Enhancing Skin Cancer Early Detection and Treatment in Primary Care
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cutaneous Melanoma
- Sponsor
- OHSU Knight Cancer Institute
- Enrollment
- 54
- Locations
- 1
- Primary Endpoint
- Change in Clinician Knowledge in Melanoma Risk and Lesion Identification
- Status
- Completed
- Last Updated
- 4 months ago
Overview
Brief Summary
Skin cancer screening may help find melanoma sooner, when it may be easier to treat. If found early melanoma and other types of skin cancer may be curable. Multi-component education may be an effective method to help primary care physicians (PCPs) learn about skin cancer screening. This clinical trial examines whether a clinician-focused educational intervention can improve PCP's knowledge and clinical performance to identify and triage skin cancer. This intervention may increase the PCP's ability to diagnose, treat and/or triage early-stage melanoma.
Detailed Description
PRIMARY OBJECTIVE: I. Evaluate whether a multi-component education strategy improves the ability of PCPs to identify and triage skin cancer. OUTLINE: Participants are assigned to 1 of 2 groups. PCP participants complete group training. All training participants will also be offered series of short booster teaching points delivered virtually. Participants who complete the training also take part in pre-post knowledge assessments. PCP participants may also participate in a qualitative interview. PCPs at the two clinics who do not receive the group training will serve as study comparators.
Investigators
Susan A. Flocke, Ph.D.
Principal Investigator
OHSU Knight Cancer Institute
Eligibility Criteria
Inclusion Criteria
- •Clinicians at two Oregon Health \& Science University (OHSU) primary care clinics will be invited to receive exposure to the melanoma early detection intervention
- •Clinicians at the two clinics who do not receive the intervention will serve as study comparators
- •These individuals are all aged 18 years or older
- •All practice members speak English
Exclusion Criteria
- •No one will be intentionally excluded
Outcomes
Primary Outcomes
Change in Clinician Knowledge in Melanoma Risk and Lesion Identification
Time Frame: Immediately before and after the training session
KnChange in melanoma risk, knowledge based upon survey questions prior to training and post-training. Content covered melanoma risk, knowledge of electronic health record tools specific to the training and lesion identification and biopsy procedure knowledge. A total score of correct responses for the 27 items was generated and transformed to represent the percent of correct items with zero being no correct items and 100% being all items correct. A change score from pre-training to post-training was generated where a positive change score represented the gain in knowledge in percent points and a negative change score representing a lower percent of correct responses from pre-training to post-training.
Dermatology Referral
Time Frame: minimum of 3 months and up to 1 year of EHR data for each clinician prior to the start of the training and the same months in the year post-training.
Mean percent of dermatology referrals per 1000 patients
Use of Dermatology E-consults
Time Frame: minimum of 3 months and up to 1 year of EHR data for each clinician prior to the start of the training and the same months in the year post-training.
number of dermatology e-consults