TY - JOUR
T1 - A novel community-based study to address disparities in hypertension and colorectal cancer
T2 - A study protocol for a randomized control trial
AU - Ravenell, Joseph
AU - Thompson, Hayley
AU - Cole, Helen
AU - Plumhoff, Jordan
AU - Cobb, Gia
AU - Afolabi, Lola
AU - Boutin-Foster, Carla
AU - Wells, Martin
AU - Scott, Marian
AU - Ogedegbe, Gbenga
N1 - Funding Information:
The authors would like to thank the team of research assistants and health educators for their work on the project: Tania Bouzy, MPH; David Brown; Patricio Castillo, B.A.; Nnaemeka Echebiri, B.S.; Billy Guzman, B.A.; Lloyd Gyamfi, M.A.; Mary Han, B.S.; Theodore Hickman; Damascus Lee; Jonatta Moore, M.A.; Michelle Mondesir, B.A.; Brenda Senyana, MPH; and Linda Thompson. The study is a part of the Comprehensive Center of Excellence in Disparities Research and Community Engagement and is supported by NCMHD grant number 5P60MD003421. The funding bodies played no role in the study conception or design, writing of the manuscript and decision to submit the manuscript for publication.
PY - 2013/9/8
Y1 - 2013/9/8
N2 - 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.
AB - 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.
KW - African Americans
KW - Barbershops
KW - Hypertension
KW - Patient navigation
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U2 - 10.1186/1745-6215-14-287
DO - 10.1186/1745-6215-14-287
M3 - Article
C2 - 24011142
AN - SCOPUS:84883540930
SN - 1745-6215
VL - 14
JO - Trials
JF - Trials
IS - 1
M1 - 287
ER -