Using Behavioral Science to Improve Colorectal Cancer Screening Rates With Mailed FIT Kits

NCT04746469 | Completed

• 1 other identifier: IRB #19-001418
• Study Type: interventional
• Target: 2,500
• Locations: 1 country
• Sites: 1

Brief Summary

As a part of UCLA Health's continued goal of improving patient care the investigators are updating our mailing campaign for our FIT Kit colorectal cancer screening that the investigators administer 2 times per year to include an automated phone call reminder to patients who are overdue for average-risk colorectal cancer screening and enrolled in a mailed FIT program. This will help the investigators evaluate if automated phone calls are effective at improving compliance with CRC screening, in addition to mailed FIT and embedded electronic health record (EHR) portal messages to patients.

Conditions

Colorectal Cancer Screening

Outcome Measures

Primary Outcomes (1)

• Overall colorectal cancer screening uptake (any modality)

  Rate of completion of CRC screening by any of the following: FIT, colonoscopy, CT colonography, sigmoidoscopy or FIT-DNA within study period.

  6 months

Secondary Outcomes (1)

• Colorectal cancer screening uptake by modality

  6 months

Study Arms (2)

Control

NO INTERVENTION

This group will receive standard FIT mailer protocol (includes mailed FIT kit plus standardized messaging via EHR portal)

Intervention

EXPERIMENTAL

This group will receive standard FIT mailer protocol (as above) PLUS delayed automated phone reminder

Behavioral: Delayed automated phone call

Interventions

Delayed automated phone call BEHAVIORAL

Cipher provides automated phone calls to patients; in this case the script for Cipher was modified to provide patients a reminder to return FIT kits, allow patients to request a new kit in case they need a replacement, and to allow patients to provide information if they already completed CRC screening

Also known as: Cipher phone reminder

Intervention

Eligibility Criteria

• Age: 50 Years - 75 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Overdue for average-risk colorectal cancer screening
• Active primary care provider at UCLA seen within last 3 years

You may not qualify if:

• Inactive mychart status at time of enrollment
• Died within follow-up period
• Received FIT kit in prior 6 months

Sponsors & Collaborators

• University of California, Los Angeles: lead

Study Sites (1)

UCLA Health Department of Medicine, Quality Office

Los Angeles, California, 90095, United States

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: \~2500 patients who are overdue for average-risk CRC screening and are enrolled in UCLA Health biannual mailed FIT program will be randomized to either control (mailed FIT kit + standard messaging) or intervention (mailed FIT Kit + standard messaging + delayed automated phone reminder)

Study Record Dates

• First Submitted: January 24, 2021
• First Posted: February 9, 2021
• Study Start: September 2, 2020
• Primary Completion: August 1, 2022
• Study Completion: August 1, 2022
• Last Updated: September 13, 2022

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)