PreView: The Preventive Video Education in Waiting Rooms Program

Study Overview
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Brief Summary
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This clinical trial studies how well PreView, preventive video education, works in increasing rates of breast, cervical and colorectal cancer screening, improving participants' stage of change with respect to age appropriate cancer screening and increasing patient-provider discussions about prostate cancer screening.

Detailed Description
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PRIMARY OBJECTIVES: I. To determine the extent to which PreView increases the likelihood that primary care patient participants will receive mammograms, pap tests, colon cancer tests or prostate specific antigen (PSA) testing discussions with primary care physicians compared with participants who receive usual care. II. To determine the extent that PreView increases participants' readiness to be screened for breast cancer, cervical cancer or colorectal cancer (CRC) compared with usual care. III. To determine the extent that PreView increases the likelihood that PSA testing will be discussed in primary care physician visits compared with usual care. OUTLINE: Patients are randomized into 1 of 2 groups. GROUP I: Patients complete PreView, the Video Doctor plus Provider Alert, over 45 minutes on an iPad in the waiting room before a doctor visit. GROUP II: Patients watch a video about healthy lifestyles including information about exercise and healthy eating over 45 minutes on an iPad in the waiting room before a doctor visit.

Official Title
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PreView: The Preventive Video Education in Waiting Rooms Program

Conditions
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Health Status Unknown

Intervention / Treatment
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* Other: Computer-Assisted Intervention
* Other: Computer-Assisted Intervention
* Other: Questionnaire Administration


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Without a history of cancer Exclusion Criteria: With a history of cancer (for whom subsequent procedures would be surveillance and not screening) Individuals who do not speak English or Spanish (except for the testimonials)

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 70 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: Screening
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group I (PreView)<br>Patients complete PreView, the Video Doctor plus Provider Alert, over 45 minutes on an iPad in the waiting room before a doctor visit. | Other: Computer-Assisted Intervention<br>* Complete PreView<br>Other: Questionnaire Administration<br>* Ancillary studies<br>|
| Active Comparator: Group II (educational video)<br>Patients watch a video about healthy lifestyles including information about exercise and healthy eating over 45 minutes on an iPad in the waiting room before a doctor visit. | Other: Computer-Assisted Intervention<br>* Watch an educational video<br>Other: Questionnaire Administration<br>* Ancillary studies<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changing participants' readiness to be screened for breast, cervical and colorectal cancer | To determine the extent to which PreView increases the likelihood that primary care patient participants will receive mammograms, Pap tests, colon cancer tests or PSA testing discussions with primary care physicians compared with participants who receive usual care | Up to 3 hours from pre-visit to post-visit interview. | 
| Increasing physician-patient discussions about PSA screening measured by chart review | To determine the extent that PreView increases participants' readiness to be screened for breast cancer, cervical cancer or CRC compared with usual care. | Baseline up to 14 months | 
| Increasing rates of breast, cervical and colorectal cancer screening | To determine the extent that PreView increases the likelihood that PSA testing will be discussed in primary care physician visits compared with usual care. | From Baseline up to 14 months |