Screening To Overcome and Prevent Colorectal Cancer (STOP CRC)
A Culturally Adapted Decision Support Navigation Trial for Chinese and Korean American Primary Care Patients
Project Background
Colorectal cancer incidence and mortality continue to be high among Chinese and Korean populations in the U.S. There have been improvements over time, but the colorectal cancer screening rate remains substantially lower among Chinese and Korean Americans in comparison to other racial and ethnic groups. This is a serious concern considering that screening can reduce deaths from colorectal cancer and can help save lives through early detection when it is the most treatable.
Project description
In order to overcome unique linguistic and cultural barriers to colorectal cancer screening, Professor Sunmin Lee and her research team have developed a culturally adapted colorectal cancer screening program that aids decision-making among Chinese and Korean patients in the primary care setting.
Target Population
The recommended screening age for colorectal cancer is between age 50 and 75. Our study targets Chinese and Korean patients between ages 50 and 75 who are not up to date for their screenings.
STOP CRC FiELDworks
Project AIMS
The goal of this study is to increase colorectal cancer screening among Chinese and Korean American primary care patients through culturally adapted decision support trials provided in the primary care setting.
- Implement a randomized controlled trial intervention among 400 Chinese and Korean American primary care patients to compare colorectal cancer screening outcomes between the culturally adapted decision support intervention and advanced control.
- Evaluate the effect of the intervention on overall colorectal screening adherence, change in colorectal cancer screening decision stage and colorectal cancer screening test-specific (stool blood test and colonoscopy) adherence among participants.
- Evaluate intervention reach, effectiveness, adoption, implementation, and maintenance.
Project Funding
This project is funded by the National Institute on Minority Health and Health Disparities (R01MD012778), National Institutes of Health (NIH).
Co-Investigators
Professor, Department of Health Policy & Management UCLA Fielding School of Public Health
Assistant Professor, Program in Public Health University of California, Irvine
Director, Department of Medical Oncology, Division of Population Science Thomas Jefferson University
Assistant Professor Harvard T.H. Chan School of Public Health
Professor, Department of Behavioral and Community Health, School of Public Health University of Maryland
Primary Care Physicians Involved in Study
Community Advisory Board Members
Program Manager
Asian American Health Initiative, Montgomery County, Maryland Department of Health and Human Services
Executive Director
Korean Community Service Center of Greater Washington
Executive Director
Asian American Center of Frederick
Office Manager
Asian American Health Center
Gastroenterologist
Montgomery Gastroenterology
Internal Medicine Specialist
Vice Chair
Asia American Health Initiative, Steering Committee
Director
Pan Asian Volunteer Health Clinic, Chinese Culture and Community Service Center (CCACC)