Colorectal Cancer Screening
Conditions
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
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.
Interventions
BEHAVIORALeToolbox
Participants randomized to the Web-based intervention will be automatically routed to a URL that will contain the Web-based intervention.
BEHAVIORALno link to eToolbox
Participants randomized to the Practice Improvement Module will not be automatically routed to a URL that will contain the Web-based intervention.
Sponsors
National Cancer Institute (NCI)
National Institutes of Health (NIH)
Department of Health and Human Services
University of Pennsylvania
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Colorectal Cancer Screening Rates | 3 years (2012) |
Secondary
| Measure | Time frame |
|---|---|
| Content of practice improvement plan | 3 years (2012) |
Countries
United States
Outcome results
None listed