Behavioral Economic Approaches to Increase Colorectal Cancer Screening

Study Overview
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Brief Summary
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This is an RCT aimed at testing different population-based approaches to increasing colorectal cancer screening through email outreach, including usual email communication, active choice, and active choice + financial incentive.

Detailed Description
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This is an RCT aimed at testing different population-based approaches to increasing colorectal cancer screening. The investigators will randomize a cohort of employees between the ages of 50-64 to 3 arms of email communications: a.) Usual email communication; b.) Active choice- usual care + the ability to pre-commit directly through a web form; c.) Financial incentive- usual care + active choice + financial incentive for completion.

Official Title
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Behavioral Economic Approaches to Increase Colorectal Cancer Screening

Conditions
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Cancer of the Colon

Intervention / Treatment
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* Behavioral: Email outreach
* Behavioral: Active choice
* Behavioral: Financial incentive


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male and female employees of the University of Pennsylvania Health System who live within 30 miles of a health system endoscopy center.

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 64 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Usual care<br>Email outreach | Behavioral: Email outreach<br>* Subjects will receive an email describing the importance of colorectal cancer screening and that s/he has been selected to participate in this VIP concierge service.<br>|
| Experimental: Active choice<br>Email outreach + active choice | Behavioral: Email outreach<br>* Subjects will receive an email describing the importance of colorectal cancer screening and that s/he has been selected to participate in this VIP concierge service.<br>Behavioral: Active choice<br>* S/he will receive the ability to pre-commit and choose from 3 different appointment slots by clicking directly on the email.<br>|
| Experimental: Financial incentive + Active choice<br>Email outreach + active choice + financial incentive | Behavioral: Email outreach<br>* Subjects will receive an email describing the importance of colorectal cancer screening and that s/he has been selected to participate in this VIP concierge service.<br>Behavioral: Active choice<br>* S/he will receive the ability to pre-commit and choose from 3 different appointment slots by clicking directly on the email.<br>Behavioral: Financial incentive<br>* The participant will receive the offering of $100 if s/he follows through with screening colonoscopy.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Colonoscopy participation | The percentage of participants who follow through with screening colonoscopy. | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Email engagement | The percentage of participants who respond to the email (arm 2 and 3). | 3 months | 
| Scheduling of colonoscopy | The percentage of participants who schedule a procedure. | 3 months |