Colorectal Cancer
Conditions
Keywords
Cancer screening, Behavioral economics, Adherence
Brief summary
This is a prospective, randomized controlled trial that will evaluate the effectiveness of primer postcards sent two weeks prior to the mailing of a FIT kit in improving adherence to annual CRC screening. This project is for the purpose of quality improvement and has been designated as non-research by the VHA Office of Primary Care, Improvement & Innovation (VHA Program Guide 1200.21).
Detailed description
Veterans eligible for enrollment into the trial will be randomized in a 1:1 allocation using permuted block randomization (with random block sizes of 4 and 8) to the following interventions: 1. Active arm: Primer 1. Intervention Type: Other 2. Intervention Description: Mailed postcard notifying Veteran of upcoming FIT kit receipt for annual CRC screening 2. Control arm: No primer a. Intervention Type: No intervention Randomization will be stratified within arms by prior screening status (prior screener vs. never screener) Our primary outcome of interest is the return rate at three months post randomization. Our secondary outcome of interest is the return rate at six months post randomization. Enrollment in the trial will occur between May 1, 2021 and January 1, 2022.
Interventions
OTHERPrimer
Mailed postcard notifying Veteran of upcoming FIT kit for annual CRC screening.
Sponsors
VA Puget Sound Health Care System
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
TRIPLE (Subject, Caregiver, Investigator)
Eligibility
Sex/Gender
ALL
Age
50 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
Eligible participants are automatically enrolled in this project. We are unable to enroll participants upon request. Inclusion criteria: * Veteran * Assigned to a primary care provider at the VA Puget Sound as of January 1, 2021 * At least 1 year of prior data available (evidence of at least one outpatient visit) * Due for annual colorectal (CRC) screening
Exclusion criteria
* Not scheduled for either a screening or diagnostic colonoscopy within the 12 weeks from assessment. * Not currently receiving hospice care * No record of recent death in the administrative data. * No history of CRC or history of prior colectomy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Return proportion | 3 months | Percent of returned FIT tests |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Return proportion | 6 months | Percent of returned FIT tests |
Countries
United States
Outcome results
None listed