ACT Now: Advancing People of Color in Clinical Trials Now: Involvement in Trials Using a Patient-Centered Website: A Community-Engaged Approach

Sponsor
NYU Langone Health (Other)
Overall Status
Completed
CT.gov ID
NCT03243071
Collaborator
(none)
112
1
2
20.4
5.5

Study Details

Study Description

Brief Summary

The purpose pf this study is to evaluate the comparative effectiveness of a culturally and linguistically tailored clinical trial literacy website in increasing likelihood of participating in clinical trials. To achieve this objective,a randomized group design will address the following patient-centered outcomes: willingness to enroll in clinical trials and behavioral intent as well as likelihood of referring others to enroll in such trials) before and after exposure to a culturally-tailored clinical trial literacy website. Health literacy will be measured both before and post exposure to tailored messages. Participants will be randomized into two groups. The intervention group (n=50) will have access to culturally tailored website. Participants in the control group (n=50) will have access to NYU 's standard trial participation website.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: Tailored Website
  • Behavioral: Standard Website
N/A

Detailed Description

Compelling evidence demonstrates racial/ethnic disparities in health and healthcare in the United States. These disparities arise from various factors including unequal access to adequate medical care, perceived racial discrimination, and poor health literacy.The Center for Healthful Behavior Change (CHBC) has been involved in numerous initiatives to eradicate health disparities and have implemented NIH-funded interventions to address inequities in health. Interventions targeting patient-centered outcomes have been suboptimal because of inadequate infrastructure to support equitable contributions from stakeholders (patients, providers, and community leaders) in all aspects of the research process. This is crucial to promote sustainable effects regarding minority patients' ability to make informed decisions about participating in existing clinical trials. This study will address this gap, bringing together academic investigators and important stakeholders to develop a website providing access to culturally tailored videos to enhance awareness of clinical trial, health literacy, thus promoting participation in existing clinical trials.

Study Design

Study Type:
Interventional
Actual Enrollment :
112 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Health Services Research
Official Title:
Advancing People of Color in Clinical Trials Now: Involvement in Trials Using a Patient-Centered Website: A Community-Engaged Approach
Actual Study Start Date :
Aug 14, 2017
Actual Primary Completion Date :
Jan 28, 2019
Actual Study Completion Date :
Apr 28, 2019

Arms and Interventions

Arm Intervention/Treatment
Experimental: Intervention Group

The intervention group will have access to culturally tailored website.

Behavioral: Tailored Website
Participants randomized to the intervention arm will have free access to a password protected interactive culturally and linguistically tailored website via a tablet device. No private identifiable data about you will be collected. Participants will receive a brief 10-minute tutorial by a trained research assistant on login procedures and use of the website.

Active Comparator: Control Group

Participants in the control group will have access to NYU 's standard trial participation website.

Behavioral: Standard Website
Participants randomized to the control condition will have free access to the NYU standard clinical trials website. Participants in the control condition will have access to the tailored website at the date of study completion (no later than 6 months' post-date of enrollment).

Outcome Measures

Primary Outcome Measures

  1. ACTNOW! Clinical Trial Knowledge Assessment Score [Baseline]

    26 statements involved in assessing the participants' knowledge of clinical trials. The total range of score is 0-104; the higher the score, the higher the level of knowledge.

  2. Clinical Trial Knowledge Assessment Score [Month 1]

    26 statements involved in assessing the participants' knowledge of clinical trials. The total range of score is 0-104; the higher the score, the higher the level of knowledge.

  3. Clinical Trial Knowledge Assessment Score [Month 3]

    26 statements involved in assessing the participants' knowledge of clinical trials. The total range of score is 0-104; the higher the score, the higher the level of knowledge.

  4. ACTNOW! Self-Efficacy Score [Baseline]

    A 4-item perceived effectiveness scale was used to assess the perceived persuasiveness of the message. The total range of score is 0-16; the higher the score, the higher the level of self-efficacy.

  5. Self-Efficacy Score [Month 1]

    A 4-item perceived effectiveness scale, adapted from Fishbein et al. (2002) was used to assess the perceived persuasiveness of the message. The total range of score is 0-16; the higher the score, the higher the level of self-efficacy.

  6. Self-Efficacy Score [Month 3]

    A 4-item perceived effectiveness scale, adapted from Fishbein et al. (2002) was used to assess the perceived persuasiveness of the message. The total range of score is 0-16; the higher the score, the higher the level of self-efficacy.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Self-reported race/ethnicity as African American, African, Caribbean American or black men and women

  • accessible by telephone

  • no plans to move away from the region within the year following enrollment; consent to participate.

