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Evaluating the in-person and virtual education Program based on the Extended Parallel Process Model (EPPM ) on encouraging teachers over 50 years old for colorectal cancer screening

Protocol summary

Study aim
Evaluation of a virtual and in-person education on encouraging to FIT test doing
Design
The present experimental study has three groups before and after . A list of teachers is received and eligible individuals are selected by telephone. In the next stage, 50 eligible people in each group are randomly assigned to the three aforementioned groups. Then, pre-test questionnaires are completed and after entering the SPSS software, initial analyses are performed, educational needs are identified and a curriculum plan based on model structures is developed. It is anticipated that 4-6 training sessions will be implemented in person for the in-person training group. Also, educational content in the form of clips, short educational films, and podcasts is prepared for the virtual education group and sent to them via social media (ETA and WhatsApp).
Settings and conduct
The educational intervention in the face-to-face group will be conducted in four 75-90 minute sessions . In the virtual group, educational content via social networks (WhatsApp and ETA).
Participants/Inclusion and exclusion criteria
Inclusion criteria: Not having undergone a fit test in the last three years, being over 50 years old, willing to participate in study. Exclusion criteria: having digestive disorders and colon cancer.
Intervention groups
In the intervention group, an in-person educational program on colon cancer and its importance with the aim of encouraging people to take the fit test, in the virtual group through the ETA and WhatsApp channels, providing educational content according to the goals of the face-to-face group, in the control group, no intervention until the post-test, and then, in order to comply with ethics, providing educational content similar to the virtual group
Main outcome variables
FIT: Fecal Immunochemical Test

General information

Reason for update
Acronym
EPPM
IRCT registration information
IRCT registration number: IRCT20180703040316N1
Registration date: 2025-11-29, 1404/09/08
Registration timing: retrospective

Last update: 2025-11-29, 1404/09/08
Update count: 0
Registration date
2025-11-29, 1404/09/08
Registrant information
Name
Mostafa Nasirzadeh
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 34 3425 9176
Email address
mnasirzadeh13@rums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2025-07-23, 1404/05/01
Expected recruitment end date
2025-08-23, 1404/06/01
Actual recruitment start date
2025-07-23, 1404/05/01
Actual recruitment end date
2025-08-23, 1404/06/01
Trial completion date
2025-10-22, 1404/07/30
Scientific title
Evaluating the in-person and virtual education Program based on the Extended Parallel Process Model (EPPM ) on encouraging teachers over 50 years old for colorectal cancer screening
Public title
The impact of in-person and virtual education Program for FIT screening
Purpose
Screening
Inclusion/Exclusion criteria
Inclusion criteria:
Failure to perform a fit test in the last three years Age over 50 years Willingness to participate in research
Exclusion criteria:
Suffering from digestive disorders Having colon cancer
Age
From 50 years old
Gender
Both
Phase
N/A
Groups that have been masked
  • Data analyser
Sample size
Target sample size: 50
Actual sample size reached: 48
Randomization (investigator's opinion)
Randomized
Randomization description
The randomization unit in this study was the individual (teachers over 50 years of age). Simple randomization was used to assign participants to the intervention and control groups. The allocation sequence was prepared by an independent researcher using a random number table in Excel software. The allocation list was placed in opaque, numbered envelopes, and when each individual entered the study, the envelope was opened and the individual was allocated to the designated group. This method ensured allocation concealment.
Blinding (investigator's opinion)
Single blinded
Blinding description
Participants in the in-person and virtual intervention groups and the instructor were also aware of the groups. However, the statistical analysis specialist was not aware of the groups. In the software, the names of the groups were identified by numbers.
Placebo
Not used
Assignment
Parallel
Other design features
Based on the estimated sample size for the three in-person, virtual, and control intervention groups (50 people in each group), eligible individuals will be randomly assigned to the three aforementioned groups. In order to avoid differences in this behavior in the three groups and to ensure that the groups are homogeneous, the selection of each individual for each group will be in order from the beginning of the organized list. For example, the first person will enter the in-person intervention group, the second person will enter the virtual intervention group, and the third person will enter the control group. Then, pre-test questionnaires are completed and after entering the SPSS software, initial analyses are performed, educational needs are identified, and a curriculum plan based on model structures is developed. It is anticipated that 4-6 in-person training sessions (Table 2) will be conducted for the in-person training group. Also, for the virtual training group, educational content in the form of clips, short educational films, and podcasts will be prepared and sent to them via social media (ETA and WhatsApp). We will communicate with teachers online twice a week through the aforementioned virtual networks to conduct interactions and questions and answers. Immediately after completing the training program, screening intention will be assessed, and two months later, post-test completion and screening status will be compared in the three groups. To comply with research ethics, those whose fit test is positive will be consulted in person for colonoscopy, and educational content prepared for the virtual group will also be sent to the control group after the study ends (post-test completion).

