Activating Collaborative CIS Support Via Targeted Provider Mailing

Not Applicable

Completed

Interventions: Other: Usual care mailing intervention
Other: CIS support mailing intervention

Brief Summary: RATIONALE: Receiving a reminder letter from their doctor with questions to ask the Cancer Information Service may be more effective than a standard reminder letter in helping patients who have had an abnormal Pap test keep their follow-up colposcopy appointment.

PURPOSE: This randomized clinical trial is studying a personalized letter with Cancer Information Service support to see how well it works compared with a standard reminder letter in women scheduled for colposcopy after an abnormal Pap test.

Detailed Description: OBJECTIVES:

* Compare the effect of a usual care mailing intervention vs a Cancer Information Service (CIS) support mailing intervention on the likelihood that women with an abnormal Pap test will keep their medical follow-up appointments and be satisfied with how they talk to their provider.

OUTLINE: This is a multicenter study. Patients are randomized to 1 of 2 intervention arms.

* Arm I (Usual-care mailing intervention): Patients receive a generic letter reminding them of their follow-up colposcopy appointment.

* Arm II (Cancer Information Service \[CIS\] support mailing intervention): Patients receive a targeted letter reminding them of their follow-up colposcopy appointment, asking them or someone they designate to call the CIS, and suggesting some questions to ask the CIS about colposcopies and Pap tests.

At their follow-up appointments, all patients undergo an exit interview to compare patient satisfaction between the 2 interventions. Patients in arm II also answer questions about their CIS experience, and if the intervention made their follow-up visit less difficult.

Recruitment & Eligibility

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Arm && Interventions

Group	Intervention	Description
Usual Care mailing intervention	Usual care mailing intervention	routine colposcopy reminder letter mailed
CIS support mailing intervention	CIS support mailing intervention	Mailed reminder plus provider recommendation to call CIS and sample questions to ask

Primary Outcome Measures

Name	Time	Method
Patient Satisfaction in the 2 Interventions	within 6 months of PAP	Patient satisfaction with provider-patient communication was assessed via administration of the Consumer Assessment of Health Plans Study (CAHPS) satisfaction questionnaire which rates satisfaction on a 1 to 3 scale. Scores are added together, with minimum score being 4 and the maximum score being 12, with a higher score indicating greater satisfaction.
CIS Experience of Patients in Arm II and the Effect of the Intervention on Their Follow-up Colposcopy	within 6 months of PAP

Secondary Outcome Measures

Name	Time	Method
Number of CIS Callers Who Provided the Specific Codes Listed in the Intervention Letter	WITHIN 6 MONTHS OF PAP
Latency Between the Pap Test and the Colposcopy Appointment	within 6 months of PAP
Attendance at a Follow-up Colposcopy Appointment Within 6 Months of Their Pap Test	within 6 months of PAP

Locations (2): Robert H. Lurie Comprehensive Cancer Center at Northwestern University
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Chicago, Illinois, United States
Erie Family Health Center
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Chicago, Illinois, United States