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Outreach for Patients With Uncompleted Colorectal Cancer Screening Orders (UPQUAL)

This study has been completed.
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Kenzie Cameron, Northwestern University
ClinicalTrials.gov Identifier:
NCT00793455
First received: November 17, 2008
Last updated: October 24, 2011
Last verified: October 2011

November 17, 2008
October 24, 2011
October 2008
November 2009   (final data collection date for primary outcome measure)
Colorectal Cancer Screening Completion. [ Time Frame: 3 months post randomization ] [ Designated as safety issue: No ]

We reviewed electronic health records of participants 3 months post randomization to ascertain outcome. We looked for one or both of the following (1) note in free text MD note documenting receipt of one form of colorectal cancer (CRC) screening during study period (2)lab results from fecal occult blood test, sigmoidoscopy, or colonoscopy.

Participants were categorized as completing CRC screening if there was a lab result or physician note located in chart during study period. If no note or lab result was found in chart, then the participant was categorized as not completing CRC screening.

The primary outcome for the study is the time to screening completion. [ Time Frame: 3 months after randomization ] [ Designated as safety issue: No ]
Complete list of historical versions of study NCT00793455 on ClinicalTrials.gov Archive Site
Colorectal Cancer Screening Completion [ Time Frame: 6 months post randomization ] [ Designated as safety issue: No ]

We reviewed electronic health records of participants 6 months post randomization to ascertain outcome. We looked for one or both of the following (1) note in free text MD note documenting receipt of one form of colorectal cancer (CRC) screening during study period (2)lab results from fecal occult blood test, sigmoidoscopy, or colonoscopy.

Participants were categorized as completing CRC screening if there was a lab result or physician note located in chart during study period. If no note or lab result was found in chart, then the participant was categorized as not completing CRC screening.

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Outreach for Patients With Uncompleted Colorectal Cancer Screening Orders
Using Precision Performance Measurement To Conduct Focused Quality Improvement. Sub-Study 1.

The purpose of this study is to evaluate whether patient outreach is effective at increasing compliance with preventive screenings ordered by their physician. We hypothesize that educational outreach may increase completion rates.

We designed an intervention to focus on patients who have received and accepted a referral for colonoscopy, yet have exhibited some barriers to screening as demonstrated by a lack of screening completion. We conducted a randomized controlled trial to assess the effects of a multicomponent intervention (patient reminder, print and multimedia materials) on colorectal screening completion among this target population.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Health Services Research
  • Colorectal Cancer Screening
  • Prevention & Control
Behavioral: Educational outreach
Participants will get a letter from their physician that explains that their records show the test has not been completed. The letter will be mailed along with an educational brochure and a DVD about colorectal cancer and colorectal cancer screening.
  • Experimental: Intervention Group
    Received Educational Outreach
    Intervention: Behavioral: Educational outreach
  • No Intervention: Usual Care Control Group
    Participants in this arm will receive normal care until outcome assessment is performed at 6 months following the placement of the order for the preventive service. They will be sent a letter reminding them to obtain the ordered preventive service test.
Cameron KA, Persell SD, Brown T, Thompson J, Baker DW. Patient outreach to promote colorectal cancer screening among patients with an expired order for colonoscopy: a randomized controlled trial. Arch Intern Med. 2011 Apr 11;171(7):642-6. doi: 10.1001/archinternmed.2010.468. Epub 2010 Dec 13.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
628
November 2009
November 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Patient's physician has ordered a preventive screening test
  • Patient has not completed this test in 3 months
  • Patient of Northwestern Medical Faculty Foundation General Internal Medicine Clinic.

Exclusion Criteria:

  • Patient has been given a more recent order for the same screening test.
  • Patient has significant life stress as noted in the Electronic Health Record (EHR)
Both
Not Provided
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00793455
1R18HS17163-01
No
Kenzie Cameron, Northwestern University
Northwestern University
Agency for Healthcare Research and Quality (AHRQ)
Principal Investigator: Kenzie A Cameron, PhD, MPH Northwestern University
Northwestern University
October 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP