intervention (video + brochure) will follow key plain language and health literacy principles to translate evidence-based information in content that all patients can understand. Existing materials developed in France will be used and adapted as relevant.

Sponsors & Collaborators

• National Cancer Institute, France

  collaborator OTHER_GOV

• Institut National de la Santé Et de la Recherche Médicale, France

  collaborator OTHER_GOV

• Centre Régional de Coordination des Dépistages des Cancers en Occitanie CRCDC-OC

  collaborator UNKNOWN

• Aix Marseille Université

  collaborator OTHER

• Assistance Publique Hopitaux De Marseille

  collaborator OTHER

• Centre Régional de Coordination des Dépistages des Cancers Sud PACA

  collaborator UNKNOWN

• Laboratoire HESPER-EA 7425

  collaborator UNKNOWN

• INSERM, UMR-S 1123 ECEVE Université de Paris

  collaborator UNKNOWN

• Centre Régional de Coordination du dépistage des cancers - Ile-de-France

  collaborator UNKNOWN

• University Paris 7 - Denis Diderot

  collaborator OTHER

• Centre Régional de Coordination du dépistage des cancers - Auvergne-Rhône-Alpes

  collaborator UNKNOWN

• Institut Paoli-Calmettes

  collaborator OTHER

• University Paul Sabatier of Toulouse

  lead OTHER

Principal Investigators

• Marie-Anne Durand · Université Toulouse III Paul Sabatier

• Niamh M REDMOND, PhD · Université Toulouse III Paul Sabatier

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

50 Years

Max Age

74 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2021-10-01

Primary Completion

2024-12-07

Completion

2025-04-14

Countries

• France

Study Locations