An Interactive Preventive Health Record to Increase Colorectal Cancer Screening
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 683
- 试验地点
- 4
- 主要终点
- CRCS adherence provided by the electronic medical record
研究概览
简要总结
This study involves 3 phases that modifies current Interactive Preventative Health Record-Colorectal Cancer Screening (IPHR-CRCS) modules to address each patient's individual colorectal cancer screening (CRCS) knowledge, attitudes, preferences, and test-specific barriers. The study will engage patients, ages 50-75 years who are non-adherent to CRCS, to assess their CRCS test preferences and corresponding test-specific barriers in "real time". Based on patient characteristics (e.g. age, personal and family history, physician CRCS recommendation, CRCS test preferences, top test-specific barriers), tailored messages/videos will appear in the pop-up screens to address/reduce the top patient-reported, test-specific CRCS barriers while incorporating an action plan for CRCS adherence. The investigators hypothesize that modifying the IPHR-CRCS module to address each patient's individual CRCS knowledge, attitudes, preferences, and test-specific barriers will further increase CRCS.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 50 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Adults 50-75 years
- •Non-adherent to CRCS guidelines (i.e., no FOBT in last year, no sigmoidoscopy or barium enema in last 5 years, and no colonoscopy in last 10 years)
- •English-speaking
- •Have computer access (e.g. home, work, library)
- •Additional eligibility for Phase I: focus group participants will be ineligible for the subsequent prototype testing and cognitive/usability testing interviews
- •Additional eligibility for Phase I: prototype testing participants will be ineligible for the cognitive/usability testing interviews
- •Additional eligibility for Phase II: Seen in the clinic in the last 2 years
排除标准
- •Personal CRC history
- •Additional exclusion for Phase III: Patients seen at any clinic participating in Phase II
结局指标
主要结局
CRCS adherence provided by the electronic medical record
时间窗: Phase III: Baseline up to 12 months post intervention
Having had ≥1 test (i.e., fecal occult blood test, sigmoidoscopy, colonoscopy and barium enema) within the time frame specified for each procedure will count as adherent CRCS.
次要结局
- EHR Paradata(Phase III: Continuous)
- Self-reported CRCS adherence(Phase III: Baseline and 9 months post intervention)
- Psychosocial Constructs(Phase III: Baseline and 9 months post intervention)
- General and test-specific colorectal cancer screening barriers(Phase III: Baseline and 9 months post intervention)
- Feasibility of MyCRCS+ in target setting - patient survey(Phase III: Baseline and 9 months post intervention)