Dissemination of Colorectal Cancer Screening to Primary Care Physicians

NCT00441311 | Completed Phase 4 DMC

• 1 other identifier: AAAA6315
• Study Type: interventional
• Target: 264
• Locations: 1 country
• Sites: 1

Brief Summary

The aim is to assess the efficacy of an intervention, academic detailing, a brief, frequently repeated educational program, on increasing recommendations for colorectal cancer screening among primary care providers by comparison to a service-as-usual control. The study is a stratified randomized clinical trial of primary care physicians, stratified by distinct urban communities in the New York metropolitan area. The primary outcome is colorectal cancer screening recommendations measured via medical audit at 12-month followup after randomization.

Conditions

Colorectal Cancer

Keywords

colorectal cancer screening; primary care physicians; health disparities; stratified randomized clinical trial

Outcome Measures

Primary Outcomes (1)

• Colorectal cancer screening recommendations

  Up to 12 months from the time of randomization

Study Arms (2)

Academic Detailing

EXPERIMENTAL

The academic detailing intervention will involve multiple components some of which are standardized across physicians (i.e. self-learning packets, newsletters). Detailing will also be customized to each physician, although the frequency of the detailing visits will be routinized across all participants to reduce cost and to maximize its potential for dissemination.

Behavioral: Academic Detailing

Service-as-Usual

NO INTERVENTION

Control Arm

Interventions

Academic Detailing BEHAVIORAL

The academic detailing intervention will involve multiple components some of which are standardized across physicians (i.e. self-learning packets, newsletters). Detailing will also be customized to each physician, although the frequency of the detailing visits will be routinized across all participants to reduce cost and to maximize its potential for dissemination.

Academic Detailing

Eligibility Criteria

• Age: 50 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Devote at least 50% of their practice to primary care
• Work in the study communities
• Are non-hospital based community practitioners
• Have no immediate plans to retire or to leave their practice.

You may not qualify if:

• Specialty physicians
• Intend to retire or otherwise leave practice over course of the study
• Other conditions that would preclude meaningful participation
• Not working in study communities

Sponsors & Collaborators

• Columbia University: lead
• American Cancer Society, Inc.: collaborator

Study Sites (1)

Columbia University Medical Center

New York, New York, 10032, United States

Location

Related Publications (1)

• Honda K, Gorin SS. A model of stage of change to recommend colonoscopy among urban primary care physicians. Health Psychol. 2006 Jan;25(1):65-73. doi: 10.1037/0278-6133.25.1.65.

  PMID: 16448299 BACKGROUND

MeSH Terms

Conditions

Colorectal Neoplasms

Condition Hierarchy (Ancestors)

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

Study Officials

• Sherri Sheinfeld Gorin, PhD

  Columbia University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 4
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: February 26, 2007
• First Posted: February 28, 2007
• Study Start: May 1, 2003
• Primary Completion: July 1, 2006
• Study Completion: September 1, 2006
• Last Updated: February 1, 2011

Record last verified: 2011-01

Locations

US (1)