An Observational Study of GP Verbal Reminders Upon Cervical Screening

NCT04970394 | Completed

• 1 other identifier: 298846
• Study Type: observational
• Target: 724
• Locations: 1 country
• Sites: 1

Brief Summary

Cervical cancer screening is offered to all women in the United Kingdom (UK) between the ages of 24.5 and 64 years of age. The majority of screening is performed in primary care and the rate remains stubbornly below 80%, despite an automated national invitation system. This study is designed to assess the effectiveness of a physician invitation during a telephone or face-to-face primary care appointment upon non responders of automated invitations, to increase the uptake of cervical screening.

Conditions

HPV-Related Cervical Carcinoma; Physician-Patient Relations

Keywords

Cervical Screening; Primary health care; Physician intervention

Outcome Measures

Primary Outcomes (1)

• Uptake of Cervical Screening

  The number of patients who undergo cervical screening

  Up to 1 year post intervention

Secondary Outcomes (1)

• Time to book screening

  Up to 1 year post intervention

Study Arms (2)

Intervention

The principal investigator reviews the medical notes of all individuals they consult over a period of three years to check if they are non responders. If confirmed as non responder, they receive a three-step verbal intervention: 1. "Your cervical cancer screening is now overdue." 2. "The test is easy to perform and saves thousands of lives from cervical cancer every year." 3. "Should we book an appointment for cervical screening now so that you make sure you have it done?" Those who are seen face-to-face receive a fourth intervention: 4. An appointment slip is given to the patient to hand to the receptionist. This includes the patient's name and the comment, "book an appointment with practice nurse for cervical screening".

Behavioral: Cervical Screening Reminder

Control

The control group receives standard unstructured reminders regarding their overdue status from any of the 6 other clinicians during appointments and / or reminder letters from the administration team.

Interventions

Cervical Screening Reminder BEHAVIORAL

Verbal reminder and if seen face-to-face, a written appointment booking slip.

Intervention

Eligibility Criteria

• Age: 25 Years - 65 Years
• Gender Eligibility Details: Any individual with a cervix
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients registered at the Gill Medical Centre, who have a cervix, are eligible for cervical screening and have been non responders to the automated national invitation. These patients are opportunistically recruited when they are consulted by the principal investigator.

You may qualify if:

• Registered patient with a cervix
• Non responder to cervical screening invitation

You may not qualify if:

• Incorrectly reminded i. Coding errors ii. Human error
• Temporary patients i. Did not remain registered for minimum of 6 months following intervention
• Screening refusal
• Inappropriate to include i. Terminal illness ii. Prolonged hospitalisation iii. Death due to non-cervical cancer attributable cause

Sponsors & Collaborators

• Dr. Faizan Awan: lead

Study Sites (1)

The Gill Medical Centre

Salford, Greater Manchester, M28 3DR, United Kingdom

Location

Related Publications (1)

• Everett T, Bryant A, Griffin MF, Martin-Hirsch PP, Forbes CA, Jepson RG. Interventions targeted at women to encourage the uptake of cervical screening. Cochrane Database Syst Rev. 2011 May 11;2011(5):CD002834. doi: 10.1002/14651858.CD002834.pub2.

  PMID: 21563135 BACKGROUND

Study Officials

• Faizan A Awan, MBChB MRCGP

  The Gill Medical Centre

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 4 Years
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: General Practitioner

Study Record Dates

• First Submitted: July 11, 2021
• First Posted: July 21, 2021
• Study Start: March 1, 2017
• Primary Completion: February 29, 2020
• Study Completion: March 3, 2021
• Last Updated: August 12, 2021

Record last verified: 2021-08

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, CSR
• Time Frame: Immediately available for up to 10 years post-publication.
• Access Criteria: Contact principal investigator via e-mail.

Locations

GB (1)