NCT04535492

Brief Summary

The primary purpose of this research study is to contribute to generalized knowledge on how to increase screening for patients at risk of missing their recommended cancer preventive care by using a newly developed predictive model and analytic tool to improve shared decision-making for these patients. The goal of the clinical trial is to evaluate (prove) the effectiveness of this shared-decision making support tool developed in EPIC on the rate of recommended cancer screening in practice. It contributes to knowledge on what specific methods can increase patient adherence to recommended preventive care and reduce disparities.

Trial Health

30
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Timeline
Completed

Started Jan 2022

Shorter than P25 for not_applicable colorectal-cancer

Geographic Reach
1 country

1 active site

Status
withdrawn

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

August 27, 2020

Completed
6 days until next milestone

First Posted

Study publicly available on registry

September 2, 2020

Completed
1.3 years until next milestone

Study Start

First participant enrolled

January 4, 2022

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2022

Completed
Last Updated

May 11, 2023

Status Verified

May 1, 2023

Enrollment Period

6 months

First QC Date

August 27, 2020

Last Update Submit

May 9, 2023

Conditions

Outcome Measures

Primary Outcomes (3)

  • Rate of successful completion of breast cancer screening noted via electronic health record having mammogram result for the patient.

    Successful completion rate per practice involved, based on eligible patients.

    Duration of the study, a total of five years.

  • Rate of successful completion of lung cancer screening noted via electronic health record having low dose computed tomography of the chest result for the patient.

    Successful completion rate per practice involved, based on eligible patients.

    Duration of the study, a total of five years.

  • Rate of successful completion of colorectal cancer screening noted via electronic health record having colonoscopy, fecal occult blood, or non invasive screening option result for the patient.

    Successful completion rate per practice involved, based on eligible patients.

    Duration of the study, a total of five years.

Secondary Outcomes (2)

  • Average score of patient experience and satisfaction as assessed via Likert scale survey.

    Duration of the study, a total five years.

  • Average score of clinician experience and satisfaction as assessed via Likert scale survey.

    Duration of the study, a total five years.

Study Arms (3)

Colorectal Cancer Screening Recommended

OTHER

The USPSTF recommends screening for colorectal cancer starting at age 50 years and continuing until age 75 years.

Behavioral: Decision Making Support Tool

Lung Cancer Screening Recommended

OTHER

The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults ages 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years.

Behavioral: Decision Making Support Tool

Breast Cancer Screening Recommended

OTHER

The USPSTF recommends biennial screening mammography for women aged 50 to 74 years.

Behavioral: Decision Making Support Tool

Interventions

Primary care practices randomized in a stepped wedge cluster design will implement a newly developed predictive model and analytic tool to improve shared decision-making for patients.

Breast Cancer Screening RecommendedColorectal Cancer Screening RecommendedLung Cancer Screening Recommended

Eligibility Criteria

Age50 Years - 80 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may not qualify if:

  • Colorectal Cancer Screening:
  • Lung Cancer Screening:

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

MeSH Terms

Conditions

Colorectal NeoplasmsLung NeoplasmsBreast Neoplasms

Condition Hierarchy (Ancestors)

Intestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal DiseasesRespiratory Tract NeoplasmsThoracic NeoplasmsLung DiseasesRespiratory Tract DiseasesBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Study Officials

  • Vanessa Diaz, MD

    Medical University of South Carolina

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SCREENING
Intervention Model
SEQUENTIAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

August 27, 2020

First Posted

September 2, 2020

Study Start

January 4, 2022

Primary Completion

June 30, 2022

Study Completion

June 30, 2022

Last Updated

May 11, 2023

Record last verified: 2023-05

Data Sharing

IPD Sharing
Will share

Dataverse, an open source research data repository, will be used to archive and share de-identified participant data.

Shared Documents
STUDY PROTOCOL, ANALYTIC CODE
Time Frame
From the end of the study, July 2025, to July 2030.

Locations