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临床试验/NCT07682220
NCT07682220已完成不适用

Default Option Nudging Intervention to Improve the Adherence Rates of Cancer Screening in High-risk Population: Randomized Controlled Trial and Intervention Disclosure Analysis

Harbin Medical University1 个研究点 分布在 1 个国家目标入组 1,200 人开始时间: 2025年4月27日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
1,200
试验地点
1
主要终点
Percentage of Participants Who Accept the Cancer Screening Appointment

研究概览

简要总结

The goal of this clinical trial is to learn if a behavioral "nudge" strategy, specifically a default option, can improve screening participation in populations at high risk for lung and stomach cancer. The main questions it aims to answer are:

  1. Does presenting a screening appointment as a default option increase the likelihood that high-risk individuals will choose to be screened?
  2. How do participants react, and what is their level of acceptance, when the nudge intervention is disclosed to them?
  3. Does this transparency (disclosing the nudge) change their subsequent screening decisions? Researchers will compare a default option group to a standard control group to see if the nudge effectively increases screening adherence.

Participants will:

  1. Read a short educational text about lung or stomach cancer and its screening.
  2. Complete an online questionnaire.
  3. Make a decision regarding a simulated cancer screening appointment.
  4. Read a disclosure explaining the behavioral nudge strategy used during the study.
  5. Re-evaluate their screening decision and answer questions regarding their attitude toward the nudge.

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
Double (Participant, Investigator)

入排标准

年龄范围
45 Years 至 74 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • High-risk population of lung cancer or gastric cancer.
  • Lung cancer high-risk definition (based on the 2024 Lung Cancer Screening and Early Diagnosis and Treatment Program organized by the National Health Commission of the PRC): Age ≥50 years and pack-years of smoking ≥20, including former smoking ≥20 pack-years, but smoking cessation less than 15 years (Note: Pack-years of smoking = number of packs smoked per day × number of years smoked).
  • Gastric cancer high-risk definition (based on the 2024 Gastric Cancer Screening and Early Diagnosis and Treatment Program organized by the National Health Commission of the PRC): Age ≥45 years old and living in areas with a high incidence of gastric cancer (Liaoning, Fujian, Gansu, Shandong, Jiangsu).
  • Ability to read and comprehend simplified Chinese.
  • The informed consent statement was read and confirmed.

排除标准

  • Reading impairment preventing independent questionnaire completion.
  • Failure to pass attention checks and logical consistency tests embedded within the questionnaire.

结局指标

主要结局

Percentage of Participants Who Accept the Cancer Screening Appointment

时间窗: Immediately after the default option intervention

This outcome is assessed via a dichotomous choice (Yes/No) embedded in the simulated online scheduling system within the questionnaire. The value reported will be the percentage of participants who choose to accept and schedule the screening appointment.

次要结局

  • Participant Attitude Score Towards the Default Option Nudge(Immediately after the disclosure of the intervention)
  • Self-Reported Score of the Nudge's Influence on Decision-Making(Immediately after the disclosure of the intervention)
  • Acceptance Score of the Default Option Nudge in Public Health Services(Immediately after the disclosure of the intervention)
  • Percentage of Participants Who Accept the Appointment After Disclosure(Immediately after the disclosure of the intervention)

研究者

发起方
Harbin Medical University
申办方类型
Other
责任方
Principal Investigator
主要研究者

Zhisheng Zheng

Master

Harbin Medical University

研究点 (1)

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