New York Prevention Care Manager Project / Medicaid Managed Care Organization Version
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 2,241
- 试验地点
- 1
- 主要终点
- Percentage of patients up-to-date (UTD) for colorectal cancer (CRC) screening
研究概览
简要总结
RATIONALE: Women may stay up-to-date with cancer screening if a health professional helps them overcome barriers to screening, including helping them to schedule cancer screening appointments.
PURPOSE: This randomized clinical trial is studying the use of health professional-tailored telephone support compared with usual care from their personal doctor to help women overcome barriers to screening for colorectal, cervical, and breast cancer.
详细描述
OBJECTIVES:
Primary
- Develop and evaluate an enhanced telephone support intervention (Prevention Care Manager [PCM]) to promote colorectal, cervical, and breast cancer screening more widely among women enrolled in a Medicaid Managed Care Organization (MMCO).
- Explore the impact of patient, Community/Migrant Health Center (C/MHC), and MMCO characteristics on cancer screening status and the impact of the intervention.
- Evaluate the impact of the enhanced PCM intervention upon colorectal, breast, and cervical cancer screening rates.
Secondary
- Compare the status of women who are up-to-date (UTD) on CRC screening versus the UTD status of cervical cancer and breast cancer screening.
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
- None
入排标准
- 年龄范围
- 50 Years 至 64 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •DISEASE CHARACTERISTICS:
- •Enrolled in a participating Medicaid Managed Care Organization (MMCO) as a Medicaid patient for ≥ 12 months
- •Not up-to-date (UTD) for colorectal cancer screening
- •UTD status defined by any of the following:
- •Home fecal occult blood test within the past 12 months
- •Flexible sigmoidoscopy within the past 5 years
- •Double-contrast barium enema within the past 5 years
- •Colonoscopy within the past 10 years
- •Registered to receive primary care from a participating Community/Migrant Health Center, Diagnostic and Treatment Center, or other participating practice in New York City
- •Must have a telephone available
- •No MMCO claim for any of the following:
- •Colorectal, breast, or cervical cancer
- •Colon polyp removal
- •Total colectomy
- •PATIENT CHARACTERISTICS:
- •Able to use telephone
- •No plans to move for ≥ 1 year
- •PRIOR CONCURRENT THERAPY:
- •See Disease Characteristics
排除标准
- 未提供
研究组 & 干预措施
Prevention Care Management
Telephone support over 18 months from trained Prevention Care Managers, to help women overcome barriers to colon, breast, and cervical cancer screening
干预措施: Prevention Care Management (Behavioral)
Usual Care
Usual Care. A sample of patients receive a single telephone call to validate claims data and collect basic demographic information.
结局指标
主要结局
Percentage of patients up-to-date (UTD) for colorectal cancer (CRC) screening
时间窗: 18 months
Comparison of women in PCM and UC arms who received colon cancer screening tests during 18 month intervention period.
次要结局
- Percentage of patients UTD for breast and cervical cancer screening(18 months)
- Comparison of UTD status for CRC screening with UTD status for cervical cancer and breast cancer screening(18 months)