RATIONALE: Receiving a reminder letter from their doctor with questions to ask the Cancer Information Service may be more effective than a standard reminder letter in helping patients who have had an abnormal Pap test keep their follow-up colposcopy appointment. PURPOSE: This randomized clinical trial is studying a personalized letter with Cancer Information Service support to see how well it works compared with a standard reminder letter in women scheduled for colposcopy after an abnormal Pap test.
OBJECTIVES: * Compare the effect of a usual care mailing intervention vs a Cancer Information Service (CIS) support mailing intervention on the likelihood that women with an abnormal Pap test will keep their medical follow-up appointments and be satisfied with how they talk to their provider. OUTLINE: This is a multicenter study. Patients are randomized to 1 of 2 intervention arms. * Arm I (Usual-care mailing intervention): Patients receive a generic letter reminding them of their follow-up colposcopy appointment. * Arm II (Cancer Information Service \[CIS\] support mailing intervention): Patients receive a targeted letter reminding them of their follow-up colposcopy appointment, asking them or someone they designate to call the CIS, and suggesting some questions to ask the CIS about colposcopies and Pap tests. At their follow-up appointments, all patients undergo an exit interview to compare patient satisfaction between the 2 interventions. Patients in arm II also answer questions about their CIS experience, and if the intervention made their follow-up visit less difficult.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
254
routine colposcopy reminder letter
Mailed reminder plus provider recommendation to call CIS and sample questions to ask
Robert H. Lurie Comprehensive Cancer Center at Northwestern University
Chicago, Illinois, United States
Erie Family Health Center
Chicago, Illinois, United States
Patient Satisfaction in the 2 Interventions
Patient satisfaction with provider-patient communication was assessed via administration of the Consumer Assessment of Health Plans Study (CAHPS) satisfaction questionnaire which rates satisfaction on a 1 to 3 scale. Scores are added together, with minimum score being 4 and the maximum score being 12, with a higher score indicating greater satisfaction.
Time frame: within 6 months of PAP
CIS Experience of Patients in Arm II and the Effect of the Intervention on Their Follow-up Colposcopy
Time frame: within 6 months of PAP
Attendance at a Follow-up Colposcopy Appointment Within 6 Months of Their Pap Test
Time frame: within 6 months of PAP
Latency Between the Pap Test and the Colposcopy Appointment
Time frame: within 6 months of PAP
Number of CIS Callers Who Provided the Specific Codes Listed in the Intervention Letter
Time frame: WITHIN 6 MONTHS OF PAP
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