Systems of Support (SOS) to Increase Colon Cancer Screening Disparities Supplement
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 898
- 试验地点
- 2
- 主要终点
- CRC Screening Within 6 Months Following Randomization
研究概览
简要总结
The investigators propose to build on the success of the Systems of Support to Increase Colorectal Cancer trial (SOS, R01CA121125, Green) and focus on disparity groups who are less likely to be current for colorectal cancer (CRC) screening. We will test whether financial incentives increases screening uptake and decreases screening disparities. The investigators hypothesize that CRC screening rates will be higher in patients offered mailed fecal kits and financial incentives than those offered mailed fecal kits alone.
详细描述
Study staff will send invitation letters and a questionnaire to 5,000 patients aged 50-75 not current for CRC screening, two-thirds who are identified in the electronic data as being from a non-White race, ethnicity, or who have Medicaid coverage. Those returning the survey and remaining eligible (estimated N = 1150) will be randomized to either (1) Mailed fecal kit only, or mailed fecal kit plus one of 2 types of financial incentives for completing testing: (2) a guaranteed Monetary incentive or (3) a probabilistic Lottery incentive.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Screening
- 盲法
- Single (Outcomes Assessor)
盲法说明
The randomization sequence will be concealed to everyone except the study biostatistician.
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
- •No evidence in electronic data of FIT screening in past year or a colonoscopy in the prior 9 years.
- •Continuously enrolled in Group Health Cooperative (GHC) for at least one year.
- •Patients who have Medicaid coverage or are non-white race or Hispanic any race.
排除标准
- •Known high risk for CRC
- •History of CRC
- •History of inflammatory bowel disease
- •Current anticoagulation therapy
- •Organ failure
- •Serious illness
- •Debilitating disease
- •Nursing home resident
结局指标
主要结局
CRC Screening Within 6 Months Following Randomization
时间窗: 6 months
We will compare among the 3 arms (1) automated mailing; (2) Auto mailing plus $10; (3) Auto mailing plus $50 lottery for completion and the effect of each on CRC screening completion at 6 months (yes/no) within the following subgroups of each arm: 1. White and not Hispanic versus non-White or Hispanic. 2. Medicaid versus non-Medicaid (Medicare, employer-based, private) insurance. 3. History of prior versus no prior completion of CRC screening tests. 4. High school or less versus college or more education level.
次要结局
未报告次要终点