Colorectal Cancer Screening in a Community Health Setting
Patient-Centered Outreach to Increase Colorectal Cancer Screening in a Community Health Setting
1 other identifier
interventional
281
1 country
1
Brief Summary
This randomized controlled pilot study at the Health Annex, Family Practice \& Counseling Network (FPCN), a community clinic in Southwest Philadelphia, aimed at providing data on the feasibility of a mailed FIT approach to CRC screening in a community health setting, and how patients respond to text messaging and behavioral economic engagement incentives.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2017
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 23, 2017
CompletedFirst Posted
Study publicly available on registry
March 7, 2017
CompletedStudy Start
First participant enrolled
April 17, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 3, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
November 3, 2017
CompletedFebruary 20, 2019
February 1, 2019
4 months
February 23, 2017
February 19, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
FIT completion within 3 months
The percentage of participants who successfully complete the FIT
3 months
Secondary Outcomes (1)
Response to text-based CRC screening outreach
3 months
Study Arms (2)
Text-only
EXPERIMENTALText-only outreach
Text + Lottery
EXPERIMENTALText outreach + financial incentive
Interventions
Subjects will receive a text communication indicating they are overdue for colon cancer screening with the option to elect to receive a free, at-home FIT kit.
Subjects will receive a text communication indicating they are overdue for colon cancer screening with the option to elect to receive a free, at-home FIT kit and a 1 in 5 chance to win a $100 gift card for completing the kit.
Eligibility Criteria
You may qualify if:
- Between 50 and 74 years old
- Has active medical insurance
- Has had had at least one visit at Health Annex in the prior 12 months (at time of chart review)
- Due for CRC screening (no colonoscopy in last 10 years, sigmoidoscopy in last 5 years, or stool testing in last 1 year)
- Asymptomatic for CRC
You may not qualify if:
- Has had prior colonoscopy within 10 years, sigmoidoscopy within 5 years, and FOBT/FIT within twelve months of the chart review (we will exclude patients who self-report undergoing any of the above procedures)
- Has a history of CRC
- Has a history of other GI cancer
- Has history of confirmed Inflammatory Bowel Disease (IBD) (e.g. Crohns disease, ulcerative colitis)
- Has a history of colon polyps
- Has had a colectomy
- Has a first-degree relative that has been diagnosed with CRC
- Has been diagnosed with Lynch Syndrome (i.e. HNPCC)
- Has been diagnosed with Familial Adenomatous Polyposis (FAP).
- Has iron deficiency anemia
- Has recent history of lower GI bleeding
- Has metastatic (Stage IV) blood or solid tumor cancer
- Has end stage renal disease
- Has had congestive heart failure
- Has dementia
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Family Practice & Counseling Network - Health Annex
Philadelphia, Pennsylvania, 19142, United States
Related Publications (1)
Mehta SJ, Oyalowo A, Reitz C, Dean O, McAuliffe T, Asch DA, Doubeni CA. Text messaging and lottery incentive to improve colorectal cancer screening outreach at a community health center: A randomized controlled trial. Prev Med Rep. 2020 May 8;19:101114. doi: 10.1016/j.pmedr.2020.101114. eCollection 2020 Sep.
PMID: 32477853DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Shivan Mehta, MD
University of Pennsylvania
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- SCREENING
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
February 23, 2017
First Posted
March 7, 2017
Study Start
April 17, 2017
Primary Completion
August 3, 2017
Study Completion
November 3, 2017
Last Updated
February 20, 2019
Record last verified: 2019-02