Using Patients' Social Contact to Improve Out-Patient Endoscopy Among Blacks

NCT02464618 | Completed

• 1 other identifier: IRB-14-MED-11
• Study Type: interventional
• Target: 812
• Locations: 1 country
• Sites: 1

Brief Summary

Non-attendance to out-patient endoscopic procedures is high among underserved blacks. The overall goal of this proposal is to evaluate the effect of directly involving a social contact (chosen by the patient) on completion and quality of out-patient endoscopy recommended for the patient by his/her primary care physician, or after scheduling by the gastrointestinal endoscopist. Improved adherence and better quality of procedures are postulated with involvement of social contacts.

Conditions

Compliance; Colon Cancer

Keywords

Colonoscopy; Upper endoscopy; Adherence; Disparities

Outcome Measures

Primary Outcomes (2)

• Compliance with appointment and colonoscopy

  For primary care subjects: Making appointment with Gastrointestinal endoscopist within 3 months and completing colonoscopy within 6 months of enrolment

  6 months

• Compliance with scheduled upper endoscopy and colonoscopy

  For specialty subjects: Completing scheduled upper endoscopy or colonoscopy

  Scheduled procedure time, an average of 8 weeks

Secondary Outcomes (1)

• Bowel preparation quality

  At scheduled colonoscopy, an average of 8 weeks

Other Outcomes (1)

• Social contact's activity

  During the duration of the project, an average of 6 months

Study Arms (2)

Usual care

NO INTERVENTION

The social contact of patients in this arm will not be contacted

Social contact intervention

ACTIVE COMPARATOR

The social contact of patients in this arm will be contacted and asked to facilitate the endoscopy care plan of the patient

Behavioral: Social contact intervention

Interventions

Social contact intervention BEHAVIORAL

The social contact of the patients in this arm will be engaged to improve adherence to out-patient endoscopy

Social contact intervention

Eligibility Criteria

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

You may qualify if:

• Patients referred for out-patient colonoscopy by primary care physicians
• Patients scheduled for out-patient screening colonoscopy
• Patients scheduled for out-patient upper endoscopy

You may not qualify if:

• Patients who were referred for colorectal cancer (CRC) screening as in-patients
• Patients with personal history of familial adenomatous polyposis syndrome (FAP)
• Patients with family history of Hereditary non-polyposis colorectal cancer syndrome (HNPCC)
• Patients with inflammatory bowel disease
• Patients with Crohn's disease
• Patients with ulcerative colitis
• Patients with personal history of CRC
• Patients who have had colonic resection

Sponsors & Collaborators

• Howard University: lead

Study Sites (1)

Howard University

Washington D.C., District of Columbia, 20060, United States

Location

Related Publications (5)

• Laiyemo AO, Williams CD, Burnside C, Moghadam S, Sanasi-Bhola KD, Kwagyan J, Brim H, Ashktorab H, Scott VF, Smoot DT. Factors associated with attendance to scheduled outpatient endoscopy. Postgrad Med J. 2014 Oct;90(1068):571-5. doi: 10.1136/postgradmedj-2012-131650. Epub 2014 Sep 1.

  PMID: 25180285 BACKGROUND

• Tammana VS, Laiyemo AO. Colorectal cancer disparities: issues, controversies and solutions. World J Gastroenterol. 2014 Jan 28;20(4):869-76. doi: 10.3748/wjg.v20.i4.869.

  PMID: 24574761 BACKGROUND

• Badurdeen DS, Umar NA, Begum R, Sanderson AK 2nd, Jack M, Mekasha G, Kwagyan J, Smoot DT, Laiyemo AO. Timing of procedure and compliance with outpatient endoscopy among an underserved population in an inner-city tertiary institution. Ann Epidemiol. 2012 Jul;22(7):531-5. doi: 10.1016/j.annepidem.2012.04.013. Epub 2012 May 8.

  PMID: 22571991 BACKGROUND

• Laiyemo AO. In search of a perfect solution to ensure that "no colon is left behind". Dig Dis Sci. 2012 Feb;57(2):263-5. doi: 10.1007/s10620-011-2010-6. Epub 2011 Dec 20. No abstract available.

  PMID: 22183821 BACKGROUND

• Laiyemo AO, Kwagyan J, Williams CD, Rogers J, Kibreab A, Jack MA, Lee EE, Brim H, Ashktorab H, Howell CD, Smoot DT, Platz EA. Using Patients' Social Network to Improve Compliance to Outpatient Screening Colonoscopy Appointments Among Blacks: A Randomized Clinical Trial. Am J Gastroenterol. 2019 Oct;114(10):1671-1677. doi: 10.14309/ajg.0000000000000387.

  PMID: 31478919 DERIVED

MeSH Terms

Conditions

Patient Compliance; Colonic Neoplasms

Condition Hierarchy (Ancestors)

Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior; Colorectal Neoplasms; Intestinal Neoplasms; Gastrointestinal Neoplasms; Digestive System Neoplasms; Neoplasms by Site; Neoplasms; Digestive System Diseases; Gastrointestinal Diseases; Colonic Diseases; Intestinal Diseases

Study Officials

• Adeyinka O Laiyemo, MD, MPH

  Howard University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 2, 2015
• First Posted: June 8, 2015
• Study Start: June 26, 2014
• Primary Completion: March 7, 2017
• Study Completion: March 7, 2017
• Last Updated: September 17, 2018

Record last verified: 2018-06

Locations

US (1)