Using Precision Performance Measurement To Conduct Focused Quality Improvement. Sub-study 2
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Completion of CRC Screening
研究概览
简要总结
The purpose of this study is to evaluate whether patient outreach is effective at increasing compliance with preventative screenings for those patients who, based on national quality standards, have become newly eligible for screening measures. We hypothesize that educational outreach may increase completion rates.
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 (Participant)
入排标准
- 年龄范围
- 50 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient of Northwestern Medical Faculty Foundation General Internal Medicine
- •Patient has a scheduled appointment with a GIM physician in the next several weeks
- •Patient will be 50 years old at the time of this appointment
- •Patient is male or female
排除标准
- •This is the first time the patient is seen in the NMFF GIM clinic
- •There is a prior completion of CRC screening noted in EHR.
- •There is a prior order placed for CRC screening in EHR.
- •Patient has a history of CRC
- •Patient has a diagnosis of ulcerative colitis, inflammatory bowel disease, Crohn's Disease, or documented colectomy.
研究组 & 干预措施
Usual Care
Usual Care. Participants in this arm will receive Usual care until outcome assessment is performed at 6 months following randomization. At that time, they will be sent a letter reminding them to obtain the ordered preventative service test, however no further outcomes will be assessed. Thus, during the course of the study, all participants in this arm will have solely received usual care.
Behavioral: Letter Only
Behavioral: Letter Only Prior to a scheduled upcoming appointment, participants will get a letter signed by their physician that provides brief information about colorectal cancer (CRC) and notes the importance of CRC screening.
干预措施: Letter Only (Behavioral)
Behavioral: Letter and Educational DVD
Behavioral: Letter and Educational DVD Participants will get a letter from their physician that provides brief information about colorectal cancer (CRC) and notes the importance of CRC screening. It will be accompanied by an educational DVD about the screening. The participants will receive this prior to a scheduled upcoming appointment with their physician.
干预措施: Letter and Educational DVD (Behavioral)
结局指标
主要结局
Completion of CRC Screening
时间窗: 6 months from initial contact
What would have been reported as this Outcome Measure is the number of participants who completed screening. We planned to review electronic health records of participants 6 months post randomization to look for either: (1) note in free text MD note documenting receipt of one form of colorectal cancer (CRC) screening during study period or (2)lab results from fecal occult blood test, sigmoidoscopy, or colonoscopy. Screening completion equaled presence of a lab result or physician note in chart. No patient charts were reviewed due to low accrual.
次要结局
- The Secondary Outcome for the Study is the Time to Screening Completion.(6 months after randomization)
研究者
Kenzie Cameron
Research Associate Professor
Northwestern University