Clinical trial NCT00955344: Increasing Primary Care Physician Colorectal Cancer Screening Rates
Official title: Increasing Primary Care Physician Colorectal Cancer Screening Rates
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Colorectal Cancer Screening
Keywords: colorectal cancer screening
American Board of Internal Medicine Maintenance of Certification program
Currently enrolled in or plan to enroll in the American Board of Internal Medicine Maintenance of Certification program
Lead sponsor: University of Pennsylvania
Sponsor class: OTHER
Collaborators: name: National Cancer Institute (NCI)
name: National Institutes of Health (NIH)
name: Department of Health and Human Services
First posted: 2009-08-10
Enrollment: 134
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The purpose of the study is to determine if a Web-based intervention increases physician rates of colorectal cancer recommendation rates in a group of physicians participating in the American Board of Internal Medicine's Maintenance of Certification Program. This study will also compare the content of practice improvement plans submitted by the diplomats in each study arm to determine the components of the plans that are associated with colorectal cancer rates.

Detailed description: Colorectal cancer is the 2nd leading cause of cancer deaths in the U.S. Although colorectal cancer screening (CRCS) is effective, cost-effective and consistently recommended by clinical practice guidelines, only 57.3% of the adults over 50 years have been screened within the recommended interval. Preliminary research conducted by this PI demonstrates that approximately 90% of patients who have not had CRCS report that a doctors recommendation would motivate them to undergo screening. However, research also shows that physicians do not consistently recommend CRCS to each eligible patient. In this study the barriers of and facilitators to physician recommendation of CRCS are tested in the to proposed randomized controlled trial. The trial will pilot test an interactive, multifaceted, Web-based intervention (eToolbox) to increase primary care physician rates of CRCS. This application innovatively proposes to pilot test the eToolbox in the setting of the American Board of Internal Medicine (ABIM) Maintenance of Certification process within the Preventive Services Practice Improvement Module, a physician-directed measurement of their performance and quality improvement requirement for board re-certification.

Eligibility criteria: Inclusion Criteria:

* ABIM certification and have or plan to enroll in the Maintenance of Certification program
* Primary Care Physicians

Exclusion Criteria:

* Diplomats are not able to participate in this study if they are retired physicians, do not practice a primary care practice or who have already taken part in the study

Primary outcomes:
measure: Colorectal Cancer Screening Rates
timeFrame: 3 years (2012)
Secondary outcomes:
measure: Content of practice improvement plan
timeFrame: 3 years (2012)
Other outcomes:
Locations:
city: Philadelphia
country: United States
facility: University of Pennsylvania School of Medicine
state: Pennsylvania
Study officials:
affiliation: University of Pennsylvania
name: Carmen E Guerra, MD
role: PRINCIPAL_INVESTIGATOR
References: