Behavioral Nudge in Colorectal Cancer Screening

NCT06796049 | Withdrawn

• 1 other identifier: 24-00165
• Study Type: interventional
• Target: N/A
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to evaluate if a behavioral nudge principle known as social norm driver can be implemented to improve fecal immunochemical test (FIT) completion rates for patients' age 45-75 years old due for colorectal cancer screening at Bellevue Hospital Medicine Ambulatory Care Clinic. The study's endpoints include FIT screening completion rate and timeliness. Secondary analysis will look at demographic information such as age group, gender, prior screening, number of prior visits at the clinic.

Conditions

Improving Fecal Immunochemical Test (FIT) Completion Rates

Outcome Measures

Primary Outcomes (2)

• Time until the fecal immunochemical test (FIT) is returned to the clinic for processing

  Study participants will be tracked for completion of their FIT screening test up until 3 months after the initial stool study was given.

  Month 3

• Percentage of participants who completed the FIT screening test

  Study participants will be tracked for completion of their FIT screening test up until 3 months after the initial stool study was given.

  Month 3

Study Arms (3)

Time Period 1

NO INTERVENTION

A FIT test is ordered by the provider and a patient care assistant (PCA) gives patient a FIT kit, which includes a specimen cup and instructions on how to use it, at the end of the visit prior to their departure.

Time Period 2

EXPERIMENTAL

A new information pamphlet is given to participants alongside the FIT kit at the end of the visit. The pamphlet contains an easy-to-read description of FIT screening adapted from the NYC department of health C5 Colorectal cancer (CRC) screening coalition pamphlet and lead-time CRC screening messaging tool, instructions on how to complete the test and the importance of FIT screening.

Behavioral: Information pamphlet

Time Period 3

EXPERIMENTAL

A new information pamphlet is given to participants along the FIT kit similar to "Time period 2", but includes a social norm driver in the pamphlet that displays the sub-par screening rate of our clinic compared to a collective New York State screening rate and a national screening rate goal set by the Centers for Disease Control and Prevention (CDC).

Behavioral: Information pamphlet + social norm driver

Interventions

Information pamphlet + social norm driver BEHAVIORAL

The information pamphlet is given to participants at the end of the visit. The pamphlet contains an easy-to-read description of FIT screening adapted from the NYC department of health C5 Colorectal cancer (CRC) screening coalition pamphlet and lead-time CRC screening messaging tool, instructions on how to complete the test and the importance of FIT screening. The information pamphlet will also contain a social norm driver that displays the sub-par screening rate the clinic compared to a collective New York State screening rate and a national screening rate goal set by the CDC.

Time Period 3

Information pamphlet BEHAVIORAL

The information pamphlet is given to participants at the end of the visit. The pamphlet contains an easy-to-read description of FIT screening adapted from the NYC department of health C5 CRC screening coalition pamphlet and lead-time CRC screening messaging tool, instructions on how to complete the test and the importance of FIT screening.

Time Period 2

Eligibility Criteria

• Age: 45 Years - 75 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patient at Bellevue Ambulatory Care Medicine Clinic between 1/1/2024 and 7/1/2024
• Age 45-75 years old
• Patient at Bellevue Ambulatory Care Resident Clinic
• Age 45-75 years old
• Has not had a FIT test within the past year
• Can read either English or Spanish
• Is able and willing to provide consent
• Patient at Bellevue Ambulatory Care Resident Clinic
• Age 45-75 years old
• Has not had a FIT test completed within the past year
• Can read either English or Spanish
• Is able and willing to provide consent

You may not qualify if:

• Patient at a clinic that is not Bellevue Ambulatory Care Resident Clinic
• Age outside of 45-75 years old
• Patient at a clinic that is not Bellevue Ambulatory Care Resident Clinic
• Age outside of 45-75 years old
• Has had a FIT test completed within the past year
• Cannot read either English or Spanish
• Patient at a clinic that is not Bellevue Ambulatory Care Resident Clinic
• Age outside of 45-75 years old
• Has had a FIT test completed within the past year
• Cannot read either English or Spanish

Sponsors & Collaborators

• NYU Langone Health: lead

Study Sites (1)

NYU Langone Health

New York, New York, 10016, United States

Location

Study Officials

• Aasma Shaukat, MD

  NYU Langone Health

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 22, 2025
• First Posted: January 28, 2025
• Study Start: May 1, 2025
• Primary Completion: June 1, 2026
• Study Completion (Estimated): July 1, 2026
• Last Updated: February 25, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)