Exclusion Criteria:
  • Progressive medical illness in which disability or death is expected within one year

  • impaired cognitive or functional ability, which would preclude meaningful participation in the study

  • stated intention to move within the same year of enrollment.

Contacts and Locations

Locations

Site City State Country Postal Code
1 New York University School of Medicine New York New York United States 10016

Sponsors and Collaborators

  • NYU Langone Health

Investigators

  • Principal Investigator: Girardin Jean-Louis, Ph.D., NYU Langone Health

Study Documents (Full-Text)

More Information

Publications

None provided.
Responsible Party:
NYU Langone Health
ClinicalTrials.gov Identifier:
NCT03243071
Other Study ID Numbers:
  • 17-00170
First Posted:
Aug 8, 2017
Last Update Posted:
Feb 1, 2022
Last Verified:
Jan 1, 2022
Individual Participant Data (IPD) Sharing Statement:
Undecided
Plan to Share IPD:
Undecided
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by NYU Langone Health

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Intervention Group Control Group
Arm/Group Description The intervention group will have access to culturally tailored website. Tailored Website: Participants randomized to the intervention arm will have free access to a password protected interactive culturally and linguistically tailored website via a tablet device. No private identifiable data about you will be collected. Participants will receive a brief 10-minute tutorial by a trained research assistant on login procedures and use of the website. Participants in the control group will have access to NYU 's standard trial participation website. Standard Website: Participants randomized to the control condition will have free access to the NYU standard clinical trials website. Participants in the control condition will have access to the tailored website at the date of study completion (no later than 6 months' post-date of enrollment).
Period Title: Overall Study
STARTED 59 53
COMPLETED 59 53
NOT COMPLETED 0 0

Baseline Characteristics

Arm/Group Title Intervention Group Control Group Total
Arm/Group Description The intervention group (n=50) will have access to culturally tailored website. Tailored Website: Participants randomized to the intervention arm will have free access to a password protected interactive culturally and linguistically tailored website via a tablet device. No private identifiable data about you will be collected. Participants will receive a brief 10-minute tutorial by a trained research assistant on login procedures and use of the website. Participants in the control group (n=50) will have access to NYU 's standard trial participation website. Standard Website: Participants randomized to the control condition will have free access to the NYU standard clinical trials website. Participants in the control condition will have access to the tailored website at the date of study completion (no later than 6 months' post-date of enrollment). Total of all reporting groups
Overall Participants 59 53 112
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
43
(15.98)
43
(15.03)
43
(15.74)
Sex: Female, Male (Count of Participants)
Female
46
78%
27
50.9%
73
65.2%
Male
13
22%
26
49.1%
39
34.8%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
0
0%
0
0%
0
0%
Asian
2
3.4%
7
13.2%
9
8%
Native Hawaiian or Other Pacific Islander
0
0%
0
0%
0
0%
Black or African American
47
79.7%
36
67.9%
83
74.1%
White
0
0%
0
0%
0
0%
More than one race
0
0%
0
0%
0
0%
Unknown or Not Reported
10
16.9%
10
18.9%
20
17.9%
Region of Enrollment (participants) [Number]
United States
59
100%
53
100%
112
100%

Outcome Measures

1. Primary Outcome
Title ACTNOW! Clinical Trial Knowledge Assessment Score
Description 26 statements involved in assessing the participants' knowledge of clinical trials. The total range of score is 0-104; the higher the score, the higher the level of knowledge.
Time Frame Baseline

