Patient-Centered Outreach to Increase Colorectal Cancer Screening in a Community Health Setting
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cancer of the Colon
- Sponsor
- University of Pennsylvania
- Enrollment
- 281
- Locations
- 1
- Primary Endpoint
- FIT completion within 3 months
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
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.
Detailed Description
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: 1. text messaging outreach (text) 2. 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.
Investigators
Shivan J Mehta
Principal Investigator
University of Pennsylvania
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
FIT completion within 3 months
Time Frame: 3 months
The percentage of participants who successfully complete the FIT
Secondary Outcomes
- Response to text-based CRC screening outreach(3 months)