Colorectal Cancer Screening
Conditions
Keywords
Decision aid, Stool test, Colonoscopy, CT scan
Brief summary
The purpose of the research is to assess the impact of Protect Your Colon™, a colorectal cancer (CRC) screening decision aid, on patients' CRC screening behaviors. The Investigators hypothesize that Protect Your Colon™, through optimizing shared decision making, will lead to selection of a test that accurately matches patients' values and increase CRC screening uptake. To test this hypothesis, the investigators will conduct a pilot randomized controlled trial (RCT) to assess if provision of Protect Your Colon™ improves communication on CRC screening, intent to complete screening, and ultimately uptake of screening vs. usual care.
Interventions
BEHAVIORALProtect Your Colon™
Protect Your Colon™ is an online decision aid focused on CRC screening. The site will first educate patients on the importance of CRC screening and offer information on the advantages and disadvantages of the available test options. Protect Your Colon™ will then present an interactive conjoint analysis-a quantitative survey technique that elucidates how individuals make complex decisions-to precisely determine individuals' latent preferences regarding CRC screening options. Afterwards, the app will generate a personalized report that rank orders the importance of each test attribute (e.g., accuracy, invasiveness, test frequency) in patients' decision making and identifies the screening modality that best matches their preferences. The report will also be shareable with physicians, enabling patients and providers to engage in shared decision making surrounding CRC screening in the clinic.
Sponsors
Cedars-Sinai Medical Center
National Cancer Institute (NCI)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
45 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Individuals 45 to 75 years old * No prior CRC screening or not up-to-date with CRC screening * Not at high risk for CRC (e.g., inflammatory bowel disease, colon polyposis syndromes, family history of CRC) * No prior colon polyps * Additional inclusion criteria for participants recruited through Cint online survey panels: (i) appointment with a primary care provider up to 6 weeks from time of screening, and (ii) have Preferred Provider Organization (PPO) insurance.
Exclusion criteria
* Does not speak English * Does not have internet access * Any records flagged "break the glass" or "research opt out."
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of completion of a CRC screening test | 6 months post visit | Uptake of CRC screening within 6 months of patients' initial visit |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Qualitative feedback on details of CRC screening test | 1 day post visit | Completion of questionnaire that looks at: * Whether CRC screening discussions took place during the visit * What specific CRC screening tests were discussed during the visit * Patient's intent to complete CRC screening * Patient's perceptions on feeling informed about the alternatives, benefits, and risks of the different screening options as well as their clarity on their personal values * Patient's assessment of shared decision making on CRC screening * Intervention patients' assessment of the usefulness of Protect Your Colon™ |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORChristopher V Almario, MD, MSHPM
Cedars-Sinai Medical Center
Outcome results
None listed