Dissemination of Cervical Cancer Screening to Primary Care Physicians in Underserved Communities

NCT00629993 | Terminated Phase 4 DMC

• 2 other identifiers: AAAA9722U57/CCU224079
• Study Type: interventional
• Target: 282
• Locations: 1 country
• Sites: 1

Brief Summary

Primary care physicians have an important role to play in the delivery of cancer prevention and detection services to patients. Face-to-face counseling of physicians, called academic detailing, involves a brief and focused intervention, modeled on the practices of pharmaceutical companies. This type of intervention may increase physicians' attention to preventive opportunities and increase their screening behaviors.

Conditions

Cervical Cancer

Keywords

cervical cancer screening; medically underserved women; HPV vaccine

Outcome Measures

Primary Outcomes (1)

• Number of asymptomatic female patients age 18-85 who receive or are referred for a recto-pelvic bimanual examination with the collection of the Pap smear (per ACS guidelines); collected via medical chart review

  12-month followup

Secondary Outcomes (1)

• Physician knowledge, attitudes and beliefs toward cervical cancer prevention, screening, and treatment

  12-month followup

Study Arms (1)

Multi-component Academic Detailing

EXPERIMENTAL

Multi-component, academic detailing regarding ACS guidelines on cervical cancer screening approaches. Includes an interactive, digitized CD-ROM, focused on the discussion of risks and benefits, screening options or alternatives, values clarification, and mutual decision-making, alongside patient education materials designed for low literacy patients.

Behavioral: Academic Detailing

Interventions

Academic Detailing BEHAVIORAL

It will involve multiple intervention components, some of which are standardized across physicians (i.e., self learning packets, post-tests for CME credit, CD-ROMS, videos, newsletters, culturally sensitive patient education materials, office staff informational sessions, chart and patient reminders, and a general office routine for cervical cancer counseling, including performance feedback, as well as media-ready materials). Academic detailing and the specific office routines will 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.

Also known as: Multi-component Academic Detailing

Multi-component Academic Detailing

Eligibility Criteria

• Age: 18 Years - 85 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Charts of female patients age 18-85 with at least one visit to the primary care provider over the last two years will be reviewed

Sponsors & Collaborators

• Columbia University: lead
• Centers for Disease Control and Prevention: collaborator

Study Sites (1)

Columbia University

New York, New York, 10027, United States

Location

MeSH Terms

Conditions

Uterine Cervical Neoplasms

Condition Hierarchy (Ancestors)

Uterine Neoplasms; Genital Neoplasms, Female; Urogenital Neoplasms; Neoplasms by Site; Neoplasms; Uterine Cervical Diseases; Uterine Diseases; Genital Diseases, Female; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Genital Diseases

Study Officials

• Sherri Sheinfeld Gorin, PhD

  Columbia University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 4
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: February 26, 2008
• First Posted: March 6, 2008
• Study Start: January 1, 2004
• Primary Completion: August 1, 2006
• Study Completion: August 1, 2010
• Last Updated: March 1, 2011

Record last verified: 2011-02

Locations

US (1)