Colorectal Cancer
Conditions
Brief summary
Little is known about the impact of risk assessment tools on decision-making by patients and clinicians. In particular, even though the NCI Colorectal Cancer Risk Assessment Tool is one of the most prominent risk assessment tools available, no study has quantified its usability or impact on decision-making or uptake of screening. In this study, we will measure patients' satisfaction with the NCI CRC RAT, their perception of its usability and helpfulness, and its impact on their decision-making and behavior. In addition, we will assess the impact of adding information about their chance of having an advanced adenoma.
Interventions
BEHAVIORALPatient views NCI CRC RAT
BEHAVIORALView presentation regarding current chance of having an advanced adenoma
Sponsors
Indiana University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Age 50-75 years old * No colonoscopy performed in last 10 years, sigmoidoscopy in last 5 years, or fecal occult blood testing (including FIT) in last 1 year. * Appointment with healthcare practitioner in upcoming month or within the past six months at one of five Indiana University Health primary care sites.
Exclusion criteria
* Undergoing workup for signs or symptoms consistent with colon cancer, such as weight loss, iron-deficiency anemia, change in bowel habits, or rectal bleeding. * Enrolled in Trial of a Computer-Based Presentation of Quantitative Information about Colorectal Cancer Screening; Dr. Schwartz's study that recently completed enrollment. * Diagnosis with any of the following conditions: Ulcerative colitis, Crohn disease, Familial adenomatous polyposis (FAP), Hereditary Nonpolyposis Colorectal Cancer (HNPCC), Personal history of colorectal cancer or adenomatous polyp * Inability to speak and read English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Satisfaction with NCI CRC RAT | 1 day | 19 Likert-scale questions regarding usability of and satisfaction with the questions asked by the website to assess individual risk and the information provided |
| Perceived risk of developing CRC | 1 day | Six Likert-scale questions regarding the subject's perceived risk of developing CRC in next 5 years, 10 years, and lifetime, and compared to others of same age and gender. |
| Intent to be screened within six months | 6 months | Three multiple-choice questions regarding intent to be screened in next six months in general or with colonoscopy or stool testing. (Answer options: Definitely, Probably, Probably not, and Definitely not) |
| Stage of readiness to screen | 1 day | Measure calculated from patient's answers on 5 multiple-choice or Likert-scale questions |
| Preferred CRC screening test | 1 day | Answer on a single multiple choice question, offering options of colonoscopy, stool test, or other. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Uptake of CRC screening | 6 months after intervention | Phone call follow up and check of medical record. |
Countries
United States
Outcome results
None listed