personalized screening plans to increase colorectal cancer screening in healthy participants

Conditions: Colorectal Cancer

Summary: rationale: developing a personalized screening plan may be more effective than usual care in increasing the number of healthy participants who regularly undergo screening for colorectal cancer. purpose: this randomized phase iii trial is studying personalized screening plans to see how well they work compared with usual care in increasing colorectal cancer screening in healthy participants.

objectives: * to compare the impact of tailored intervention vs standard intervention vs usual care on patient utilization of colorectal cancer (crc) screening. * to compare the impact of these interventions on crc screening preference. * to compare the impact of these interventions on patient perceptions about crc screening. outline: this is a multicenter study. participants are stratified by practice and study wave and blocking. participants are randomized to 1 of 3 arms. * arm i (usual care): participants receive usual care in accordance with their normal patterns of interaction with study practices. * arm ii (standard intervention \[si\]): a generic screening invitation letter, a colorectal cancer (crc) screening informational booklet, stool blood testing (sbt) cards, and instructions for arranging a colonoscopy screening appointment are mailed to participants on day 15. on day 45, a reminder letter is mailed to participants who have not completed sbt or undergone a screening colonoscopy. * arm iii (tailored navigation intervention \[tni\]): a test-specific screening invitation letter, a crc screening informational booklet, and additional test-specific materials (i.e., instructions for arranging a colonoscopy screening appointment or sbt cards) are mailed to participants on day 15. on day 30, a patient navigator contacts participants by telephone who have not completed sbt or undergone a screening colonoscopy. the patient navigator re-assesses screening test-specific decision stage; addresses crc screening barriers; develops a personalized crc screening plan to move the participant towards screening use (i.e., explains the steps in completing the sbt or scheduling a colonoscopy appointment); and facilitates screening plan implementation. on day 45, a reminder letter is mailed to participants who were contacted by the navigator. participants in all arms complete a survey at baseline and then at 6 months. medical records for each participant are reviewed at 6 months.

Eligibility criteria:
disease characteristics: * meets the following criteria: * no personal history of colorectal neoplasia (cancer or polyps) or inflammatory bowel disease * no family history of colorectal cancer (crc) diagnosed before the age of 60 * visited one of the six community-based primary care practices that are part of the christiana care health system (cchs) in delaware within the past 2 years * not up-to-date with crc screening, according to the united states preventive services task force guidelines patient characteristics: * must have a complete address and telephone number * able to communicate in english * no psychosis or severe dementia prior concurrent therapy: * no prior participation in the developmental study ca10241

Keywords: colon cancer rectal cancer