Cancer of the Colon
Conditions
Keywords
Colorectal Neoplasms, Colonic Neoplasms, Gastrointestinal Neoplasms, Digestive System Neoplasms, Neoplasms, Digestive System Diseases, Gastrointestinal Diseases, Colonic Diseases, Rectal Diseases
Brief summary
This randomized controlled pilot study at the Health Annex, Family Practice & Counseling Network (FPCN), a community clinic in Southwest Philadelphia, aimed at providing data on the feasibility of a mailed FIT approach to CRC screening in a community health setting, and how patients respond to text messaging and behavioral economic engagement incentives.
Detailed description
This is a single-center RCT at the Family Practice & Counseling Network (FPCN), a community clinic in Southwest Philadelphia with 320 eligible subjects between the ages of 50-74 randomized to two study arms: 1. text messaging outreach (text) 2. text messaging outreach with lottery for 1/5 chance to win a financial incentive (text + lottery). Findings will provide data on the feasibility of this mailed FIT approach in a community health setting, and how patients respond to text messaging and behavioral economic engagement incentives.
Interventions
BEHAVIORALText-only
Subjects will receive a text communication indicating they are overdue for colon cancer screening with the option to elect to receive a free, at-home FIT kit.
BEHAVIORALText + Lottery
Subjects will receive a text communication indicating they are overdue for colon cancer screening with the option to elect to receive a free, at-home FIT kit and a 1 in 5 chance to win a $100 gift card for completing the kit.
Sponsors
University of Pennsylvania
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
50 Years to 74 Years
Healthy volunteers
Yes
Inclusion criteria
1. Between 50 and 74 years old 2. Has active medical insurance 3. Has had had at least one visit at Health Annex in the prior 12 months (at time of chart review) 4. Due for CRC screening (no colonoscopy in last 10 years, sigmoidoscopy in last 5 years, or stool testing in last 1 year) 5. Asymptomatic for CRC
Exclusion criteria
1. Has had prior colonoscopy within 10 years, sigmoidoscopy within 5 years, and FOBT/FIT within twelve months of the chart review (we will exclude patients who self-report undergoing any of the above procedures) 2. Has a history of CRC 3. Has a history of other GI cancer 4. Has history of confirmed Inflammatory Bowel Disease (IBD) (e.g. Crohns disease, ulcerative colitis) 5. Has a history of colon polyps 6. Has had a colectomy 7. Has a first-degree relative that has been diagnosed with CRC 8. Has been diagnosed with Lynch Syndrome (i.e. HNPCC) 9. Has been diagnosed with Familial Adenomatous Polyposis (FAP). 10. Has iron deficiency anemia 11. Has recent history of lower GI bleeding 12. Has metastatic (Stage IV) blood or solid tumor cancer 13. Has end stage renal disease 14. Has had congestive heart failure 15. Has dementia 16. Has liver cirrhosis 17. Has any other condition that, in the opinion of the investigator, excludes the patient from participating in this study 18. Does not use a mobile phone enabled to send and receive text messages
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| FIT completion within 3 months | 3 months | The percentage of participants who successfully complete the FIT |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Response to text-based CRC screening outreach | 3 months | The percentage of people who respond to text message |
Countries
United States
Outcome results
None listed