N/A
N=454
Quality Improvement of Patient-Provider Communication For Colorectal Cancer Screening
Colorectal Cancer
Bottom Line
View on ClinicalTrials.gov: NCT00324753 ↗Enrolled (actual)
454
Serious AEs
0.0%
Results posted
Nov 2018
Primary outcome: Primary: Completion of Colorectal Cancer Screening Tests — 102; 142; 88; 122 Participants — p=.005
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Communication (Behavioral); Standard of care (Behavioral)
- Age
- Adult, Older Adult · 50+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Jun 2010
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Completion of Colorectal Cancer Screening Tests |
102; 142; 88; 122 | .005 sig |
| PRIMARY Quality of Communication |
149; 193; 30; 58; 11; 13 | — |
| PRIMARY Communication Content |
152; 203; 30; 50; 8; 11 | — |
Summary
The immediate objective of this proposal is to assess the effectiveness of a multi-faceted intervention to improve patient-provider communication about colorectal cancer screening in improving patient adherence with colorectal cancer screening recommendations. This intervention consists of: (1) guiding the communication process through patient activation to initiate a colorectal cancer screening discussion; (2) optimizing communication content through the use of a prompt sheet; and (3) cueing the provider to assess patient perception of the communication. The long-term objective of our research program is to maximize colorectal cancer screening rates throughout the VA through widespread adoption of clinically feasible approaches to enhance patient-provider communication.
Eligibility Criteria
Inclusion Criteria
Provider Eligibility:
- Primary care providers (MD, Certified Registered Nurse Practitioner (CRNP), or PA) at the study sites who see patients in the primary care setting at least 1 day per week and had no involvement in the design of the study are eligible for enrollment in the study.
Patient Eligibility:
- Primary care patients who are not "up-to-date" with colorectal cancer screening are the targeted population for study enrollment.
- Up-to-date with colorectal cancer screening is defined as having completed one of the following:
- fecal occult blood testing within the past year
- sigmoidoscopy within the past 5 years
- colonoscopy within the past 10 years
- barium enema within the past 5 years.
- Other patient eligibility criteria are:
- Primary Care Provider (PCP) enrolled in the study
- clinic visit scheduled with the enrolled PCP during the recruitment period
- English speaking
- no prior history of colorectal cancer or adenomatous polyps
- no prior history of inflammatory bowel disease
Exclusion Criteria
- Patients who are deemed clinically not appropriate for colorectal cancer screening due to severe comorbidity and/or limited life expectancy as determined by the patient's primary care provider will be excluded from the study.
Data sourced from ClinicalTrials.gov (NCT00324753). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.