Implementation of Evidence Based Practices for Colonoscopy: The Strategies to Improve Colonoscopy Study

NCT02723370 | Completed

• 2 other identifiers: 201401089R21CA184282
• Study Type: interventional
• Target: 46,184
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this study is to compare the effect of physician education about evidence based practices for colonoscopy alone, versus physician education plus a multi-component staff implementation strategy to improve adequacy of bowel preparation. Additionally the investigators will examine implementation factors that influence adoption of the evidence based practices.

Conditions

Colonoscopy

Keywords

Quality of Healthcare; Colorectal neoplasms; Health Literacy; Teach-Back Communication; Evidence Based Practice; Colonoscopy

Outcome Measures

Primary Outcomes (1)

• Percent of patients with adequate of bowel preparation as indicated by a Boston Bowel Preparation Scale (BBPS) score > 6 or an Aronchick scale score of fair or better.

  5 month intervention period

Secondary Outcomes (1)

• Adoption of Evidence Based Practices

  At baseline and after 5 month intervention period

Study Arms (2)

Initial Intervention

EXPERIMENTAL

Staff will receive the intervention during the initial intervention period.

Behavioral: Staff multi-component implementation strategy

Delayed Intervention

EXPERIMENTAL

Staff will receive the intervention during the replication study.

Behavioral: Staff multi-component implementation strategy

Interventions

Staff multi-component implementation strategy BEHAVIORAL

Staff will receive a multi-component implementation strategy for evidence based practices (EBPs) for colonoscopy, including split-dosing of bowel preparation, low literacy education materials for patients, and teach-back procedure. The implementation strategy includes a supply of low-literacy patient education materials for split-dosing the medication of their choice, poster and pocket-card with teach-back prompts, consultation to integrate materials and teach-back into workflow and a website with additional training and patient materials.

Delayed Intervention; Initial Intervention

Eligibility Criteria

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

You may qualify if:

• Physicians who perform colonoscopies at 6 participating endoscopy centers
• Staff who work for participating physicians and provide education for bowel preparation before colonoscopy
• Patients who had an outpatient colonoscopy at a participating endoscopy center during study period

You may not qualify if:

• \- none

Sponsors & Collaborators

• Washington University School of Medicine: lead
• National Cancer Institute (NCI): collaborator
• BJC HealthCare: collaborator

Related Publications (1)

• Ramsey AT, Maki J, Prusaczyk B, Yan Y, Wang J, Lobb R. Using segmented regression analysis of interrupted time series data to assess colonoscopy quality outcomes of a web-enhanced implementation toolkit to support evidence-based practices for bowel preparation: a study protocol. Implement Sci. 2015 Jun 7;10:85. doi: 10.1186/s13012-015-0276-3.

  PMID: 26050105 BACKGROUND

MeSH Terms

Conditions

Colorectal Neoplasms; Teach-Back Communication

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; Communication; Behavior

Study Officials

• Rebecca Lobb, ScD, MPH

  Washington University School of Medicine

  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: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: March 15, 2016
• First Posted: March 30, 2016
• Study Start: May 1, 2013
• Primary Completion: May 1, 2016
• Study Completion: December 1, 2016
• Last Updated: January 10, 2017

Record last verified: 2017-01

Data Sharing

• IPD Sharing: Will not share