Focusing Implementation to Bring Effective Reminders (FIBER)

NCT00656838 | Completed

• 1 other identifier: R01CA132709-01
• Study Type: interventional
• Target: 85,289
• Locations: 1 country
• Sites: 1

Brief Summary

FIBER is 4-year study that will evaluate the implementation of a large-scale population-based colorectal cancer screening patient reminder and coordinated follow-up program. The CRC screening program began in 2007 with Kaiser Permanente Northwest (KPNW),a not-for- profit, integrated health system in Oregon and Washington. FIBER consists of 1)a practical randomized controlled trial at the start of the program, followed by 2) a longer-term cohort study as all remaining eligible patients receive the program, and 3)a qualitative evaluation. FIBER will evaluate the factors that are associated with implementation success across multiple levels: patient, primary care provider (PCP) team, specialists (gastroenterologists, general surgeons, pathologists), and other health plan staff and systems.

Conditions

Colorectal Cancer

Keywords

colon; rectal; cancer; screening

Outcome Measures

Primary Outcomes (1)

• To determine the effectiveness and maintenance of a colon-rectal cancer screening patient reminder program.Identify patient, primary care team, and system factors important to implementation success.

  Year 2, 3

Secondary Outcomes (1)

• Create, refine, and disseminate an implementation guide for colon-rectal cancer screening reminder programs by combining the findings from the primary aim.

  Years 3, 4

Study Arms (2)

1

ACTIVE COMPARATOR

Patient has had PCP contact (letter, phone call, office visit, educational materials).

Behavioral: Patients receives letter, phone call, office visit, educational materials

2

NO INTERVENTION

Usual Care

Interventions

Patients receives letter, phone call, office visit, educational materials BEHAVIORAL

Behavioral

1

Eligibility Criteria

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

You may qualify if:

• KPNW members since 2005
• Men and women, aged 50-80 who were due for CRC screening during a 24-month period of time.

You may not qualify if:

• KPNW members who were part of a previous quantitative study.

Sponsors & Collaborators

• Kaiser Permanente: lead
• Oregon Health and Science University: collaborator
• Henry Ford Health System: collaborator

Study Sites (1)

Kaiser Permanente Center for Health Research

Portland, Oregon, 97227, United States

Location

MeSH Terms

Conditions

Colorectal Neoplasms; Neoplasms

Interventions

Office Visits

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Professional Practice; Organization and Administration; Health Services Administration

Study Officials

• Adrianne C. Feldstein, MD, MS

  Kaiser Foundation Hospital

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: April 4, 2008
• First Posted: April 11, 2008
• Study Start: April 1, 2008
• Primary Completion: April 1, 2011
• Study Completion: February 1, 2013
• Last Updated: February 20, 2014

Record last verified: 2011-10

Locations

US (1)