Outcome Measure Data

Analysis Population Description
The discrepancy in overall number of participants analyzed with numbers provided in the participant flow module lies with over enrollment of study subjects to account for attrition loss and analysis only being done for those participants who had complete data. The two arms (intervention and control groups) are further divided into pairs for statistical analysis purposes (paired t-tests).
Arm/Group Title Intervention Group (Pair 1) Intervention Group (Pair 2) Control Group (Pair 3) Control Group (Pair 4)
Arm/Group Description The intervention group will have access to culturally tailored website. Tailored Website: Participants randomized to the intervention arm will have free access to a password protected interactive culturally and linguistically tailored website via a tablet device. No private identifiable data about you will be collected. Participants will receive a brief 10-minute tutorial by a trained research assistant on login procedures and use of the website. The intervention group will have access to culturally tailored website. Tailored Website: Participants randomized to the intervention arm will have free access to a password protected interactive culturally and linguistically tailored website via a tablet device. No private identifiable data about you will be collected. Participants will receive a brief 10-minute tutorial by a trained research assistant on login procedures and use of the website. Participants in the control group will have access to NYU 's standard trial participation website. Standard Website: Participants randomized to the control condition will have free access to the NYU standard clinical trials website. Participants in the control condition will have access to the tailored website at the date of study completion (no later than 6 months' post-date of enrollment). Participants in the control group will have access to NYU 's standard trial participation website. Standard Website: Participants randomized to the control condition will have free access to the NYU standard clinical trials website. Participants in the control condition will have access to the tailored website at the date of study completion (no later than 6 months' post-date of enrollment).
Measure Participants 47 33 49 25
Mean (Standard Deviation) [score]
93.89
(9.98)
93.58
(9.69)
94.88
(11.80)
97.88
(11.45)
2. Primary Outcome
Title Clinical Trial Knowledge Assessment Score
Description 26 statements involved in assessing the participants' knowledge of clinical trials. The total range of score is 0-104; the higher the score, the higher the level of knowledge.
Time Frame Month 1

Outcome Measure Data

Analysis Population Description
The discrepancy in overall number of participants analyzed with numbers provided in the participant flow module lies with over enrollment of study subjects to account for attrition loss and analysis only being done for those participants who had complete data.
Arm/Group Title Intervention Group (Pair 1) Control Group (Pair 3)
Arm/Group Description The intervention group will have access to culturally tailored website. Tailored Website: Participants randomized to the intervention arm will have free access to a password protected interactive culturally and linguistically tailored website via a tablet device. No private identifiable data about you will be collected. Participants will receive a brief 10-minute tutorial by a trained research assistant on login procedures and use of the website. Participants in the control group will have access to NYU 's standard trial participation website. Standard Website: Participants randomized to the control condition will have free access to the NYU standard clinical trials website. Participants in the control condition will have access to the tailored website at the date of study completion (no later than 6 months' post-date of enrollment).
Measure Participants 47 49
Mean (Standard Deviation) [score]
101.89
(10.37)
99.67
(10.94)
3. Primary Outcome
Title Clinical Trial Knowledge Assessment Score
Description 26 statements involved in assessing the participants' knowledge of clinical trials. The total range of score is 0-104; the higher the score, the higher the level of knowledge.
Time Frame Month 3

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Intervention Group (Pair 2) Control Group (Pair 4)
Arm/Group Description The intervention group will have access to culturally tailored website. Tailored Website: Participants randomized to the intervention arm will have free access to a password protected interactive culturally and linguistically tailored website via a tablet device. No private identifiable data about you will be collected. Participants will receive a brief 10-minute tutorial by a trained research assistant on login procedures and use of the website. Participants in the control group will have access to NYU 's standard trial participation website. Standard Website: Participants randomized to the control condition will have free access to the NYU standard clinical trials website. Participants in the control condition will have access to the tailored website at the date of study completion (no later than 6 months' post-date of enrollment).
Measure Participants 33 25
Mean (Standard Deviation) [score]
98.00
(11.99)
98.32
(8.46)
4. Primary Outcome
Title ACTNOW! Self-Efficacy Score
Description A 4-item perceived effectiveness scale was used to assess the perceived persuasiveness of the message. The total range of score is 0-16; the higher the score, the higher the level of self-efficacy.
Time Frame Baseline

Outcome Measure Data

Analysis Population Description
The two arms (intervention and control groups) are further divided into pairs for statistical analysis purposes (paired t-tests).
Arm/Group Title Intervention Group (Pair 1) Intervention Group (Pair 2) Control Group (Pair 3) Control Group (Pair 4)
Arm/Group Description The intervention group will have access to culturally tailored website. Tailored Website: Participants randomized to the intervention arm will have free access to a password protected interactive culturally and linguistically tailored website via a tablet device. No private identifiable data about you will be collected. Participants will receive a brief 10-minute tutorial by a trained research assistant on login procedures and use of the website. The intervention group will have access to culturally tailored website. Tailored Website: Participants randomized to the intervention arm will have free access to a password protected interactive culturally and linguistically tailored website via a tablet device. No private identifiable data about you will be collected. Participants will receive a brief 10-minute tutorial by a trained research assistant on login procedures and use of the website. Participants in the control group (n=50) will have access to NYU 's standard trial participation website. Standard Website: Participants randomized to the control condition will have free access to the NYU standard clinical trials website. Participants in the control condition will have access to the tailored website at the date of study completion (no later than 6 months' post-date of enrollment). Participants in the control group will have access to NYU 's standard trial participation website. Standard Website: Participants randomized to the control condition will have free access to the NYU standard clinical trials website. Participants in the control condition will have access to the tailored website at the date of study completion (no later than 6 months' post-date of enrollment).
Measure Participants 47 33 49 25
Mean (Standard Deviation) [score on a scale]
10.13
(4.19)
10.06
(4.49)
11.16
(3.08)
11.04
(3.08)
5. Primary Outcome
Title Self-Efficacy Score
Description A 4-item perceived effectiveness scale, adapted from Fishbein et al. (2002) was used to assess the perceived persuasiveness of the message. The total range of score is 0-16; the higher the score, the higher the level of self-efficacy.
Time Frame Month 1

