NCT04317274

Brief Summary

This study will recruit subjects online and randomly assigned them to one of four arms. The arms vary by clinical decision (colorectal cancer screening or treatment of high cholesterol) by video order (poor shared decision making followed by good or good shared decision making followed by poor). Participants will view two videos and complete the Shared Decision Making process survey along with a few other measures after each video. Our main hypothesis is that respondents watching the good shared decision making videos will score higher on the Shared Decision Making Process survey compared to those watching the poor videos.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
401

participants targeted

Target at P50-P75 for not_applicable colorectal-cancer

Timeline
Completed

Started Mar 2020

Shorter than P25 for not_applicable colorectal-cancer

Geographic Reach
1 country

1 active site

Status
completed

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

Study Start

First participant enrolled

March 13, 2020

Completed
4 days until next milestone

First Submitted

Initial submission to the registry

March 17, 2020

Completed
6 days until next milestone

First Posted

Study publicly available on registry

March 23, 2020

Completed
16 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 8, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 8, 2020

Completed
3.7 years until next milestone

Results Posted

Study results publicly available

January 5, 2024

Completed
Last Updated

January 5, 2024

Status Verified

March 1, 2023

Enrollment Period

26 days

First QC Date

March 17, 2020

Results QC Date

May 19, 2022

Last Update Submit

March 30, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Shared Decision Making Process Score

    The Shared Decision Making Process is a short, 4-item patient-reported survey that measures the amount of shared decision making that occurs in an interaction. Scores range from 0-4 where higher values indicate a better shared decision making process occurred.

    Immediately after viewing each video (typically within 15 minutes of watching the video)

Secondary Outcomes (4)

  • Shared Decision Making Questionnaire (SDM-Q-9)

    Immediately after viewing each video (typically within 15 minutes of watching the video)

  • Healthcare Provider Treatment Recommendation

    Immediately after viewing each video (typically within 15 minutes of watching the video)

  • Patient Treatment Preference

    Immediately after viewing each video (typically within 15 minutes of watching the video)

  • Adapted Controlled Preference Item

    Immediately after viewing each video (typically within 15 minutes of watching the video)

Study Arms (4)

High Cholesterol Good Video First

EXPERIMENTAL

Participants see videos of a conversation around taking medications (statins) for high cholesterol. Patients see good video first and poor video second.

Behavioral: Good high cholesterol videoBehavioral: Poor high cholesterol video

Colorectal Cancer Good Video First

EXPERIMENTAL

Participants see videos of a conversation around screening for colorectal cancer. Patients see good video first and poor video second.

Behavioral: Good colon cancer screening videoBehavioral: Poor colon cancer screening video

High Cholesterol Poor Video First

EXPERIMENTAL

Participants see videos of a conversation around taking medications (statins) for high cholesterol. Patients see poor video first and good video second.

Behavioral: Good high cholesterol videoBehavioral: Poor high cholesterol video

Colorectal Cancer Poor Video First

EXPERIMENTAL

Participants see videos of a conversation around screening for colorectal cancer. Patients see poor video first and good video second.

Behavioral: Good colon cancer screening videoBehavioral: Poor colon cancer screening video

Interventions

The short video illustrated key components of a high quality shared decision making conversation between a doctor and patient actor around treatment of high cholesterol.

High Cholesterol Good Video FirstHigh Cholesterol Poor Video First

The short video illustrated a typical conversation between a doctor and patient actor that did not cover key aspects of share decision making around treatment of high cholesterol.

High Cholesterol Good Video FirstHigh Cholesterol Poor Video First

The short video illustrated key components of a high quality shared decision making conversation between a doctor and patient actor around screening for colorectal cancer.

Colorectal Cancer Good Video FirstColorectal Cancer Poor Video First

The short video illustrated a typical conversation between a doctor and patient actor that did not cover key aspects of share decision making around screening for colorectal cancer.

Colorectal Cancer Good Video FirstColorectal Cancer Poor Video First

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Speak English
  • No prior diagnosis of colorectal cancer
  • No history of heart attack
  • No history of stroke

You may not qualify if:

  • None

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

MeSH Terms

Conditions

Colorectal NeoplasmsHypercholesterolemia

Condition Hierarchy (Ancestors)

Intestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal DiseasesHyperlipidemiasDyslipidemiasLipid Metabolism DisordersMetabolic DiseasesNutritional and Metabolic Diseases

Results Point of Contact

Title
Dr. Karen R. Sepucha
Organization
Massachusetts General Hospital

Study Officials

  • Karen Sepucha, PhD

    Massachusetts General Hospital

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
FACTORIAL
Model Details: Subjects were randomly assigned to one of the two clinical conditions (colorectal cancer screening or high cholesterol) then randomly assigned to view the two videos in one of two orders. Participants either viewed the good shared decision making video first (and the poor shared decision making video second) or the poor shared decision making video first (and the good shared decision making video second). Thus we used a 2 (clinical condition; colorectal cancer screening v. high cholesterol) x 2 (video; good v. poor) x 2 (order; good first v. poor first) factorial design.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director of the Health Decision Sciences Center

Study Record Dates

First Submitted

March 17, 2020

First Posted

March 23, 2020

Study Start

March 13, 2020

Primary Completion

April 8, 2020

Study Completion

April 8, 2020

Last Updated

January 5, 2024

Results First Posted

January 5, 2024

Record last verified: 2023-03

Data Sharing

IPD Sharing
Will share

The study team will create a complete, cleaned, de-identified copy of the final data set for each online field test. After the main analyses have been published, information for accessing the data will be made available on the Health Decision Sciences Center website and in publications of the data. Dr. Sepucha will share a de-identified data set with outside investigators at no cost, according to approved Massachusetts General Hospital/Partners policies for data sharing. Investigators from other sites will be able to request the data and will be required to complete a data use agreement that ensures that all local Institutional Review Board requirements are met before using the data, that they will not attempt to identify any data in the dataset, and that they will not share the data set with anyone outside their project team.

Shared Documents
STUDY PROTOCOL, SAP, ANALYTIC CODE

Locations