Increasing Uptake of Colorectal Cancer Screening in Ontario
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 5,155
- 试验地点
- 1
- 主要终点
- Uptake of appropriate CRC screening
研究概览
简要总结
The investigators hope to determine whether the addition of an FOBT kit and educational materials to a second mailed invitation compared to a second mailed invitation alone increases use of appropriate screening tests (FOBT for average risk or colonoscopy if increased risk) by eligible persons within 6 months of the second mailing in: (1)Non-responders to an initial mailed CRC screening invitation from their family physician and, (2)Those who responded to the initial mailed CRC screening invitation and are due for repeat screening (i.e., "recall" patients). In addition, the investigators will also explore the impact of the investigators intervention in likely under-screened groups such as those living in more remote areas of the province and those with low socio-economic status as well as assessing the cost-effectiveness of this strategy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Screening
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 50 Years 至 74 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Recipients of a mailed CRC screening invitation through the CCO Invitation Pilot project
- •No OHIP record of completion of FOBT since initial mailing (Non-responders arm only)
- •No OHIP of 'CRC Cancer Screening Exclusion' tracking code since initial mailing (Non-responders arm only)
- •An OHIP record of completion of FOBT 6 months since initial mailing (Recall arm only)
- •Negative result according to LRT or if not in LRT, no record of interval colonoscopy in CIRT or OHIP (Recall arm only)
排除标准
- •Age greater than 74 years at time of mailing
- •Interval diagnosis of colorectal cancer
- •Interval colonoscopy or flexible sigmoidoscopy
- •Interval departure from Pilot physician's practice
- •Presently institutionalized
- •Physician has declined participation in the study
- •Interval record of repeat FOBT (Recall arm only)
结局指标
主要结局
Uptake of appropriate CRC screening
时间窗: Within 6 months of the mailing
The primary outcome will be the uptake of appropriate screening (FOBT testing or if there is a positive family history, of colonoscopy) within 6 months of the mailing as determined by from OHIP and CCO data.
次要结局
- Uptake of lower gastrointestinal investigations(Within 12 months of the mailing)