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
The ethical committee of Rafsanjan University of Medical Sciences
Street address
Emam Ali Blv
City
Rafsanjan
Province
Kerman
Postal code
7719779136
Approval date
2025-01-04, 1403/10/15
Ethics committee reference number
IR.RUMS.REC.1403.157

Health conditions studied

1

Description of health condition studied
Colon with rectum cancer
ICD-10 code
C19
ICD-10 code description
Malignant neoplasm of rectosigmoid junction

Primary outcomes

1

Description
intention
Timepoint
immediately
Method of measurement
Research-made Questionnaire

2

Description
FIT: Fecal Immunochemical Test
Timepoint
2 months after education
Method of measurement
Medical school laboratory confirmation sheet or health center report

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: In-person training: The training program was held in four 75-90 minute sessions using lecture, group discussion, and question and answer methods with the goals of explaining the importance of the disease, screening, and sensitizing the patient.
Category
Behavior

2

Description
Intervention group: Virtual education: In this group, educational content including films, podcasts, and pamphlets were provided to participants via social networks (WhatsApp and ETA) with the same goals as in-person meetings.
Category
Behavior

Recruitment centers

1

Recruitment center
Name of recruitment center
Rafsanjan Health Center
Full name of responsible person
Narges Moenfar
Street address
Modarres BLv
City
Rafsanjan
Province
Kerman
Postal code
7718175911
Phone
+98 914 013 1811
Email
mnasirzadeh13@yahoo.com
Web page address
https://behdasht.rums.ac.ir/%D9%BE%D8%B1%D8%B3%D9%86%D9%84-%D9%85%D8%B1%DA%A9%D8%B2-%D8%A8%D9%87%D8%AF%D8%A7%D8%B4%D8%AA

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Rafsanjan University of Medical Sciences
Full name of responsible person
Mohammad Reza Dehghani
Street address
Emam Ali BLv
City
Rafsanjan
Province
Kerman
Postal code
7718175911
Phone
+98 34 3428 0086
Email
mnasirzadeh13@rums.ac.ir
Web page address
https://www.rums.ac.ir/
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Rafsanjan University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Rafsanjan University of Medical Sciences
Full name of responsible person
Mostafa Nasirzadeh
Position
Associate Professor
Latest degree
Ph.D.
Other areas of specialty/work
Health Promotion
Street address
emam ali BLv
City
Rafsanjan
Province
Kerman
Postal code
7718175911
Phone
034342880042
Email
mnasirzadeh13@yahoo.com
Web page address
https://vcrt.rums.ac.ir/%D9%85%D8%B9%D8%B1%D9%81%DB%8C-%D9%BE%D8%B1%D8%B3%D9%86%D9%84/%DA%AF%D8%B1%D9%88%D9%87-%D8%A7%D8%B7%D9%84%D8%A7%D8%B9-%D8%B1%D8%B3%D8%A7%D9%86%DB%8C/%D8%AF%DA%A9%D8%AA%D8%B1-%D9%85%D8%B5%D8%B7%D9%81%DB%8C-%D9%86%D8%B5%DB%8C%D8%B1%D8%B2%D8%A7%D8%AF%D9%87

Person responsible for scientific inquiries

Contact
Name of organization / entity
Rafsanjan University of Medical Sciences
Full name of responsible person
Mostafa NAsirzadeh
Position
faculty member
Latest degree
Ph.D.
Other areas of specialty/work
Health Promotion
Street address
Emam Ali BLv
City
Rafsanjan
Province
Kerman
Postal code
7718175911
Phone
+98 34 3428 0086
Email
mnasirzadeh13@yahoo.com
Web page address
https://vcrt.rums.ac.ir/%D9%85%D8%B9%D8%B1%D9%81%DB%8C-%D9%BE%D8%B1%D8%B3%D9%86%D9%84/%DA%AF%D8%B1%D9%88%D9%87-%D8%A7%D8%B7%D9%84%D8%A7%D8%B9-%D8%B1%D8%B3%D8%A7%D9%86%DB%8C/%D8%AF%DA%A9%D8%AA%D8%B1-%D9%85%D8%B5%D8%B7%D9%81%DB%8C-%D9%86%D8%B5%DB%8C%D8%B1%D8%B2%D8%A7%D8%AF%D9%87

Person responsible for updating data

Contact
Name of organization / entity
Rafsanjan University of Medical Sciences
Full name of responsible person
Mostafa Nasirzadeh
Position
faculty member
Latest degree
Ph.D.
Other areas of specialty/work
Health Promotion
Street address
Emam Ali BL.v
City
Rafsanjan
Province
Kerman
Postal code
7718175911
Phone
+98 34 3428 0086
Email
mnasirzadeh13@yahoo.com
Web page address
https://vcrt.rums.ac.ir/%D9%85%D8%B9%D8%B1%D9%81%DB%8C-%D9%BE%D8%B1%D8%B3%D9%86%D9%84/%DA%AF%D8%B1%D9%88%D9%87-%D8%A7%D8%B7%D9%84%D8%A7%D8%B9-%D8%B1%D8%B3%D8%A7%D9%86%DB%8C/%D8%AF%DA%A9%D8%AA%D8%B1-%D9%85%D8%B5%D8%B7%D9%81%DB%8C-%D9%86%D8%B5%DB%8C%D8%B1%D8%B2%D8%A7%D8%AF%D9%87

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Not applicable
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Not applicable
Title and more details about the data/document
Article/paper
When the data will become available and for how long
from 2026
To whom data/document is available
The general public and researchers
Under which criteria data/document could be used
To benefit from the results - conduct further research
From where data/document is obtainable
The journal and index in which the article is published and viewed.
What processes are involved for a request to access data/document
Search on Google or in a magazine
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