Colorectal Cancer, Patient Participation, Screening
Conditions
Keywords
Colorectal Cancer, Screening, Colonoscopy, Attendance, Participation
Brief summary
The aim of this study is to compare the effect of reminding letter and educational intervention on attendance to screening colonoscopy in nonresponders to initial invitation to screening colonoscopy.
Detailed description
NordICC (The NordICC Initiative on Colorectal Cancer, NCT00883792) is a multicenter randomised trial to investigate the effect of screening colonoscopy on CRC incidence and mortality. In Poland, in Warsaw area, at least 10,000 subjects 55-64 years of age are to be invited to screening colonoscopy. A personal letter of invitation containing date and hour of appointment is mailed to every individual randomised to the screening group. Up to 60% of invitees do not respond to the initial invitation and reminding letter. The aim of this study is to compare the effect of reminding letter and educational intervention on attendance to screening colonoscopy in nonresponders to initial invitation to screening colonoscopy.
Interventions
BEHAVIORALRe-invitation letter
Re-invitation letter sent 6 weeks prior to prespecified screening colonoscopy appointment date and followed by reminder letter within 3 weeks if no response is received.
BEHAVIORALInvitation to educational meeting
Invitation will be sent 6 weeks prior to educational meeting date and followed by a reminding letter 3 weeks later. Educational meetings will be held in a local culture developement centers and conducted by a medical team responsible for the Polish Colorectal Cancer Screening Program. The aim of the meeting is to overcome barriers to screening colonoscopy. The program of the meeting is tailored to individual needs, doubts, and concerns of the participating group as assessed using brief survey at the beginning of the meeting. The major points to be discussed are: risk and benefit of screening, colorectal cancer risk, pain and sedation, preparation to colonoscopy, consecutive stages of the procedure, comfort and embarrassment.
Sponsors
National Center for Research and Development, Poland
Maria Sklodowska-Curie National Research Institute of Oncology
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
55 Years to 64 Years
Healthy volunteers
No
Inclusion criteria
* Men and women 55-64 years of age invited for screening colonoscopy within the NordICC trial (NCT00883792) in Poland, who have not responded to the first invitation.
Exclusion criteria
* Resident abroad * Return of unopened letter of invitation and/or reminder (address unknown) * Message from neighbour/family/post office on death of screenee (not updated in Population Registry).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Attendance to screening colonoscopy | 6 months from the date of re-invitation or invitation to educational meeting | Percentage of invitees attending screening colonoscopy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Response rate to the re-invitation letter or invitation to the educational meeting | 3 months from the date of reinvitation letter or date of invitation to the educational meeting | Percentage of invitees sending back reply form |
Countries
Poland
Contacts
Primary ContactPisera Malgorzata
Backup ContactKaminski Michal
Outcome results
None listed