Increasing Primary Care Physician Colorectal Cancer Screening Rates

Not Applicable

Completed

• Conditions: Colorectal Cancer Screening
• Interventions: Behavioral: eToolbox; Behavioral: no link to eToolbox

• Registration Number: NCT00955344
• Lead Sponsor: University of Pennsylvania

Brief Summary

The purpose of the study is to determine if a Web-based intervention increases physician rates of colorectal cancer recommendation rates in a group of physicians participating in the American Board of Internal Medicine's Maintenance of Certification Program. This study will also compare the content of practice improvement plans submitted by the diplomats in each study arm to determine the components of the plans that are associated with colorectal cancer rates.

Detailed Description

Colorectal cancer is the 2nd leading cause of cancer deaths in the U.S. Although colorectal cancer screening (CRCS) is effective, cost-effective and consistently recommended by clinical practice guidelines, only 57.3% of the adults over 50 years have been screened within the recommended interval. Preliminary research conducted by this PI demonstrates that approximately 90% of patients who have not had CRCS report that a doctors recommendation would motivate them to undergo screening. However, research also shows that physicians do not consistently recommend CRCS to each eligible patient. In this study the barriers of and facilitators to physician recommendation of CRCS are tested in the to proposed randomized controlled trial. The trial will pilot test an interactive, multifaceted, Web-based intervention (eToolbox) to increase primary care physician rates of CRCS. This application innovatively proposes to pilot test the eToolbox in the setting of the American Board of Internal Medicine (ABIM) Maintenance of Certification process within the Preventive Services Practice Improvement Module, a physician-directed measurement of their performance and quality improvement requirement for board re-certification.

Study Timeline

• Study First Submitted: 2009-08-06
• Study First Submitted QC: 2009-08-07
• Study First Posted: 2009-08-10
• Study Start: 2009-09
• Primary Completion: 2011-11
• Study Completion: 2011-11
• Status Verified: 2016-08
• Last Update Submitted: 2016-08-15
• Last Update Posted: 2016-08-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 134

Inclusion Criteria

• ABIM certification and have or plan to enroll in the Maintenance of Certification program
• Primary Care Physicians

Exclusion Criteria

• Diplomats are not able to participate in this study if they are retired physicians, do not practice a primary care practice or who have already taken part in the study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Web-based intervention (eToolbox)	eToolbox	This arm will allow diplomats of the American Board of Internal Medicine to complete the Practice Improvement Module that will embed a link to the web-based intervention (eToolbox).
Practice Improvement Module	no link to eToolbox	This arm will allow diplomats of the American Board of Internal Medicine to complete the Practice Improvement Module without any link to the Web-based eToolbox.

Primary Outcome Measures

Name	Time	Method
Colorectal Cancer Screening Rates	3 years (2012)

Secondary Outcome Measures

Name	Time	Method
Content of practice improvement plan	3 years (2012)

Trial Locations

Locations (1)

University of Pennsylvania School of Medicine; 🇺🇸 Philadelphia, Pennsylvania, United States