Cross-Sectional Partnership to Improve Prevention and Health Equity in African Americans

The recruitment goal is 1,200 participants during visits to a designated DMV location in Omaha, Nebraska.

• This cross-sectional partnership targets African American adults aged 45-75 to address disparities in colorectal cancer (CRC) screening.

The latter adds targeted advertising on platforms such as Facebook, Instagram, and YouTube to boost awareness and participation.

• All participants will receive a free fecal immunochemical test (FIT) kit with a prepaid return envelope, plus a culturally tailored educational brochure.
• The intervention package includes reminder text messages and phone calls, along with navigation support after FIT results for those with a positive outcome or lacking a family doctor or insurance.
• Returned kits are processed at a designated Nebraska Medicine laboratory, with results mailed to participants within 14 to 21 days.
• Participants are randomized into two arms: (1) an on-site distribution group and (2) an on-site distribution group plus social media advertising.

• The study will compare three metrics between the two groups: FIT kit return rates, the rate of positive screening results, and the completion rate of follow-up colonoscopies after a positive FIT.
• The emphasis is on prevention and health equity, aiming to determine whether social media augmentation yields improvements in participation and downstream follow-up.

• The project sits within the oncology and prevention domains, with explicit attention to African American health disparities.
• Enrollment is estimated at 1,200 participants, and the study is currently recruiting, with an anticipated completion in late 2026.

• The provided content does not offer detailed statistical plans, prior evidence, or numerical results from this study.