An Interactive Preventive Health Record to Increase Colorectal Cancer Screening
Condition: Colorectal Cancer Screening
MeSH terms: Colorectal Neoplasms
Study type: Interventional

Summary: 
      This study involves 3 phases that modifies current Interactive Preventative Health
      Record-Colorectal Cancer Screening (IPHR-CRCS) modules to address each patient's individual
      colorectal cancer screening (CRCS) knowledge, attitudes, preferences, and test-specific
      barriers. The study will engage patients, ages 50-75 years who are non-adherent to CRCS, to
      assess their CRCS test preferences and corresponding test-specific barriers in "real time".
      Based on patient characteristics (e.g. age, personal and family history, physician CRCS
      recommendation, CRCS test preferences, top test-specific barriers), tailored messages/videos
      will appear in the pop-up screens to address/reduce the top patient-reported, test-specific
      CRCS barriers while incorporating an action plan for CRCS adherence. The investigators
      hypothesize that modifying the IPHR-CRCS module to address each patient's individual CRCS
      knowledge, attitudes, preferences, and test-specific barriers will further increase CRCS.
    


Intervention name(s): MyCRCS+Prefs; MyCRCS+Prefs+Barriers
Intervention type(s): Behavioral; Behavioral
Intervention description(s): Patients who are identified by the IPHR as study participants will see an attractive link. In the Prefs arm, via question prompt lists, patients will first identify their CRCS preference using previously developed elicitation strategies.
Tailoring will be used to increase salience of information, motivation, communication, and action plans. We envision the Prefs+ arm in its entirety will be 5-7 minutes, but will depend on Phase I formative work. If the patient remains non-adherent, they will receive an e-mail reminder generated by the IPHR (specific text and frequency determined in Phase I). The Prefs content is identical to the preference portion of the Prefs+Barriers arm, which will allow us to assess the incremental benefit of addressing preferences only and the incremental benefit of addressing preferences and barriers.; Patients who are identified by the IPHR as study participants will see an attractive link. In the Prefs+Barriers arm, via question prompt lists, patients will first identify their CRCS preference using previously developed elicitation strategies, and subsequently based on their test preference determine their top 3-5 test-specific barriers/concerns in "real time".
Tailoring will be used to increase salience of information, motivation, communication, and action plans. We envision the Prefs+Barriers arm in its entirety will be 15-25 minutes, but will depend on Phase I formative work. If the patient remains non-adherent, they will receive an e-mail reminder generated by the IPHR (specific text and frequency determined in Phase I). The Prefs content is identical to the preference portion of the Prefs+Barriers arm, which will allow us to assess the incremental benefit of addressing preferences only and the incremental benefit of addressing preferences and barriers.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary purpose: Prevention
Keywords: Colorectal Cancer Screening; Ambulatory Care; Patient-Centered Care; Intervention Studies; Longitudinal Studies