Using Precision Performance Measurement To Conduct Focused Quality Improvement. Sub-Study 1.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 628
- 试验地点
- 1
- 主要终点
- Colorectal Cancer Screening Completion.
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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)
研究组 & 干预措施
Intervention Group
Received Educational Outreach
干预措施: Educational outreach (Behavioral)
Usual Care Control Group
Participants in this arm will receive normal care until outcome assessment is performed at 6 months following the placement of the order for the preventive service. They will be sent a letter reminding them to obtain the ordered preventive service test.
结局指标
主要结局
Colorectal Cancer Screening Completion.
时间窗: 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.
次要结局
- Colorectal Cancer Screening Completion(6 months post randomization)
研究者
Kenzie Cameron
Research Associate Professor
Northwestern University