Outreach for Patients With Uncompleted Colorectal Cancer Screening Orders
UPQUAL
Using Precision Performance Measurement To Conduct Focused Quality Improvement. Sub-Study 1.
1 other identifier
interventional
628
1 country
1
Brief Summary
The purpose of this study is to evaluate whether patient outreach is effective at increasing compliance with preventive screenings ordered by their physician. We hypothesize that educational outreach may increase completion rates.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2008
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2008
CompletedFirst Submitted
Initial submission to the registry
November 17, 2008
CompletedFirst Posted
Study publicly available on registry
November 19, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2009
CompletedResults Posted
Study results publicly available
December 1, 2011
CompletedDecember 1, 2011
October 1, 2011
1.1 years
November 17, 2008
September 1, 2011
October 24, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Colorectal Cancer Screening Completion.
We reviewed electronic health records of participants 3 months post randomization to ascertain outcome. We looked for one or both of the following (1) note in free text MD note documenting receipt of one form of colorectal cancer (CRC) screening during study period (2)lab results from fecal occult blood test, sigmoidoscopy, or colonoscopy. Participants were categorized as completing CRC screening if there was a lab result or physician note located in chart during study period. If no note or lab result was found in chart, then the participant was categorized as not completing CRC screening.
3 months post randomization
Secondary Outcomes (1)
Colorectal Cancer Screening Completion
6 months post randomization
Study Arms (2)
Intervention Group
EXPERIMENTALReceived Educational Outreach
Usual Care Control Group
NO INTERVENTIONParticipants in this arm will receive normal care until outcome assessment is performed at 6 months following the placement of the order for the preventive service. They will be sent a letter reminding them to obtain the ordered preventive service test.
Interventions
Participants will get a letter from their physician that explains that their records show the test has not been completed. The letter will be mailed along with an educational brochure and a DVD about colorectal cancer and colorectal cancer screening.
Eligibility Criteria
You may qualify if:
- Patient's physician has ordered a preventive screening test
- Patient has not completed this test in 3 months
- Patient of Northwestern Medical Faculty Foundation General Internal Medicine Clinic.
You may not qualify if:
- Patient has been given a more recent order for the same screening test.
- Patient has significant life stress as noted in the Electronic Health Record (EHR)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Northwestern Medical Faculty Foundation General Internal Medicine Clinic
Chicago, Illinois, 60611, United States
Related Publications (1)
Cameron KA, Persell SD, Brown T, Thompson J, Baker DW. Patient outreach to promote colorectal cancer screening among patients with an expired order for colonoscopy: a randomized controlled trial. Arch Intern Med. 2011 Apr 11;171(7):642-6. doi: 10.1001/archinternmed.2010.468. Epub 2010 Dec 13.
PMID: 21149742RESULT
Limitations and Caveats
This study does not identify the timing of the intervention that would have the most impact. Mailings occurred 3 months or more after the order was placed, contacting patients sooner may have been more effective.
Results Point of Contact
- Title
- Kenzie A. Cameron, PhD, MPH
- Organization
- Northwestern University
Study Officials
- PRINCIPAL INVESTIGATOR
Kenzie A Cameron, PhD, MPH
Northwestern University
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Research Associate Professor
Study Record Dates
First Submitted
November 17, 2008
First Posted
November 19, 2008
Study Start
October 1, 2008
Primary Completion
November 1, 2009
Study Completion
November 1, 2009
Last Updated
December 1, 2011
Results First Posted
December 1, 2011
Record last verified: 2011-10