Study of Adherence to Colonoscopy in Women

Study Overview
=================
Brief Summary
-----------------
The purpose of this study is to determine whether women who are offered screening colonoscopy will be more likely to schedule and complete this procedure if they are given the option of a woman endoscopist.

Detailed Description
-----------------
Colorectal cancer (CRC) is the third leading cause of cancer death in women. Although there are a variety of options for colon cancer screening, colonoscopy is thought to be the best modality for women. Despite recommendations by multiple societies, adherence to CRC screening among women is suboptimal. One possible barrier to adherence may be the gender of the endoscopist. Recent studies have shown that a large proportion of surveyed women would prefer a woman endoscopist. These studies suggest that having the option of a woman endoscopist would increase adherence to colonoscopy; however, there is no published literature that addresses this question. Hypothesis Women who are offered screening colonoscopy will be more likely to schedule and complete this procedure if they are given the option of a woman endoscopist. Specific Aims Primary Determine whether the option of a woman endoscopist is associated with increased woman patient adherence to screening colonoscopy. Assess the proportion of women who request a woman endoscopist when this option is made available to them. Secondary * Identify socio-demographic predictors of (a) completing a screening colonoscopy and (b) requesting a woman endoscopist (e.g. race/ethnicity, age, health insurance, marital status).

Official Title
-----------------
The Effect of a Woman Endoscopist on Adherence to Screening Colonoscopy in Women

Conditions
-----------------
Colonoscopy

Intervention / Treatment
-----------------
* Other: Woman endoscopist
* Other: Usual care


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Female gender Age between 50 and 70 Receiving primary care at a University Medicine clinic Exclusion Criteria: No visit to a University Medicine clinic in 18 months or more Deceased Pregnant Terminal or cancer diagnosis No longer receiving primary care at a University Medicine clinic

Ages Eligible for Study
-----------------
Minimum Age: 50 Years
Maximum Age: 70 Years

Sexes Eligible for Study
-----------------
Female

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Woman endoscopist<br> | Other: Woman endoscopist<br>* This group will receive an invitation to schedule a screening colonoscopy with a woman endoscopist.<br>|
| Active Comparator: Usual care<br> | Other: Usual care<br>* This group will receive an invitation to schedule a screening colonoscopy with any available endoscopist.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Determine whether the option of a woman endoscopist is associated with increased woman patient willingness to schedule and complete screening colonoscopy. |  | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Identify socio-demographic predictors of (a) completing a screening colonoscopy and (b) requesting a woman endoscopist (e.g. race/ethnicity, age, health insurance, marital status). |  | 6 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Adherence to screening colonoscopy in women