Quality Improvement of Patient-Provider Communication For Colorectal Cancer Screening

NCT00324753 | Completed Results

• 1 other identifier: IIR 03-252
• Study Type: interventional
• Target: 454
• Locations: 1 country
• Sites: 3

Brief 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.

Conditions

Colorectal Cancer

Keywords

cancer; screening; communication; prevention

Outcome Measures

Primary Outcomes (3)

• Completion of Colorectal Cancer Screening Tests

  A survey collected data on patient demographic characteristics, family history of colorectal cancer or polyp, and provider recommendation for colorectal cancer screening, if any. In addition, we asked patients whether colorectal cancer screening was discussed at the visit. If the response was yes, we then asked patients how satisfied they were with the PCP communication during the visit in general using a 5-point Likert scale to a number of items describing the communication. A medical record review was conducted to collect data on provider ordering and patient completion of the following colorectal cancer screening tests during the study period (i.e., 6 months from the time of the clinical encounter): fecal occult blood testing, sigmoidoscopy, or colonoscopy.

  6-12 months

• Quality of Communication

  Patient satisfaction with the discussion of Colorectal Cancer (CRC) screening with the primary care provider (PCP).

  immediate after the patient visit

• Communication Content

  PCP Explains CRC screening to my satisfaction

  immediately after the patient visit

Study Arms (2)

Intervention

EXPERIMENTAL

Communication sheet

Behavioral: Communication

Control

OTHER

Standard of care brochures

Behavioral: Standard of care

Interventions

Communication BEHAVIORAL

Communication sheet

Intervention

Standard of care BEHAVIORAL

Standard of care brochures

Control

Eligibility Criteria

• Age: 50 Years - 74 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

• 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.

Sponsors & Collaborators

• VA Office of Research and Development: lead

Study Sites (3)

Jesse Brown VA Medical Center, Chicago, IL

Chicago, Illinois, 60612, United States

Location

VA Pittsburgh Healthcare System University Drive Division, Pittsburgh, PA

Pittsburgh, Pennsylvania, 15240, United States

Location

Michael E. DeBakey VA Medical Center, Houston, TX

Houston, Texas, 77030, United States

Location

Related Publications (1)

• Ling BS, Trauth JM, Fine MJ, Mor MK, Resnick A, Braddock CH, Bereknyei S, Weissfeld JL, Schoen RE, Ricci EM, Whittle J. Informed decision-making and colorectal cancer screening: is it occurring in primary care? Med Care. 2008 Sep;46(9 Suppl 1):S23-9. doi: 10.1097/MLR.0b013e31817dc496.

  PMID: 18725829 RESULT

Related Links

• Click here for more information about this study: Improving Patient-Provider Communication For Colorectal Cancer Screening

MeSH Terms

Conditions

Colorectal Neoplasms; Neoplasms; Communication

Interventions

Standard of Care

Condition Hierarchy (Ancestors)

Intestinal Neoplasms; Gastrointestinal Neoplasms; Digestive System Neoplasms; Neoplasms by Site; Digestive System Diseases; Gastrointestinal Diseases; Colonic Diseases; Intestinal Diseases; Rectal Diseases; Behavior

Intervention Hierarchy (Ancestors)

Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Results Point of Contact

• Title: Maria K. Mor
• Organization: Center for Health Equity Research and Promotion (VAPHS)

maria.mor@va.gov

(412) 360-2240

Study Officials

• Bruce S. Ling, MD MPH

  VA Pittsburgh Healthcare System University Drive Division, Pittsburgh, PA

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 9, 2006
• First Posted: May 11, 2006
• Study Start: April 1, 2007
• Primary Completion: June 1, 2010
• Study Completion: June 1, 2010
• Last Updated: November 29, 2018
• Results First Posted: November 29, 2018

Record last verified: 2018-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (3)