Quality Improvement Study Aimed at Increasing Engagement With Messages Regarding CRC Screening Among Adults Aged 45-49 (CRC45+ TEXT).
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20,509
- 试验地点
- 4
- 主要终点
- Opening link within SMS Text message
研究概览
简要总结
In May of 2021, the United States Preventive Service Task Force (USPSTF) updated their colorectal cancer (CRC) screening guidelines by recommending screening at an earlier age for average-risk adults starting at the age of 45 years old (Grade B recommendation). This is in addition to their Grade A recommendations of continuing to screen average-risk adults ages 50-75 years old. As the investigators health system aims to screen the newly eligible population of average-risk patients between the ages of 45-49, the investigators proposed randomized controlled trial is aimed to determine the most effective patient outreach approach to increase patients' engagement with messages regarding CRC screening and screening uptake within this specific age-group.
详细描述
Colorectal cancer (CRC) is the second leading cause of cancer-related death for both men and women in the United States. One in 17 Americans will suffer from CRC during their lifetime and early detection of cancers and polyps by screening is shown to reduce CRC mortality. In 2021, the USPSTF updated its CRC screening guidelines to start screening average-risk individuals at the age of 45 years due in part to a rising incidence of CRC and premalignant polyps in younger patients.
This current study will be a nested study within a larger investigation to determine the most effective patient outreach approach to increase patients' engagement with messages regarding CRC screening and CRC screening utilization in average-risk individuals ages 45-49 years. Here the investigators are testing which type of SMS messaging is most effective in prompting people to review MyChart message regarding CRC screening and thus increasing CRC screening uptake among individuals 45-49 years old.
There will be three different text messages that have been formulated utilizing behavioral science principles, and then randomize them equally among the eligible population. There will be stratified patient randomization based on arm assignment in our 'CRC45+ Choice' evaluation to prevent cross-study contamination. The arms for this investigation will be 1) Control, 2) Risk Information and 3) Risk Information + Action. In the control (standard care) arm, patients will receive the standard SMS text message. In the Risk Information arm, patients will receive a message indicating their risk for colorectal cancer, on top of the content in the Control arm. Finally, in the Risk Information + Action arm patients will receive risk information and importance of taking quick action, on top of the content in the Control arm. The investigators will also randomly assign patients into receiving our text message on one of ten workdays, stratifying by arm assignment in both the CRC45+ Choice Evaluation and CRC45+ Text Evaluation.
We will send text reminders to patients two weeks after they receive the initial text message. Reminder content will be very similar to the content of initial text message, and differ by arm.
For this investigation the investigators hypothesize:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 45 Years 至 49 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •UCLA Health patient
- •Age 45-49 (as of 2/1/2022)
- •Active primary care provider
- •Visit within the last 3 years
排除标准
- •Age <45 or >50 years old at time of randomization
- •Documented family history of CRC in EMR
- •History (personal or family) of prior adenomatous polyps in the EMR
- •History of high-risk cancer syndromes (e.g., Lynch, FAP)
- •Prior CRC screening with colonoscopy or FIT
- •Inactive MyChart status at enrollment
- •No documented SMS-capable phone number
结局指标
主要结局
Opening link within SMS Text message
时间窗: 1 week after getting the initial text message
Rate of clicking the link to MyChart within the SMS text message
次要结局
- CRC45+ Choice MyChart Message opened(1 month after getting the initial text message)
- Overall completion of any CRC screening test(6 months after getting the initial text message)
- Opening link within SMS Text Message(1 month after getting initial text message)
研究者
Daniel M. Croymans, MD, MBA, MS
Medical Director, DOM Quality
University of California, Los Angeles