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Intervention Group (Pair 1) Control Group (Pair 3)
Arm/Group Description The intervention group will have access to culturally tailored website. Tailored Website: Participants randomized to the intervention arm will have free access to a password protected interactive culturally and linguistically tailored website via a tablet device. No private identifiable data about you will be collected. Participants will receive a brief 10-minute tutorial by a trained research assistant on login procedures and use of the website. Participants in the control group will have access to NYU 's standard trial participation website. Standard Website: Participants randomized to the control condition will have free access to the NYU standard clinical trials website. Participants in the control condition will have access to the tailored website at the date of study completion (no later than 6 months' post-date of enrollment).
Measure Participants 47 49
Mean (Standard Deviation) [score on a scale]
12.06
(3.35)
12.02
(3.40)
6. Primary Outcome
Title Self-Efficacy Score
Description A 4-item perceived effectiveness scale, adapted from Fishbein et al. (2002) was used to assess the perceived persuasiveness of the message. The total range of score is 0-16; the higher the score, the higher the level of self-efficacy.
Time Frame Month 3

Outcome Measure Data

Analysis Population Description
The discrepancy in overall number of participants analyzed with numbers provided in the participant flow module lies with over enrollment of study subjects to account for attrition loss and analysis only being done for those participants who had complete data.
Arm/Group Title Intervention Group (Pair 2) Control Group (Pair 4)
Arm/Group Description The intervention group will have access to culturally tailored website. Tailored Website: Participants randomized to the intervention arm will have free access to a password protected interactive culturally and linguistically tailored website via a tablet device. No private identifiable data about you will be collected. Participants will receive a brief 10-minute tutorial by a trained research assistant on login procedures and use of the website. Participants in the control group will have access to NYU 's standard trial participation website. Standard Website: Participants randomized to the control condition will have free access to the NYU standard clinical trials website. Participants in the control condition will have access to the tailored website at the date of study completion (no later than 6 months' post-date of enrollment).
Measure Participants 33 25
Mean (Standard Deviation) [score on a scale]
12.42
(3.40)
11.88
(3.10)

Adverse Events

Time Frame 3 Months
Adverse Event Reporting Description
Arm/Group Title Intervention Group Control Group
Arm/Group Description The intervention group will have access to culturally tailored website. Tailored Website: Participants randomized to the intervention arm will have free access to a password protected interactive culturally and linguistically tailored website via a tablet device. No private identifiable data about you will be collected. Participants will receive a brief 10-minute tutorial by a trained research assistant on login procedures and use of the website. Participants in the control group will have access to NYU 's standard trial participation website. Standard Website: Participants randomized to the control condition will have free access to the NYU standard clinical trials website. Participants in the control condition will have access to the tailored website at the date of study completion (no later than 6 months' post-date of enrollment).
All Cause Mortality
Intervention Group Control Group
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/59 (0%) 0/53 (0%)
Serious Adverse Events
Intervention Group Control Group
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/59 (0%) 0/53 (0%)
Other (Not Including Serious) Adverse Events
Intervention Group Control Group
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/59 (0%) 0/53 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

All Principal Investigators ARE employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Girardin Jean-Louis, PhD
Organization NYU Langoen Health
Phone 646-501-3431
Email Girardin.Jean-Louis@nyulangone.org
Responsible Party:
NYU Langone Health
ClinicalTrials.gov Identifier:
NCT03243071
Other Study ID Numbers:
  • 17-00170
First Posted:
Aug 8, 2017
Last Update Posted:
Feb 1, 2022
Last Verified:
Jan 1, 2022