Does Knowing One's Estimated Colorectal Cancer Risk Influence Screening Behavior?
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Stanford University
- Enrollment
- 229
- Locations
- 1
- Primary Endpoint
- Screening Behavior: Differences in colorectal cancer screening completion rates between usual care (UC) and CCRAT
Study Overview
Brief Summary
This study is designed to examine the impact of telephone-based colorectal cancer risk assessment on colorectal screening attitudes and behavior among previously unscreened adults ages 50 to 75.
Detailed Description
Colorectal cancer (CRC) remains the 3rd most common cancer in the US. Most CRCs are preventable, but screening participation remains suboptimal. Several factors have been associated with screening compliance, such as perception of CRC risk. Here we study the impact of telephone-based administration of the National Cancer Institute Colorectal Cancer Risk Assessment Tool (CCRAT) compared to usual care.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 50 Years to 75 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Patient of any participating physician
- •Not having had any colorectal cancer screening test prior
- •Able to speak English
Exclusion Criteria
- •Personal history of inflammatory bowel disease
- •Personal history of colorectal cancer
- •Personal history of Lynch syndrome or Familial Adenomatous Polyposis
- •Have already received colorectal cancer screening
Arms & Interventions
Usual Care (UC)
Patients receive standardized general information about colorectal cancer screening over the telephone.
Intervention: Usual Care (UC) (Behavioral)
Risk Assessment (CCRAT)
Patient receive personalized colorectal cancer risk assessment over the telephone by answering the questions as outlined in the National Cancer Institute Colorectal Cancer Risk Assessment Tool (https://ccrisktool.cancer.gov/calculator.html)
Intervention: Risk Assessment (CCRAT) (Behavioral)
Risk Assessment (CCRAT)
Patient receive personalized colorectal cancer risk assessment over the telephone by answering the questions as outlined in the National Cancer Institute Colorectal Cancer Risk Assessment Tool (https://ccrisktool.cancer.gov/calculator.html)
Intervention: Usual Care (UC) (Behavioral)
Outcomes
Primary Outcomes
Screening Behavior: Differences in colorectal cancer screening completion rates between usual care (UC) and CCRAT
Time Frame: 12 months after intervention
Any CRC screening test completed including stool tests (FOBT (fecal occult blood test), FIT (immunochemical test for fecal blood), stool DNA test), colonoscopy, flexible sigmoidoscopy, double contrast barium enema, CT colonography (virtual colonoscopy)
Secondary Outcomes
- Screening Behavior: Differences in colorectal cancer screening completion rates between usual care (UC) and CCRAT(6 months after intervention)
- Colorectal cancer screening rates at 12 months as a function of CCRAT score(12 months after intervention)
- Change in intention to screen at 6 months and 12 months(Immediate after intervention, 6 months and 1 year after intervention)
Investigators
Uri Ladabaum
Professor of Medicine, Director GI Cancer Prevention Program
Stanford University