Colon Cancer, Compliance
Conditions
Keywords
Colonoscopy, Upper endoscopy, Adherence, Disparities
Brief summary
Non-attendance to out-patient endoscopic procedures is high among underserved blacks. The overall goal of this proposal is to evaluate the effect of directly involving a social contact (chosen by the patient) on completion and quality of out-patient endoscopy recommended for the patient by his/her primary care physician, or after scheduling by the gastrointestinal endoscopist. Improved adherence and better quality of procedures are postulated with involvement of social contacts.
Detailed description
The overarching goal of this proposal is to determine whether directly involving a social contact, chosen by the patient, will improve the completion and quality of scheduled out-patient endoscopy among blacks. These are three sub-projects: Project 1: Involves recruiting 400 patients referred for colonoscopy by their primary care physicians Project 2: Involves recruiting 400 patients scheduled for colonoscopy by their endoscopist Project 3: Involves recruiting 200 patients scheduled for upper endoscopy by their endoscopists
Interventions
BEHAVIORALSocial contact intervention
The social contact of the patients in this arm will be engaged to improve adherence to out-patient endoscopy
Sponsors
Howard University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients referred for out-patient colonoscopy by primary care physicians * Patients scheduled for out-patient screening colonoscopy * Patients scheduled for out-patient upper endoscopy
Exclusion criteria
* Patients who were referred for colorectal cancer (CRC) screening as in-patients * Patients with personal history of familial adenomatous polyposis syndrome (FAP) * Patients with family history of Hereditary non-polyposis colorectal cancer syndrome (HNPCC) * Patients with inflammatory bowel disease * Patients with Crohn's disease * Patients with ulcerative colitis * Patients with personal history of CRC * Patients who have had colonic resection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Compliance with appointment and colonoscopy | 6 months | For primary care subjects: Making appointment with Gastrointestinal endoscopist within 3 months and completing colonoscopy within 6 months of enrolment |
| Compliance with scheduled upper endoscopy and colonoscopy | Scheduled procedure time, an average of 8 weeks | For specialty subjects: Completing scheduled upper endoscopy or colonoscopy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Bowel preparation quality | At scheduled colonoscopy, an average of 8 weeks | Adequacy of bowel preparation with ratings of good to excellent on Aronchick scale |
Other
| Measure | Time frame | Description |
|---|---|---|
| Social contact's activity | During the duration of the project, an average of 6 months | Characteristics of participants and Lubbens social network scale correlation with other outcomes and activities of the social contact |
Countries
United States
Outcome results
None listed