Opt-In Versus Opt-Out for Colorectal Cancer Screening Outreach
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cancer of the Colon
- Sponsor
- University of Pennsylvania
- Enrollment
- 314
- Primary Endpoint
- FIT Completion Rate
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
This is a randomized controlled pilot study aimed at testing different outreach strategies (opt-in versus opt-out) to increase colorectal cancer screening through completion of mailed home fecal immunohistochemical testing (FIT).
Detailed Description
This is a randomized controlled pilot study aimed at testing different outreach strategies to increase colorectal cancer screening using mailed fecal immunohistochemical testing (FIT). The investigators will randomize a cohort of subjects between the ages of 50-74 into 2 arms: 1. Opt-In - subject must actively choose to receive a home FIT kit. 2. Opt-Out - a FIT kit is sent as a default unless the subject actives chooses not to receive the kit or reports prior screening.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Between 50 to 74 years old
- •Has received care at the Division of Internal Medicine
- •Due for screening
- •Asymptomatic for colorectal cancer (CRC)
Exclusion Criteria
- •Has had prior colonoscopy within 10 years, sigmoidoscopy within 5 years, and fecal occult blood test (FOBT)/FIT within twelve months of the chart review (We will exclude patients who self-report undergoing any of the above procedures)
- •Has a history of CRC
- •Has a history of other GI cancer
- •Has history of confirmed Inflammatory Bowel Disease (IBD) (e.g. Crohn's disease, ulcerative colitis; Irritable bowel syndrome does not exclude patients)
- •Has history of colitis other than Crohn's disease or ulcerative colitis
- •Has had a colectomy
- •Has a relative that has been diagnosed with CRC
- •Has been diagnosed with Lynch Syndrome (i.e. HNPCC)
- •Has been diagnosed with Familial Adenomatous Polyposis (FAP)
- •Has iron deficiency anemia
Outcomes
Primary Outcomes
FIT Completion Rate
Time Frame: 3 months
The percentage of participants who successfully complete the FIT.
Secondary Outcomes
- Mail/Electronic Message Engagement(3 months)