Outreach for Patients That Are Newly Eligible for Colorectal Cancer Screening

Study Overview
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Brief Summary
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The purpose of this study is to evaluate whether patient outreach is effective at increasing compliance with preventative screenings for those patients who, based on national quality standards, have become newly eligible for screening measures. We hypothesize that educational outreach may increase completion rates.

Official Title
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Using Precision Performance Measurement To Conduct Focused Quality Improvement. Sub-study 2

Conditions
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Colorectal Cancer

Intervention / Treatment
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* Behavioral: Letter Only
* Behavioral: Letter and Educational DVD


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient of Northwestern Medical Faculty Foundation General Internal Medicine Patient has a scheduled appointment with a GIM physician in the next several weeks Patient will be 50 years old at the time of this appointment Patient is male or female Exclusion Criteria: This is the first time the patient is seen in the NMFF GIM clinic There is a prior completion of CRC screening noted in EHR. There is a prior order placed for CRC screening in EHR. Patient has a history of CRC Patient has a diagnosis of ulcerative colitis, inflammatory bowel disease, Crohn's Disease, or documented colectomy.

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 50 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 |
| --- | --- |
| No Intervention: Usual Care<br>Usual Care. Participants in this arm will receive Usual care until outcome assessment is performed at 6 months following randomization. At that time, they will be sent a letter reminding them to obtain the ordered preventative service test, however no further outcomes will be assessed. Thus, during the course of the study, all participants in this arm will have solely received usual care. | |
| Experimental: Behavioral: Letter Only<br>Behavioral: Letter Only Prior to a scheduled upcoming appointment, participants will get a letter signed by their physician that provides brief information about colorectal cancer (CRC) and notes the importance of CRC screening. | Behavioral: Letter Only<br>* Prior to a scheduled upcoming appointment, participants will get a letter signed by their physician that provides brief information about colorectal cancer (CRC) and notes the importance of CRC screening.<br>|
| Experimental: Behavioral: Letter and Educational DVD<br>Behavioral: Letter and Educational DVD Participants will get a letter from their physician that provides brief information about colorectal cancer (CRC) and notes the importance of CRC screening. It will be accompanied by an educational DVD about the screening. The participants will receive this prior to a scheduled upcoming appointment with their physician. | Behavioral: Letter and Educational DVD<br>* Participants will get a letter from their physician that provides brief information about colorectal cancer (CRC) and notes the importance of CRC screening. It will be accompanied by an educational DVD about the screening. The participants will receive this prior to a scheduled upcoming appointment with their physician.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Completion of CRC Screening | What would have been reported as this Outcome Measure is the number of participants who completed screening. We planned to review electronic health records of participants 6 months post randomization to look for either: (1) note in free text MD note documenting receipt of one form of colorectal cancer (CRC) screening during study period or (2)lab results from fecal occult blood test, sigmoidoscopy, or colonoscopy. Screening completion equaled presence of a lab result or physician note in chart. No patient charts were reviewed due to low accrual. | 6 months from initial contact | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Secondary Outcome for the Study is the Time to Screening Completion. | This Outcome Measure would have reported the length of time, measured in days, that occurred between the date of randomization and the completed screening date. We planned to review the electronic health records of participants 6 months post randomization to look for either: (1)note in free text MD note documenting receipt of one form of CRC screening during study period or (2)lab results from fecal occult blood test, sigmoidoscopy, or colonoscopy. Screening completion equaled presence of a lab result or physician note in chart. No patient charts were reviewed due to low accrual. | 6 months after randomization | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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education, preventive service, screening, Colorectal Cancer Screening, Prevention & Control