Breast Cancer Outreach Among Primary Care Patients

Not Applicable

Completed

• Conditions: Breast Cancer
• Interventions: Behavioral: Bulk Order; Behavioral: No Bulk Order; Behavioral: Standard Endorsement; Behavioral: Clinician Endorsement; Behavioral: Texting

• Registration Number: NCT05089903
• Lead Sponsor: Abramson Cancer Center at Penn Medicine

Brief Summary

This project aims to evaluate different approaches to increase breast cancer screening among primary care patients at Penn Medicine through a centralized screening outreach program. In a pragmatic trial, the investigators will evaluate different approaches to increase completion of screening among eligible patients, including ordering mammograms in bulk prior to outreach, sending personalized text reminders, and endorsing of the communication by the primary care provider.

Detailed Description

While mammograms are recommended by guidelines for early detection of breast cancer, mammogram rates are significantly lower now than they were prior to the initial COVID-19 pandemic surge in early 2020. In this project, the investigators will evaluate different ways of reaching out to eligible patients to encourage them to participate in breast cancer screening. Through letters, texting, and the electronic health record portal (MyPennMedicine (MPM)), the investigators will compare mammogram bulk orders, text messaging, and primary care provider endorsement to traditional outreach messaging with the goal of increasing breast cancer screening uptake.

Study Timeline

• Study First Submitted: 2021-10-08
• Study First Submitted QC: 2021-10-20
• Study First Posted: 2021-10-22
• Study Start: 2021-10-25
• Primary Completion: 2022-01-25
• Study Completion: 2022-04-25
• Status Verified: 2022-06
• Last Update Submitted: 2022-06-24
• Last Update Posted: 2022-06-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 24680

Inclusion Criteria

1. Women ages 40-74
2. Followed by Primary Care with a Penn Medicine PCP listed and at least one visit in the last 2 years
3. Health Maintenance due (default biannual screening starting at age 50 or edit modifier based on input by clinician)

Exclusion Criteria

1. Currently scheduled for a mammogram
2. History of bilateral mastectomy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
Clinician Endorsement + Text (CE+T)	Clinician Endorsement	-
Bulk Order + Text (BO+T)	Texting	-
Bulk Order (BO)	Bulk Order	-
Bulk Order + Text (BO+T)	Bulk Order	-
Clinician Endorsement (CE)	Clinician Endorsement	-
No Order + Text (NO+T)	Texting	-
No Order	No Bulk Order	-
No Order + Text (NO+T)	No Bulk Order	-
Standard Messaging (SM+T)	Texting	-
Clinician Endorsement + Text (CE+T)	Texting	-
Standard Messaging (SM)	Standard Endorsement	-
Standard Messaging (SM+T)	Standard Endorsement	-

Primary Outcome Measures

Name	Time	Method
Mammogram Completion in 3 months	3 months	Percent of patients that complete a mammogram

Secondary Outcome Measures

Name	Time	Method
Mammogram Completion in 6 months	6 months	Percent of patients that complete a mammogram

Trial Locations

Locations (1)

Penn Medicine; 🇺🇸 Philadelphia, Pennsylvania, United States