Patient-Centered Outreach to Increase Colorectal Cancer Screening in a Community Health Setting
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 281
- 试验地点
- 2
- 主要终点
- FIT completion within 3 months
研究概览
简要总结
This randomized controlled pilot study at the Health Annex, Family Practice & Counseling Network (FPCN), a community clinic in Southwest Philadelphia, aimed at providing data on the feasibility of a mailed FIT approach to CRC screening in a community health setting, and how patients respond to text messaging and behavioral economic engagement incentives.
详细描述
This is a single-center RCT at the Family Practice & Counseling Network (FPCN), a community clinic in Southwest Philadelphia with 320 eligible subjects between the ages of 50-74 randomized to two study arms:
- text messaging outreach (text)
- text messaging outreach with lottery for 1/5 chance to win a financial incentive (text + lottery).
Findings will provide data on the feasibility of this mailed FIT approach in a community health setting, and how patients respond to text messaging and behavioral economic engagement incentives.
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 (Investigator)
入排标准
- 年龄范围
- 50 Years 至 74 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Between 50 and 74 years old
- •Has active medical insurance
- •Has had had at least one visit at Health Annex in the prior 12 months (at time of chart review)
- •Due for CRC screening (no colonoscopy in last 10 years, sigmoidoscopy in last 5 years, or stool testing in last 1 year)
- •Asymptomatic for CRC
排除标准
- •Has had prior colonoscopy within 10 years, sigmoidoscopy within 5 years, and FOBT/FIT within twelve months of the chart review (we will exclude patients who self-report undergoing any of the above procedures)
- •Has a history of CRC
- •Has a history of other GI cancer
- •Has history of confirmed Inflammatory Bowel Disease (IBD) (e.g. Crohns disease, ulcerative colitis)
- •Has a history of colon polyps
- •Has had a colectomy
- •Has a first-degree relative that has been diagnosed with CRC
- •Has been diagnosed with Lynch Syndrome (i.e. HNPCC)
- •Has been diagnosed with Familial Adenomatous Polyposis (FAP).
- •Has iron deficiency anemia
- •Has recent history of lower GI bleeding
- •Has metastatic (Stage IV) blood or solid tumor cancer
- •Has end stage renal disease
- •Has had congestive heart failure
- •Has dementia
- •Has liver cirrhosis
- •Has any other condition that, in the opinion of the investigator, excludes the patient from participating in this study
- •Does not use a mobile phone enabled to send and receive text messages
研究组 & 干预措施
Text + Lottery
Text outreach + financial incentive
干预措施: Text + Lottery (Behavioral)
Text-only
Text-only outreach
干预措施: Text-only (Behavioral)
结局指标
主要结局
FIT completion within 3 months
时间窗: 3 months
The percentage of participants who successfully complete the FIT
次要结局
- Response to text-based CRC screening outreach(3 months)
研究者
Shivan J Mehta
Principal Investigator
University of Pennsylvania