Using Precision Performance Measurement To Conduct Focused Quality Improvement. Sub-Study 1.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Colorectal Cancer Screening
- Sponsor
- Northwestern University
- Enrollment
- 628
- Locations
- 1
- Primary Endpoint
- Colorectal Cancer Screening Completion.
- Status
- Completed
- Last Updated
- 14 years ago
Overview
Brief Summary
The purpose of this study is to evaluate whether patient outreach is effective at increasing compliance with preventive screenings ordered by their physician. We hypothesize that educational outreach may increase completion rates.
Detailed Description
We designed an intervention to focus on patients who have received and accepted a referral for colonoscopy, yet have exhibited some barriers to screening as demonstrated by a lack of screening completion. We conducted a randomized controlled trial to assess the effects of a multicomponent intervention (patient reminder, print and multimedia materials) on colorectal screening completion among this target population.
Investigators
Kenzie Cameron
Research Associate Professor
Northwestern University
Eligibility Criteria
Inclusion Criteria
- •Patient's physician has ordered a preventive screening test
- •Patient has not completed this test in 3 months
- •Patient of Northwestern Medical Faculty Foundation General Internal Medicine Clinic.
Exclusion Criteria
- •Patient has been given a more recent order for the same screening test.
- •Patient has significant life stress as noted in the Electronic Health Record (EHR)
Outcomes
Primary Outcomes
Colorectal Cancer Screening Completion.
Time Frame: 3 months post randomization
We reviewed electronic health records of participants 3 months post randomization to ascertain outcome. We looked for one or both of the following (1) note in free text MD note documenting receipt of one form of colorectal cancer (CRC) screening during study period (2)lab results from fecal occult blood test, sigmoidoscopy, or colonoscopy. Participants were categorized as completing CRC screening if there was a lab result or physician note located in chart during study period. If no note or lab result was found in chart, then the participant was categorized as not completing CRC screening.
Secondary Outcomes
- Colorectal Cancer Screening Completion(6 months post randomization)