Mammogram Mail- and Phone-based Interventions

Not Applicable

Completed

• Conditions: Breast Cancer
• Interventions: Behavioral: Letter; Behavioral: Auto-dialer; Behavioral: Postcard; Behavioral: Live call

• Registration Number: NCT05853848
• Lead Sponsor: Geisinger Clinic

Brief Summary

The project aims to evaluate four different versions and modalities of interventions encouraging mammogram screening among all eligible women due or overdue for screening. The evaluation will compare among the following forms of outreach to help determine whether (a) live calls are more effective at increasing mammogram screening than other forms of outreach and (b) each form of outreach is more effective than no outreach: (1) a postcard, (2) a letter, (3) an auto-dialer phone message, and (4) a live call from a care gaps team. The interventions will be rolled out over many months, allowing for comparisons of effectiveness against those who have not yet been contacted.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-04-28
• Study Start: 2023-05-10
• Study First Submitted QC: 2023-05-10
• Study First Posted: 2023-05-11
• Primary Completion: 2024-07-31
• Study Completion: 2024-07-31
• Status Verified: 2024-10
• Last Update Submitted: 2024-10-09
• Last Update Posted: 2024-10-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 14386

Inclusion Criteria

• Female Geisinger Health Plan members between ages 52 and 74 as of December 31, 2023
• Overdue for annual mammogram
• Continuously enrolled with the Geisinger Health Plan as of October 1, 2021
• Can be contacted via both phone and mail

Exclusion Criteria

• Geisinger Health Plan members on a do-not-contact list
• Had a mammogram as of October 1, 2021
• In hospice, using hospice services, or receiving palliative care as of January 1, 2023
• Medicare members 66 years of age or above at time of outreach, who are institutionalized or have both frailty and advanced illness
• Had a bilateral mastectomy at any time

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Formal letter	Letter	Patients in this arm will receive a letter from the Geisinger Health Plan (on Geisinger letterhead) noting that they're overdue for a mammogram and encouraging them to schedule.
Auto-dialer	Auto-dialer	Patients in this arm will receive a call from an auto-dialer with a message noting that they're overdue for a mammogram and encouraging them to schedule.
Standard postcard	Postcard	Patients in this arm will receive a postcard with words and an image, typical of outreach in prior years, encouraging them to schedule their annual mammograms.
Live call	Live call	Patients in this arm will receive a call from a Geisinger Health Plan representative noting that they're overdue for a mammogram and encouraging them to schedule (and helping them schedule if they are interested).

Primary Outcome Measures

Name	Time	Method
Mammogram completed	In the 120 days following the patient's intervention send date	Record of completed mammogram (yes/no), for comparing postcards, letters, auto-dialer messages, and live calls with controls

Trial Locations

Locations (1)

Geisinger; 🇺🇸 Danville, Pennsylvania, United States