Colorectal Neoplasms
Conditions
Keywords
colorectal cancer screening, computer-assisted instruction, mHealth, text message
Brief summary
The purpose of this study is to determine whether a multilevel mHealth intervention (mCRC) can increase the percentage of patients who receive colorectal cancer screening. The mCRC intervention will include a tablet-based patient education program, clinic protocols to facilitate the ordering of CRC screening tests, and electronic messaging with patients to promote screening. The investigators hypothesize that participants randomized to mCRC will be more likely to complete screening compared with those randomized to the control arm of the study. Additionally, the investigators hypothesize mCRC will increase several intermediate outcomes (such as knowledge, attitudes, beliefs, and test ordering) which will predict completion of screening. Lastly, the investigators hypothesize the mCRC intervention will add little to the overall cost of screening.
Interventions
BEHAVIORALmCRC intervention
a multilevel intervention consisting of tablet-based patient education about CRC screening, post-visit patient electronic messaging, and clinic protocols to facilitate ordering of screening tests
BEHAVIORALHealthy Lifestyles video
a brief video about healthy lifestyle habits displayed on a tablet device
Sponsors
National Cancer Institute (NCI)
University of North Carolina, Charlotte
Wake Forest University Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
50 Years to 74 Years
Healthy volunteers
Yes
Inclusion criteria
* English-speaking patients aged 50 - 74 years * Scheduled to see a primary care provider for a routine (i.e., non-urgent care) visit * Due for colorectal cancer screening
Exclusion criteria
* A personal history of CRC * Specific CRC risk factors, including: First degree relative with CRC; Personal history of adenomatous polyps; Recent blood in stools * Obvious physical or mental disability that would prevent participant from interacting with a tablet device. * Receipt of treatment for cancer (excluding non-melanoma skin cancers) within the last 6 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Completion of CRC Screening | 24 weeks | Patient completion of a colorectal cancer screening test, such as the fecal occult blood test, a flexible sigmoidoscopy, or a colonoscopy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intention to receive CRC screening | Day of enrollment | Participant's stated intention to receive CRC screening |
| Self-efficacy | Day of enrollment | Participant's belief that they are capable of completing CRC screening |
| Ability to make a screening decision | Day of enrollment | — |
| CRC screening discussions | Up to 5 days | Participants' self-report of whether they discussed CRC screening with a medical provider |
| CRC Screening Attitudes and Beliefs | Day of enrollment | A survey scale measuring the participant's attitudes and beliefs about CRC screening |
| CRC screening test order | 24 weeks | Whether or not a CRC screening test was ordered for the participant |
| Cost of the mCRC intervention | 24 weeks | Additional cost of the mCRC intervention as captured by additional time and technology costs |
| Usability of the mCRC system | Day of enrollment | Participant's rating of the usability of the mCRC system |
| Satisfaction with screening decision | Up to 5 days | Survey questions based on the Satisfaction with Decision Scale |
Countries
United States
Outcome results
None listed