Enhancing Skin Cancer Early Detection and Treatment in Primary Care

Not Applicable

Completed

• Conditions: Cutaneous Melanoma
• Interventions: Behavioral: Training and Education

• Registration Number: NCT05675709
• Lead Sponsor: OHSU Knight Cancer Institute

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.

Study Timeline

• Study First Submitted: 2022-12-29
• Study First Submitted QC: 2022-12-29
• Study First Posted: 2023-01-09
• Study Start: 2023-04-25
• Primary Completion: 2024-06-30
• Study Completion: 2024-06-30
• Status Verified: 2024-10
• Last Update Submitted: 2024-10-22
• Last Update Posted: 2024-10-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 17

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Other, Pragmatic	Training and Education	PCP participants complete group training and online training sessions. 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.

Primary Outcome Measures

Name	Time	Method
Reach of the educational intervention	1 month	Measured by proportion of clinicians invited to participate in the educational intervention that complete the training modules
Clinician knowledge in screening for skin cancer	1 month	Change in knowledge based upon survey questions prior to training and post-training.
Use of dermatology referrals and e-consults	3 months	Measured through electronic health record (EHR) data.

Secondary Outcome Measures

Name	Time	Method
Identification of suspicious lesions	3 months	Measured through EHR data.

Trial Locations

Locations (1)

OHSU Knight Cancer Institute; 🇺🇸 Portland, Oregon, United States