Clinical Trial 23232

• Overview

  Study Title:

  Multilevel Action Toward Colorectal Cancer and Hepatitis C Education and Screening (MATCHES)

  Summary:

  This innovative Multilevel Action Toward Colorectal Cancer (CRC) and Hepatitis C Virus (HCV) Education and Screening (MATCHES) intervention aims to promote concurrent HCV and CRC screening among FQHC patients ages 45-75. CRC and HCV screening are paired because recommendations for both behaviors have recently changed, there are common facilitators and barriers, and there is an overlap in HCV and CRC screening recommendations for people ages 45-75.

  Objective:

  1) Test the effectiveness of the MATCHES intervention to promote both CRC and HCV screening at 12 months post-intervention among FQHC patients ages 45-75. 2) Examine mediators and moderators of MATCHES intervention effect. 3) Explore implementation outcomes and identify implementation barriers and facilitators.

• Inclusion Criteria

  Inclusion Criteria: Clinic Administrators:
  • Participants must currently serve a Leadership Role such as Medical Director or Director of Nursing at one of the Federally Qualified Health Center (FQHC)'s Primary Clinic sites.
  • Participants must be 18 years of age or older.
  • Participants must be able to read and understand English.
  • Participants must be able to provide informed consent. Providers:
  • Participants must provide Primary Care, Family Medicine, or Internal Medicine services to patients ages 45-75 at the partnering FQHC.
  • Participants must have the credentials of Medical Doctor (MD), Doctor of Osteopathy (DO), Physician Assistant (PA), Advanced Registered Nurse Practitioner (ARNP), or Registered Nurse (RN).
  • Participants must be 18 years of age or older.
  • Participants must be able to read, speak, and understand English.
  • Participants must be able to provide informed consent.
  • Participants participating in the qualitative interviews must be willing to be audio-recorded. Patients:
  • Participants must be receiving care at one of the participating FQHC clinics.
  • Participants must be 45-75 years of age.
  • Participants must not be up to date with Colorectal Cancer (CRC) screening recommendations such as no colonoscopy in the past 10 years, occult blood test in the past 12 months.
  • Participants must never have had Hepatitis C Virus (HCV) antibody screening.
  • Participants must be able to read, write, and understand English or Spanish.
  • Participants must have no personal history of CRC or current presumptive CRC symptoms such as unresolved rectal bleeding or abdominal pain/bloating.
  • Participants must be at average risk for CRC (no hereditary CRC syndromes such as lower gastrointestinal (GI) bleeding, persistent diarrhea, bloating, or lower GI pain, no strong family history of CRC).
  • Participants must be asymptomatic for HCV.
  • Participants receiving intervention materials must be able and willing to complete surveys and receive the patient level intervention.
  • Participants completing qualitative interviews must be willing to complete a remote interview via phone or teleconference software such as ZOOM.
  • Participants completing qualitative interviews must be willing to be audio recorded.
  • Participants recruited for qualitative interviews only (did not receive MATCHES intervention materials) must have a clinic visit within prior two months.
  • All Participants must be able to provide informed consent.

• Exclusion Criteria

  Exclusion Criteria:
  • Participants that do not meet all Inclusion Eligibility requirements will be excluded.

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