Increasing Primary Care Physician Colorectal Cancer Screening Rates

The recruitment status of this study is unknown because the information has not been verified recently.
Verified August 2009 by University of Pennsylvania.
Recruitment status was  Not yet recruiting
Sponsor:
Collaborators:
Information provided by:
University of Pennsylvania
ClinicalTrials.gov Identifier:
NCT00955344
First received: August 6, 2009
Last updated: August 7, 2009
Last verified: August 2009
  Purpose

The purpose of the study is to determine if a Web-based intervention increases physician rates of colorectal cancer recommendation rates in a group of physicians participating in the American Board of Internal Medicine's Maintenance of Certification Program. This study will also compare the content of practice improvement plans submitted by the diplomats in each study arm to determine the components of the plans that are associated with colorectal cancer rates.


Condition Intervention
Colorectal Cancer Screening
Behavioral: eToolbox
Behavioral: no link to eToolbox

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Increasing Primary Care Physician Colorectal Cancer Screening Rates

Resource links provided by NLM:


Further study details as provided by University of Pennsylvania:

Primary Outcome Measures:
  • Colorectal Cancer Screening Rates [ Time Frame: 3 years (2012) ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Content of practice improvement plan [ Time Frame: 3 years (2012) ] [ Designated as safety issue: No ]

Estimated Enrollment: 134
Study Start Date: September 2009
Estimated Study Completion Date: August 2011
Estimated Primary Completion Date: May 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Web-based intervention (eToolbox)
This arm will allow diplomats of the American Board of Internal Medicine to complete the Practice Improvement Module that will embed a link to the web-based intervention (eToolbox).
Behavioral: eToolbox
Participants randomized to the Web-based intervention will be automatically routed to a URL that will contain the Web-based intervention.
Active Comparator: Practice Improvement Module
This arm will allow diplomats of the American Board of Internal Medicine to complete the Practice Improvement Module without any link to the Web-based eToolbox.
Behavioral: no link to eToolbox
Participants randomized to the Practice Improvement Module will not be automatically routed to a URL that will contain the Web-based intervention.

Detailed Description:

Colorectal cancer is the 2nd leading cause of cancer deaths in the U.S. Although colorectal cancer screening (CRCS) is effective, cost-effective and consistently recommended by clinical practice guidelines, only 57.3% of the adults over 50 years have been screened within the recommended interval. Preliminary research conducted by this PI demonstrates that approximately 90% of patients who have not had CRCS report that a doctors recommendation would motivate them to undergo screening. However, research also shows that physicians do not consistently recommend CRCS to each eligible patient. In this study the barriers of and facilitators to physician recommendation of CRCS are tested in the to proposed randomized controlled trial. The trial will pilot test an interactive, multifaceted, Web-based intervention (eToolbox) to increase primary care physician rates of CRCS. This application innovatively proposes to pilot test the eToolbox in the setting of the American Board of Internal Medicine (ABIM) Maintenance of Certification process within the Preventive Services Practice Improvement Module, a physician-directed measurement of their performance and quality improvement requirement for board re-certification.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • ABIM certification and have or plan to enroll in the Maintenance of Certification program
  • Primary Care Physicians

Exclusion Criteria:

  • Diplomats are not able to participate in this study if they are retired physicians, do not practice a primary care practice or who have already taken part in the study
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00955344

Contacts
Contact: Lisa M Bowerman 215-573-4739 lisa.bowerman@uphs.upenn.edu
Contact: Carmen E Guerra, MD

Locations
United States, Pennsylvania
University of Pennsylvania School of Medicine Not yet recruiting
Philadelphia, Pennsylvania, United States, 19104
Contact: Lisa Bowerman    215-573-4739    lisa.bowerman@uphs.upenn.edu   
Contact: Carmen E. Guerra, M.D., M.S.    (215) 662-7624    carmen.guerra@uphs.upenn.edu   
Sponsors and Collaborators
University of Pennsylvania
Investigators
Principal Investigator: Carmen E Guerra, MD University of Pennsylvania
  More Information

No publications provided

Responsible Party: Carmen Guerra, M.D., Universirty of Pennsylvania School of Medicine
ClinicalTrials.gov Identifier: NCT00955344     History of Changes
Other Study ID Numbers: K22CA133186-01
Study First Received: August 6, 2009
Last Updated: August 7, 2009
Health Authority: United States: Institutional Review Board

Keywords provided by University of Pennsylvania:
colorectal cancer screening
American Board of Internal Medicine Maintenance of Certification program
Currently enrolled in or plan to enroll in the American Board of Internal Medicine Maintenance of Certification program

Additional relevant MeSH terms:
Colorectal Neoplasms
Intestinal Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Neoplasms
Digestive System Diseases
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases

ClinicalTrials.gov processed this record on April 16, 2014