N/A
N=436
Promoting Veteran-Centered Colorectal Cancer Screening
Colorectal Cancer
Bottom Line
View on ClinicalTrials.gov: NCT02027545 ↗Enrolled (actual)
436
Serious AEs
—
Results posted
Jan 2020
Primary outcome: Primary: Number of Participants With CRC Screening Ordered — 162; 114 Participants — p=0.491
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Decision Aid (Behavioral); Provider Education (Behavioral); Performance Measure Modification (Behavioral); Simple Informational Booklet (Behavioral)
- Age
- Older Adult · 70+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Aug 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With CRC Screening Ordered |
162; 114 | 0.491 |
| SECONDARY Concordance Between Screening Orders and Screening Benefit |
162; 114 | 0.049 sig |
| SECONDARY Number of Participants With CRC Screening Utilized |
106; 96 | — |
Summary
Systematic efforts to improve colorectal cancer screening use in the VA Healthcare System have resulted in an increase in not only appropriate, but also inappropriate use of screening. The purpose of this study is to test a new, more patient-centered approach to colon cancer screening. In older individuals (ages 70 to 75) who are "due" for screening, the investigators will provide education on the benefits and harms of colon cancer screening. But instead of simply providing these patients with "average" information about these benefits, the investigators will give them information that takes into account their personal characteristics (e.g., age, gender), overall health, and screening history and therefore applies to them more personally. The investigators will also work with the health system to create time and space for patient and doctor to discuss whether screening is the right choice for each individual. This way, patients can make an informed choice about what is right for them, with the help of their doctor. In the future, the results of this study will help patients make more informed screening decisions, especially when the benefits of screening may be uncertain for them personally.
Eligibility Criteria
Inclusion Criteria
- Aged 70-75 years
- Due for screening according to the 2008 USPSTF colorectal cancer screening guideline
- Scheduled for a non-urgent primary care visit at the Ann Arbor VA Medical Center or Toledo VA Community-Based Outpatient Clinic
Exclusion Criteria
- Increased risk for colorectal cancer (and therefore not candidates for average-risk screening)
- Limited life expectancy (e.g., enrolled in hospice or diagnosed with metastatic cancer), or for whom the provider previously documented an intention not to pursue screening.
- Scheduled for an appointment where stimulating a discussion about screening is likely to be inappropriate: urgent appointment (for acute complaints), follow-up visit after hospitalization
- Have a condition that would impair his/her ability to participate in the study: dementia or other cognitive impairment, visual impairment, non-English speaking
- Assigned to an ineligible primary care provider (i.e., the provider did not consent to the study)
- Have Medical Guardian who makes decisions for the patient about his/her care
Data sourced from ClinicalTrials.gov (NCT02027545). 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.