Large-Scale Implementation of a Decision Aid About Colorectal Cancer Screening

Status

Enrolling by invitation

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT06597955

Acronym

IDecide

Enrollment

400

Registered

2024-09-19

Start date

2024-08-28

Completion date

2026-12-01

Last updated

2026-06-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Colorectal Cancer Screening

Keywords

decision aid, implementation, colorectal cancer, shared decision making, electronic health record

Brief summary

The goal of the project is to improve shared decision making and increase uptake of colorectal cancer (CRC) screening by facilitating the implementation of a decision aid about CRC and screening options in two healthcare systems in Indiana.

Detailed description

This implementation project is putting a shared decision making approach into routine practice to help patients make informed decisions about colorectal cancer(CRC) screening. Regular screening is recommended for adults ages 45 - 75 years old, and there are multiple approved tests for individuals at average risk for colorectal cancer. A video-based decision aid about CRC screening was developed and tested in a previous study by the project team. The study showed that viewing the decision aid had positive effects on measures directly related to shared decision making (knowledge, decision conflict) as well as intent to undergo CRC screening. The project team is working with two healthcare systems to provide patients who are eligible for CRC screening access to the decision aid, training staff and clinicians how to use the decision aid to support shared decision making for CRC screening, working with healthcare system leaders to support the staff and clinicians, and providing support for the ongoing use of the decision aid.

Interventions

None listed

Study design

Observational model

OTHER

Time perspective

OTHER

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Yes

Inclusion criteria

* Healthcare system participants will be eligible if they are employed by one of the project team's partner healthcare systems * Patient participants will be eligible if they are considered due for colorectal cancer screening by the healthcare systems' criteria.

Exclusion criteria

Patient participants will be excluded if they: * are not between ages of 45 - 75 years old * self-report that they no longer receive primary care at either of the project team's partner healthcare systems * self-report that they are not due for colorectal cancer screening (had colonoscopy within the past 10 years, sigmoidoscopy in the last 5 years, FIT in the past year, or Cologuard in the past 3 years) * are unable to speak or read English or Spanish

Design outcomes

Primary

Measure	Time frame	Description
Shared decision making	18 months	Shared decision making will be assessed using the CollaboRATE scale. CollaboRATE is a three-item measure that assesses three key areas of shared decision making; 1) explaining the health issue; 2) asking for patient preferences; and 3) incorporating patient preferences into the decision. Each item uses 0 - 9 likert response options ranging from 0 = "no effort was made" to 9 = "every effort was made". The higher the score the better the shared decision making.
Implementation of decision aid	18 months	Interviews with healthcare system leadership, clinicians, staff and patients

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORPeter H. Schwartz, MD, PhD

Indiana University

PRINCIPAL_INVESTIGATORTeresa M. Damush, PhD