Effect of Patient Portal Messaging Before Mailing Fecal Immunochemical Testing Kit on Colorectal Cancer Screening Rates

NCT05115916 | Completed

• 1 other identifier: FITPrimer
• Study Type: interventional
• Target: 3,880
• Locations: 1 country
• Sites: 1

Brief Summary

Behavioral economics principles have increasingly been shown to improve health outcomes in the United States. They offer the ability to implement simple, low-cost and effective interventions to address key health issues without sacrificing the autonomy of patients. Colorectal cancer (CRC) screening is a key area where behavioral economics principles can help improve health outcomes. Despite being the second leading cause of cancer related death, the rate of CRC screening remains well below national targets. Interventions to address these issues, and improve screening rates at our institution have including implementing a Mailed FIT outreach program, and adding an informational letter that utilizes behavioral economic principles. To further improve our screening rates, this project builds upon our previous efforts to include a randomized electronic message primer via patients electronic patient portal, to help alert them of incoming FIT Kit and complete screening. This study will contribute to the growing literature of behavioral economics in medicine, while addressing an important health issue.

Conditions

Colorectal Cancer; Colorectal Neoplasms; Colorectal Cancer Screening

Keywords

Colorectal Cancer Screening; Colon Cancer; Nudge; Behavior and Behavior Mechanisms; Behavioral Economics; Health Screening

Outcome Measures

Primary Outcomes (1)

• Overall Colorectal Cancer Screening Uptake

  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 (3)

• Time to screening

  6 months

• Colorectal cancer screening uptake by modality

  6 months

• Effect of electronic primer message on CRC uptake among participants who opened

  6 months

Study Arms (2)

Standard of Care

NO INTERVENTION

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

MyChart Message

EXPERIMENTAL

This group will receive a message via EHR portal informing them about the incoming FIT Kit

Behavioral: MyChart Priming Message

Interventions

MyChart Priming Message BEHAVIORAL

In addition to the standard FIT mailer protocol, we will send randomized participants a message via their personal health portal. Patients receive the primer approximately 1-2 weeks prior to arrival of the FIT kit, which informed patients about the incoming FIT Kit and instructed patients to complete and return the kit promptly.

MyChart Message

Eligibility Criteria

• Age: 51 Years - 75 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Managed care patient, 51-75 years old
• Active primary care provider at UCLA seen within last 3 years

You may not qualify if:

• Inactive MyChart status or mailing address at time of enrollment
• Died within follow up period
• Any high-risk features including first degree family members with CRC, personal history of adenomas, history of inflammatory bowel disease, and any genetic GI cancer syndromes.

Sponsors & Collaborators

• University of California, Los Angeles: lead
• UCLA Vatche and Tamar Manoukian Division of Digestive Diseases: collaborator

Study Sites (1)

UCLA Health Department of Medicine, Quality Office

Westwood, Los Angeles, California, 90095, United States

Location

Related Publications (1)

• Goshgarian G, Sorourdi C, May FP, Vangala S, Meshkat S, Roh L, Han MA, Croymans DM. Effect of Patient Portal Messaging Before Mailing Fecal Immunochemical Test Kit on Colorectal Cancer Screening Rates: A Randomized Clinical Trial. JAMA Netw Open. 2022 Feb 1;5(2):e2146863. doi: 10.1001/jamanetworkopen.2021.46863.

  PMID: 35119462 DERIVED

MeSH Terms

Conditions

Colorectal Neoplasms; Colonic Neoplasms; Behavior

Condition Hierarchy (Ancestors)

Intestinal Neoplasms; Gastrointestinal Neoplasms; Digestive System Neoplasms; Neoplasms by Site; Neoplasms; Digestive System Diseases; Gastrointestinal Diseases; Colonic Diseases; Intestinal Diseases; Rectal Diseases

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: Medical Director, DOM Quality

Model Details: 3880 patients 51-75 years old, within the UCLA Health Managed Care group overdue for average risk CRC screening without prior history of documented FIT or colonoscopy will be randomized into 2 groups, in a 1:1 ratio. The 2 groups represent standard of care, and then the MyChart Message group

Study Record Dates

• First Submitted: October 28, 2021
• First Posted: November 10, 2021
• Study Start: August 28, 2019
• Primary Completion: September 20, 2020
• Study Completion: December 20, 2020
• Last Updated: November 10, 2021

Record last verified: 2021-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)