Improving Attendance to Outpatient Endoscopy Among Blacks
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Howard University
- Enrollment
- 812
- Locations
- 2
- Primary Endpoint
- Compliance with appointment and colonoscopy
Study Overview
Brief Summary
Non-attendance to out-patient endoscopic procedures is high among underserved blacks. The overall goal of this proposal is to evaluate the effect of directly involving a social contact (chosen by the patient) on completion and quality of out-patient endoscopy recommended for the patient by his/her primary care physician, or after scheduling by the gastrointestinal endoscopist.
Improved adherence and better quality of procedures are postulated with involvement of social contacts.
Detailed Description
The overarching goal of this proposal is to determine whether directly involving a social contact, chosen by the patient, will improve the completion and quality of scheduled out-patient endoscopy among blacks.
These are three sub-projects:
Project 1: Involves recruiting 400 patients referred for colonoscopy by their primary care physicians
Project 2: Involves recruiting 400 patients scheduled for colonoscopy by their endoscopist
Project 3: Involves recruiting 200 patients scheduled for upper endoscopy by their endoscopists
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients referred for out-patient colonoscopy by primary care physicians
- •Patients scheduled for out-patient screening colonoscopy
- •Patients scheduled for out-patient upper endoscopy
Exclusion Criteria
- •Patients who were referred for colorectal cancer (CRC) screening as in-patients
- •Patients with personal history of familial adenomatous polyposis syndrome (FAP)
- •Patients with family history of Hereditary non-polyposis colorectal cancer syndrome (HNPCC)
- •Patients with inflammatory bowel disease
- •Patients with Crohn's disease
- •Patients with ulcerative colitis
- •Patients with personal history of CRC
- •Patients who have had colonic resection
Arms & Interventions
Usual care
The social contact of patients in this arm will not be contacted
Social contact intervention
The social contact of patients in this arm will be contacted and asked to facilitate the endoscopy care plan of the patient
Intervention: Social contact intervention (Behavioral)
Outcomes
Primary Outcomes
Compliance with appointment and colonoscopy
Time Frame: 6 months
For primary care subjects: Making appointment with Gastrointestinal endoscopist within 3 months and completing colonoscopy within 6 months of enrolment
Compliance with scheduled upper endoscopy and colonoscopy
Time Frame: Scheduled procedure time, an average of 8 weeks
For specialty subjects: Completing scheduled upper endoscopy or colonoscopy
Secondary Outcomes
- Bowel preparation quality(At scheduled colonoscopy, an average of 8 weeks)