Opt-in vs. Opt-out for Breast Cancer Screening
Opt-in vs. Opt-out Mammography Screening Outreach: a Randomized Controlled Trial
1 other identifier
interventional
871
1 country
1
Brief Summary
This is a randomized controlled trial that will evaluate the effectiveness two different outreach strategies for a population-based breast cancer screening program at the VA Puget Sound among average risk female Veterans who are due for breast cancer screening.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable breast-cancer
Started Apr 2022
Shorter than P25 for not_applicable breast-cancer
1 active site
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
February 1, 2022
CompletedFirst Posted
Study publicly available on registry
April 6, 2022
CompletedStudy Start
First participant enrolled
April 18, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 31, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
August 31, 2022
CompletedApril 6, 2022
April 1, 2022
5 months
February 1, 2022
April 5, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of mammograms completed at 100 days post randomization
Percent of mammograms completed
100 days post randomization
Secondary Outcomes (1)
Percentage of mammograms scheduled at 100 days post randomization
100 days post randomization
Other Outcomes (2)
Percentage of mammograms cancelled at 100 days post randomization
100 days post randomization
Percentage of mammograms active at 100 days post randomization
100 days post randomization
Study Arms (2)
Automated phone opt-in message
EXPERIMENTALAudiocare message requiring Veteran to confirm that they would like to participate in screening and have consult sent
Opt-out scheduling
EXPERIMENTALConsult automatically sent and Veteran called to schedule screening
Interventions
Eligibility Criteria
You may qualify if:
- female Veterans aged 45-75
- assigned to a primary care provider at the VA Puget Sound as of January 1, 2022 with at least 1 year of prior data available
- due for breast cancer screening (have not had a mammogram in the last 12 months)
You may not qualify if:
- must not be any indication of current receipt of hospice care
- no record of recent death in the administrative data
- not scheduled for either a screening or diagnostic mammogram within the following 12 weeks from assessment.
- not have a personal history of bilateral mastectomy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
VA Puget Sound Health Care System
Seattle, Washington, 98108, United States
Related Publications (1)
Marcotte LM, Deeds S, Wheat C, Gunnink E, Gray K, Rojas J, Finch C, Nelson K, Reddy A. Automated Opt-Out vs Opt-In Patient Outreach Strategies for Breast Cancer Screening: A Randomized Clinical Trial. JAMA Intern Med. 2023 Nov 1;183(11):1187-1194. doi: 10.1001/jamainternmed.2023.4321.
PMID: 37695621DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ashok Reddy, MD
VA Puget Sound Health Care System
- PRINCIPAL INVESTIGATOR
Stefanie Deeds, MD
VA Puget Sound Health Care System
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- SCREENING
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Staff Physician
Study Record Dates
First Submitted
February 1, 2022
First Posted
April 6, 2022
Study Start
April 18, 2022
Primary Completion
August 31, 2022
Study Completion
August 31, 2022
Last Updated
April 6, 2022
Record last verified: 2022-04
Data Sharing
- IPD Sharing
- Will not share