Decision Aid to Technologically Enhance Shared Decision Making
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 570
- 试验地点
- 14
- 主要终点
- Number of Participants Reporting Preferred Screening Type as Reported by Chart Audits
研究概览
简要总结
Physicians face a challenge in promoting colorectal cancer screening (CRCS) in the face of multiple competing demands. A decision aid (DA) that clarifies patient preferences and improves decision quality could aid shared decision making (SDM) and be effective at increasing CRCS rates. However, exactly how such DA improves SDM is not clear. This 4-year R01 study funded by the National Cancer Institute seeks to provide detailed understanding of how an interactive DA affects patient-physician communication and SDM, and ultimately CRCS adherence.
详细描述
This two-armed randomized controlled trial (300 patients/arm) will compare Colorectal Web (CW), the interactive DA, to a non-interactive control website in ten practices in Metro Detroit. Patients will be adults aged 50 years and over, not current on CRCS. In the clinic before the patient-physician encounter, participants will complete a Patient Baseline Survey. They will be randomized to CW or the control website. Data will be collected after the patient reviews the respective website (Post-Intervention Survey), during the patient-physician encounter (digital audio recording), and after it (Post-Encounter Survey). Chart audit will be performed six months after the encounter to determine whether the patient underwent 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
- Single (Participant)
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
- •50-75 years of age
- •not current with colorectal cancer screening
- •scheduled for HME, Health Maintenance Exam, or chronic care visit with participating physician
- •able to read English
- •current contact information
排除标准
- •history of colon cancer or adenomatous polyps
- •history of dementia or psychosis
- •contraindication to CRCS
研究组 & 干预措施
Control
Same information is presented in the control website as is found in the intervention website, but no interactive component: preferences and risk assessment.
Intervention with Colorectal Website
Intervention website includes an interactive component including preferences and risk assessment.
干预措施: Colorectal Web (Behavioral)
结局指标
主要结局
Number of Participants Reporting Preferred Screening Type as Reported by Chart Audits
时间窗: 6 months following intervention a chart audit will be conducted to determine if CRCS was completed.
Chart audits were conducted 6 months after the participant's study visit to determine if screening had occurred and if the type of screen was the same as the participant's preferred type of screening.
次要结局
未报告次要终点
研究者
Masahito Jimbo, MD
Clinical Associate Professor, Family Medicine
University of Michigan