Large-Scale Implementation of a Decision Aid About Colorectal Cancer Screening
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Colorectal Cancer Screening
- Sponsor
- Indiana University
- Enrollment
- 400
- Locations
- 1
- Primary Endpoint
- Shared decision making
- Status
- Enrolling By Invitation
- Last Updated
- 5 months ago
Overview
Brief Summary
The goal of the project is to improve shared decision making and increase uptake of colorectal cancer (CRC) screening by facilitating the implementation of a decision aid about CRC and screening options in two healthcare systems in Indiana.
Detailed Description
This implementation project is putting a shared decision making approach into routine practice to help patients make informed decisions about colorectal cancer(CRC) screening. Regular screening is recommended for adults ages 45 - 75 years old, and there are multiple approved tests for individuals at average risk for colorectal cancer. A video-based decision aid about CRC screening was developed and tested in a previous study by the project team. The study showed that viewing the decision aid had positive effects on measures directly related to shared decision making (knowledge, decision conflict) as well as intent to undergo CRC screening. The project team is working with two healthcare systems to provide patients who are eligible for CRC screening access to the decision aid, training staff and clinicians how to use the decision aid to support shared decision making for CRC screening, working with healthcare system leaders to support the staff and clinicians, and providing support for the ongoing use of the decision aid.
Investigators
Peter Schwartz
Principal Investigator
Indiana University
Eligibility Criteria
Inclusion Criteria
- •Healthcare system participants will be eligible if they are employed by one of the project team's partner healthcare systems
- •Patient participants will be eligible if they are considered due for colorectal cancer screening by the healthcare systems' criteria.
Exclusion Criteria
- •Patient participants will be excluded if they:
- •are not between ages of 45 - 75 years old
- •self-report that they no longer receive primary care at either of the project team's partner healthcare systems
- •self-report that they are not due for colorectal cancer screening (had colonoscopy within the past 10 years, sigmoidoscopy in the last 5 years, FIT in the past year, or Cologuard in the past 3 years)
- •are unable to speak or read English or Spanish
Outcomes
Primary Outcomes
Shared decision making
Time Frame: 18 months
Shared decision making will be assessed using the CollaboRATE scale. CollaboRATE is a three-item measure that assesses three key areas of shared decision making; 1) explaining the health issue; 2) asking for patient preferences; and 3) incorporating patient preferences into the decision. Each item uses 0 - 9 likert response options ranging from 0 = "no effort was made" to 9 = "every effort was made". The higher the score the better the shared decision making.
Implementation of decision aid
Time Frame: 18 months
Interviews with healthcare system leadership, clinicians, staff and patients