A novel community-based study to address disparities in hypertension and colorectal cancer: a study protocol for a randomized control trial

Trials

Gbenga Ogedegbe⁵  Marian Scott²  Martin Wells⁹  Carla Boutin-Foster⁸  Lola Afolabi⁶  Gia Cobb¹  Jordan Plumhoff³  Helen Cole^1,10  Hayley Thompson⁷  Joseph Ravenell⁴ 

[1] Center for Healthful Behavior Change, New York University School of Medicine, 227 E. 30th St., 6th Floor, Room 632A, New York, NY 10016, USA;St. Luke’s and Roosevelt Hospitals, 555 W. 57th Street, Suite 5-43, New York, NY 10019, USA;Center for Healthful Behavior Change, New York University School of Medicine, 227 E. 30th St., 6th Floor, Room 632B, New York, NY 10016, USA;Center for Healthful Behavior Change, New York University School of Medicine, 227 E. 30th St., 6th Floor, Room 637, New York, NY 10016, USA;Center for Healthful Behavior Change, New York University School of Medicine, 227 E. 30th St., 6th Floor, Room 633, New York, NY 10016, USA;Formerly with the Center for Healthful Behavior Change, 900 Lenox Rd, Apt 2B, Brooklyn, NY 11203, USA;Population Studies and Disparities Research Program, Karmanos Cancer Institute Department of Oncology, Wayne State University School of Medicine, 4100 John R - MM03CB, Detroit, MI 48201, USA;505 East 70th Street, Helmsley Tower, 4th Floor, New York, NY 10021, USA;301 Malott Hall, Cornell University, Ithaca, NY 14853, USA;Center for Healthful Behavior Change, New York University School of Medicine, 227 E. 30th St., 6th Floor, Room 632C, New York, NY 10016, USA

关键词: Barbershops;    African Americans;    Patient navigation;    Hypertension;   

Others  :  1093090
DOI  :  10.1186/1745-6215-14-287

 received in 2013-05-03, accepted in 2013-08-23,  发布年份 2013

【 摘 要 】

Background

Black men have the greatest burden of premature death and disability from hypertension (HTN) in the United States, and the highest incidence and mortality from colorectal cancer (CRC). While several clinical trials have reported beneficial effects of lifestyle changes on blood pressure (BP) reduction, and improved CRC screening with patient navigation (PN), the effectiveness of these approaches in community-based settings remains understudied, particularly among Black men.

Methods/design

MISTER B is a two-parallel-arm randomized controlled trial that will compare the effect of a motivational interviewing tailored lifestyle intervention (MINT) versus a culturally targeted PN intervention on improvement of BP and CRC screening among black men aged ≥50 with uncontrolled HTN who are eligible for CRC screening. Approximately 480 self-identified black men will be randomly assigned to one of the two study conditions. This innovative research design allows each intervention to serve as the control for the other. Specifically, the MINT arm is the control condition for the PN arm, and vice-versa. This novel, simultaneous testing of two community-based interventions in a randomized fashion is an economical and yet rigorous strategy that also enhances the acceptability of the project. Participants will be recruited during scheduled screening events at barbershops in New York City. Trained research assistants will conduct the lifestyle intervention, while trained community health workers will deliver the PN intervention. The primary outcomes will be 1) within-patient change in systolic and diastolic BP from baseline to six months and 2) CRC screening rates at six months.

Discussion

This innovative study will provide a unique opportunity to test two interventions for two health disparities simultaneously in community-based settings. Our study is one of the first to test culturally targeted patient navigation for CRC screening among black men in barbershops. Thus, our study has the potential to improve the reach of hypertension control and cancer prevention efforts within a high-risk population that is under-represented in primary care settings.

Trial registration

ClinicalTrials.gov, NCT01092078

【 授权许可】

   
2013 Ravenell et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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