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Mobilizing social support networks to improve cancer screening: the COACH randomized controlled trial study design
BACKGROUND: Disadvantaged populations face many barriers to cancer care, including limited support in navigating through the complexities of the healthcare system. Family members play an integral role in caring for patients and provide valuable care coordination; however, the effect of family naviga...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4647280/ https://www.ncbi.nlm.nih.gov/pubmed/26573809 http://dx.doi.org/10.1186/s12885-015-1920-7 |
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author | Mbah, Olive Ford, Jean G. Qiu, Miaozhen Wenzel, Jennifer Bone, Lee Bowie, Janice Elmi, Ahmed Slade, Jimmie L. Towson, Michele Dobs, Adrian S. |
author_facet | Mbah, Olive Ford, Jean G. Qiu, Miaozhen Wenzel, Jennifer Bone, Lee Bowie, Janice Elmi, Ahmed Slade, Jimmie L. Towson, Michele Dobs, Adrian S. |
author_sort | Mbah, Olive |
collection | PubMed |
description | BACKGROUND: Disadvantaged populations face many barriers to cancer care, including limited support in navigating through the complexities of the healthcare system. Family members play an integral role in caring for patients and provide valuable care coordination; however, the effect of family navigators on adherence to cancer screening has not previously been evaluated. Training and evaluating trusted family members and other support persons may improve cancer outcomes for vulnerable patients. METHODS: Guided by principles of community based participatory research (CBPR), “Evaluating Coaches of Older Adults for Cancer Care and Healthy Behaviors (COACH)” is a community-based randomized controlled trial to assess the effectiveness of a trained participant-designated coach (support person or care giver) in navigating cancer-screening for older African American adults, 50–74 years old. Participants are randomly assigned as dyads (participant + coach pair) to receiving either printed educational materials only (PEM—control group) or educational materials plus coach training (COACH—intervention group). We defined a coach as family member, friend, or other lay support person designated by the older adult. The coach training is designed as a one-time, 35- to 40-minute training consisting of: 1) a didactic session that covers the role of the coach, basic facts about colorectal, breast and cervical cancers (including risk factors, signs and symptoms and screening modalities), engaging the healthcare provider in cancer screening, insurance coverage for screening, and related healthcare issues, 2) three video skits addressing misconceptions about and planning for cancer screening, and 3) an interactive role-play session with the trainer to reinforce and practice strategies for encouraging the participant to get screened. The primary study outcome is the difference in the proportion of participants completing at least one of the recommended screenings (for breast, cervix or colorectal cancer) between the control and intervention groups. DISCUSSION: Building on trusted patient contacts to encourage cancer screening, COACH is a highly sustainable intervention in a high-risk population. It has the potential to minimize the effect of mistrust of the medical establishment on screening behaviors by mobilizing participants’ existing support networks. If effective, the intervention could have a high impact on health care disparities research across multiple diseases. TRIAL REGISTRATION: ClinicalTrials.gov (NCT01613430). Registered June 5, 2012 |
format | Online Article Text |
id | pubmed-4647280 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-46472802015-11-18 Mobilizing social support networks to improve cancer screening: the COACH randomized controlled trial study design Mbah, Olive Ford, Jean G. Qiu, Miaozhen Wenzel, Jennifer Bone, Lee Bowie, Janice Elmi, Ahmed Slade, Jimmie L. Towson, Michele Dobs, Adrian S. BMC Cancer Study Protocol BACKGROUND: Disadvantaged populations face many barriers to cancer care, including limited support in navigating through the complexities of the healthcare system. Family members play an integral role in caring for patients and provide valuable care coordination; however, the effect of family navigators on adherence to cancer screening has not previously been evaluated. Training and evaluating trusted family members and other support persons may improve cancer outcomes for vulnerable patients. METHODS: Guided by principles of community based participatory research (CBPR), “Evaluating Coaches of Older Adults for Cancer Care and Healthy Behaviors (COACH)” is a community-based randomized controlled trial to assess the effectiveness of a trained participant-designated coach (support person or care giver) in navigating cancer-screening for older African American adults, 50–74 years old. Participants are randomly assigned as dyads (participant + coach pair) to receiving either printed educational materials only (PEM—control group) or educational materials plus coach training (COACH—intervention group). We defined a coach as family member, friend, or other lay support person designated by the older adult. The coach training is designed as a one-time, 35- to 40-minute training consisting of: 1) a didactic session that covers the role of the coach, basic facts about colorectal, breast and cervical cancers (including risk factors, signs and symptoms and screening modalities), engaging the healthcare provider in cancer screening, insurance coverage for screening, and related healthcare issues, 2) three video skits addressing misconceptions about and planning for cancer screening, and 3) an interactive role-play session with the trainer to reinforce and practice strategies for encouraging the participant to get screened. The primary study outcome is the difference in the proportion of participants completing at least one of the recommended screenings (for breast, cervix or colorectal cancer) between the control and intervention groups. DISCUSSION: Building on trusted patient contacts to encourage cancer screening, COACH is a highly sustainable intervention in a high-risk population. It has the potential to minimize the effect of mistrust of the medical establishment on screening behaviors by mobilizing participants’ existing support networks. If effective, the intervention could have a high impact on health care disparities research across multiple diseases. TRIAL REGISTRATION: ClinicalTrials.gov (NCT01613430). Registered June 5, 2012 BioMed Central 2015-11-16 /pmc/articles/PMC4647280/ /pubmed/26573809 http://dx.doi.org/10.1186/s12885-015-1920-7 Text en © Mbah et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Study Protocol Mbah, Olive Ford, Jean G. Qiu, Miaozhen Wenzel, Jennifer Bone, Lee Bowie, Janice Elmi, Ahmed Slade, Jimmie L. Towson, Michele Dobs, Adrian S. Mobilizing social support networks to improve cancer screening: the COACH randomized controlled trial study design |
title | Mobilizing social support networks to improve cancer screening: the COACH randomized controlled trial study design |
title_full | Mobilizing social support networks to improve cancer screening: the COACH randomized controlled trial study design |
title_fullStr | Mobilizing social support networks to improve cancer screening: the COACH randomized controlled trial study design |
title_full_unstemmed | Mobilizing social support networks to improve cancer screening: the COACH randomized controlled trial study design |
title_short | Mobilizing social support networks to improve cancer screening: the COACH randomized controlled trial study design |
title_sort | mobilizing social support networks to improve cancer screening: the coach randomized controlled trial study design |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4647280/ https://www.ncbi.nlm.nih.gov/pubmed/26573809 http://dx.doi.org/10.1186/s12885-015-1920-7 |
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