RightFit
RecruitingNot applicable

Colorectal Cancer Screening in the Homeless

mHealth Navigation Using SMS Texting to Improve CRC Screening Among Homeless Persons

Who can join

As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.

Age
45 Years to 75 Years
Sex
All sexes
Healthy volunteers
Not accepted
Compensation
Not stated

Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.

What to expect

No one can promise a trial will help you personally — that is what the research is trying to find out.

What participation involves

  • Procedures mentioned: Interviews

Only what the study's summary and detailed description on ClinicalTrials.gov say. Time periods may describe the whole study or a part of it — ask the study team what applies to you.

Show the study's own words
  • "This mixed-methods study uses a randomized clinical trial design and semi-structured interviews."
  • "AIM 2: To evaluate perceptions, attitudes, and experiences of homeless persons (n=50) and providers and staff (n=20) on SMS text navigation for CRC screening in shelter clinics using semi-structured interviews."
  • "AIM 3: To evaluate perceptions and attitudes of program staff (n=20) of agencies servicing homeless persons in NYC and on the national level on challenges and opportunities of implementing SMS text navigation for cancer care and control in the shelter system using semi-structured interviews."
Compensation
Not stated
  • Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
  • Participants are monitored closely by the research team throughout the study.
  • Some participants may receive access to an investigational treatment, which is still being studied.
  • Your participation helps researchers learn whether this approach could help future patients.

About this study

In plain language

This study tests whether text messages help people get screened for colorectal cancer (cancer of the colon or rectum). It is for people ages 45–75 who are homeless, get care at New York City shelter clinics, and are overdue for screening. The study also includes interviews.

This study is designed to assess the effect of implementing a text messaging strategy for colorectal cancer screening among homeless persons aged 45-75 years, who are not up to date on colorectal cancer screening, in shelter clinics in NYC. This mixed-methods study uses a randomized clinical trial design and semi-structured interviews.

Compensation is read from the study's own description and may be missing — always confirm with the study team.

Eligibility

Who can join

  • Are homeless and 45–75 years old.
  • Are overdue for colorectal cancer screening based on the tests and time limits below.
  • Have not had a colonoscopy (a camera exam of the colon) in 10 years; or a flexible sigmoidoscopy (a camera exam of the lower colon), contrast barium enema (an X-ray test), or CT colon exam in 5 years.
  • Or have not had a stool blood test (FIT or FOBT) in 12 months, or a stool DNA test (mt-sDNA or Cologuard) in 3 years.
  • Speak English or Spanish.
  • Are currently visiting a shelter clinic for medical care.
  • Are connected to social and health services at New York City shelter clinics.

Who can't join

  • Have an active or uncontrolled illness that affects whether you can have screening.
  • Have had colorectal cancer in the past 2 years.
  • Have had surgery to remove all or part of the colon.
  • Have inflammatory bowel disease (long-term swelling in the bowels).
  • Have familial adenomatous polyposis (a condition that causes many growths in the colon), or another colorectal disease that requires different screening.
  • Have another serious illness that limits how long you may live or makes screening not recommended, as checked by your care provider.
  • Cannot read and reply to text messages.
  • Cannot give informed consent (understand the study and agree to join).

Simplified for readability. The official criteria below are what the study team uses.

Official eligibility criteria

Inclusion Criteria: * Homeless persons aged 45 - 75 years old, with no up-to-date colorectal cancer screening defined as: 1) no colonoscopy in the past 10 years, or 2) no Flexible sigmoidoscopy, Digital Contrast Barium Enema, or CT colonoscopy in the past 5 years, or 3) no Fecal Immunochemical Test/Fecal Occult Blood in the past 12 months or mt-sDNA/Cologuard Test in the past three years * English or Spanish speaking * currently presenting to the shelter clinics for medical care * connected to multidisciplinary social and health services in NYC shelter clinics Exclusion Criteria: * known active/uncontrolled illness rendering homeless persons to undergo screening, CRC in the past 2 years, colectomy, Inflammatory Bowel Dis., Familial Adenomatous Polyposis or other colorectal diseases in which screening is different from average CRC risk and methods, inability to consent, serious/significant comorbidity where life expectancy is limited or screening is not recommended, which will be verified by their respective provider * inability to read and respond to SMS texts * any condition preventing participants from providing informed consent.

Study sites (1)

DC