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Digital nudging for adherence to colonoscopy screening: a study based on the MINDSPACE framework

Design and effectiveness evaluation of a digital nudging tool for improving colorectal cancer screening adherence among community residents: a case study of Shanghai, China

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN14407050
Enrollment
1000
Registered
2026-02-04
Start date
2026-03-01
Completion date
Unknown
Last updated
2026-02-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Colorectal cancer Cancer

Interventions

Study sites were randomly assigned to either a digital decision aid intervention group or a usual care control group. The intervention consisted of two components: 1. Training for Healthcare Providers

Sponsors

National Health Commission of the People's Republic of China
Lead Sponsor

Eligibility

Sex/Gender
All
Age
50 Years to 100 Years

Inclusion criteria

Inclusion criteria: 1. Permanent residents of Shanghai (including individuals with local household registration and non-local residents who have lived in Shanghai for over 6 months). 2. Individuals eligible according to the Shanghai Community Colorectal Cancer Screening Implementation Plan. 3. Individuals enrolled in any of Shanghai's basic medical insurance or healthcare security schemes.

Exclusion criteria

Exclusion criteria: 1. Individuals who have previously undergone colonoscopy and were confirmed to be at no risk for colorectal cancer. 2. Individuals whose health status is unsuitable for colonoscopy. 3. Individuals with cognitive impairment that prevents participation in follow-up and questionnaire surveys. 4. Individuals with a confirmed diagnosis of colorectal cancer. 5. Individuals with a confirmed diagnosis of other high-risk diseases where the mortality risk is too high for them to be suitable for colonoscopy screening.

Design outcomes

Secondary

MeasureTime frame
1. Residents' knowledge and cognitive level, using a question-and-answer scale designed by the research team at baseline, immediately post-intervention, and 3 months post-intervention. Residents need to judge whether 10 descriptions about colorectal cancer and cancer screening diagnosis are correct, and their knowledge level will be determined based on the accuracy rate. 2. Decision conflict level, measured using the Chinese version of the Decisional Conflict Scale at baseline, immediately post-intervention, and 3 months post-intervention 3. Decision self-confidence, measured using the Chinese version of the Decision Self-Efficacy scale at baseline, immediately post-intervention, and 3 months post-intervention 4. Decision regret degree, measured using the Chinese version of the Decision Regret Scale at at 3 months post-intervention 5. Residents' satisfaction with the intervention tools, measured using the Chinese version of the Decision Preparation scale at 3 months post-intervention 6. Diagnostic preference, measured using a self-designed scale at baseline, immediately post-intervention, and 3 months post-intervention 7. Residents' expectations regarding shared decision-making measured using the Chinese version of the shared decision-making scale 9-item Shared Decision Making Questionnaire (SDM-Q-9) at baseline and 3 months post-intervention

Countries

China

Contacts

Public ContactYan;Haichuan Wei;Guo

;

yanwei@fudan.edu.cn;24211020126@m.fudan.edu.cn+86 (0)18930749707;+86 (0)18669462376

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 19, 2026