Utility Analysis of an Endoscopy Follow-up System

Study Overview
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Brief Summary
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Although systems are in place to ensure results of tests are communicated to patients, there is currently no generalized accepted strategy to ensure that patients undergo recommended follow-up testing. When follow-up tests are recommended months to years into the future, there is a high likelihood that the test will either be delayed or not performed resulting in the potential for poor outcomes and litigation. For this reason, there is a clear need for systems to be developed which automatically trigger patient communication when the date of a recommended follow-up test is approaching. The investigators propose to design a protocol for ensuring that patients are reminded to schedule follow-up tests and that this communication is documented in the online medical record. This work will provide the foundation for the creation of systems that significantly improve patient care, and can be easily adapted for use in many clinical departments and institutions. Aim 1. To use patient focus groups to help design a system for improving adherence to endoscopy follow up recommendations Aim 2. To develop a prototype endoscopy follow up system and test the effectiveness of the system on a cohort of patients due for a surveillance colonoscopy.

Official Title
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Utility Analysis of an Endoscopy Follow-up System

Conditions
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Colonoscopy Adherence

Intervention / Treatment
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* Other: protocol of reminders regarding due colonoscopy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: due for a repeat surveillance colonoscopy for follow up of polyps during the study time period Exclusion Criteria: not due for a repeat surveillance colonoscopy for follow up of polyps during the study time period

Ages Eligible for Study
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Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: control<br>Participants in this group are monitored for adherence to colonoscopy recommendations. | |
| Experimental: intervention<br>Participants to receive a protocol of reminder letters and a phone call regarding due follow up colonoscopy | Other: protocol of reminders regarding due colonoscopy<br>* Participants receive two standardized letters followed by a phone call if they have not scheduled or completed their upcoming due colonoscopy<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| percentage of individuals scheduling colonoscopy |  | within three months of due date | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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colonoscopy, adherence, reminders, quality