Tailored Navigation in CRC Screening
50 Years
74 Years
Both
Colorectal Cancer
Trial Information
Tailored Navigation in CRC Screening
OBJECTIVES:
- To compare the impact of tailored intervention vs standard intervention vs usual care
on patient utilization of colorectal cancer (CRC) screening.
- To compare the impact of these interventions on CRC screening preference.
- To compare the impact of these interventions on patient perceptions about CRC
screening.
OUTLINE: This is a multicenter study. Participants are stratified by practice and study wave
and blocking. Participants are randomized to 1 of 3 arms.
- Arm I (usual care): Participants receive usual care in accordance with their normal
patterns of interaction with study practices.
- Arm II (standard intervention [SI]): A generic screening invitation letter, a
colorectal cancer (CRC) screening informational booklet, stool blood testing (SBT)
cards, and instructions for arranging a colonoscopy screening appointment are mailed to
participants on day 15. On day 45, a reminder letter is mailed to participants who have
not completed SBT or undergone a screening colonoscopy.
- Arm III (tailored navigation intervention [TNI]): A test-specific screening invitation
letter, a CRC screening informational booklet, and additional test-specific materials
(i.e., instructions for arranging a colonoscopy screening appointment or SBT cards) are
mailed to participants on day 15. On day 30, a patient navigator contacts participants
by telephone who have not completed SBT or undergone a screening colonoscopy. The
patient navigator re-assesses screening test-specific decision stage; addresses CRC
screening barriers; develops a personalized CRC screening plan to move the participant
towards screening use (i.e., explains the steps in completing the SBT or scheduling a
colonoscopy appointment); and facilitates screening plan implementation. On day 45, a
reminder letter is mailed to participants who were contacted by the navigator.
Participants in all arms complete a survey at baseline and then at 6 months. Medical records
for each participant are reviewed at 6 months.
Inclusion Criteria
DISEASE CHARACTERISTICS:
- Meets the following criteria:
- No personal history of colorectal neoplasia (cancer or polyps) or inflammatory
bowel disease
- No family history of colorectal cancer (CRC) diagnosed before the age of 60
- Visited one of the six community-based primary care practices that are part of
the Christiana Care Health System (CCHS) in Delaware within the past 2 years
- Not up-to-date with CRC screening, according to the United States Preventive
Services Task Force guidelines
PATIENT CHARACTERISTICS:
- Must have a complete address and telephone number
- Able to communicate in English
- No psychosis or severe dementia
PRIOR CONCURRENT THERAPY:
- No prior participation in the developmental study CA10241
Type of Study:
Interventional
Study Design:
Allocation: Randomized, Masking: Single Blind, Primary Purpose: Health Services Research
Outcome Measure:
Screening utilization over the 6-month observation period
Safety Issue:
No
Principal Investigator
Ronald Myers, PhD
Investigator Role:
Study Chair
Investigator Affiliation:
Jefferson Medical College of Thomas Jefferson University
Authority:
Unspecified
Study ID:
CDR0000584278
NCT ID:
NCT00617071
Start Date:
January 2007
Completion Date:
Related Keywords:
- Colorectal Cancer
- colon cancer
- rectal cancer
- Colorectal Neoplasms
Name | Location |
|---|---|
| Kimmel Cancer Center at Thomas Jefferson University - Philadelphia | Philadelphia, Pennsylvania 19107 |
