Activating Collaborative CIS Support Via Targeted Provider Mailing
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 254
- 试验地点
- 2
- 主要终点
- Patient Satisfaction in the 2 Interventions
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •DISEASE CHARACTERISTICS:
- •Received an abnormal Pap test result
- •Scheduled for a colposcopy within 6 months of their Pap test at either the Erie Family Health Center or the Prentice Ambulatory Clinic
- •PATIENT CHARACTERISTICS:
- •Able to communicate in either English or Spanish
- •Clinic staff will review patient charts to determine eligibility
- •PRIOR CONCURRENT THERAPY:
- •Not specified
排除标准
- •<18 years
- •unable to communicate in English or Spanish
- •no address to which a letter can be mailed
研究组 & 干预措施
Usual Care mailing intervention
routine colposcopy reminder letter mailed
干预措施: Usual care mailing intervention (Other)
CIS support mailing intervention
Mailed reminder plus provider recommendation to call CIS and sample questions to ask
干预措施: CIS support mailing intervention (Other)
结局指标
主要结局
Patient Satisfaction in the 2 Interventions
时间窗: 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
时间窗: within 6 months of PAP
次要结局
- Attendance at a Follow-up Colposcopy Appointment Within 6 Months of Their Pap Test(within 6 months of PAP)
- Latency Between the Pap Test and the Colposcopy Appointment(within 6 months of PAP)
- Number of CIS Callers Who Provided the Specific Codes Listed in the Intervention Letter(WITHIN 6 MONTHS OF PAP)
研究者
Bonnie Spring
Director, Center for Behavior and Health
Northwestern University