Non-attendance to out-patient endoscopic procedures is high among underserved blacks. The overall goal of this proposal is to evaluate the effect of directly involving a social contact (chosen by the patient) on completion and quality of out-patient endoscopy recommended for the patient by his/her primary care physician, or after scheduling by the gastrointestinal endoscopist. Improved adherence and better quality of procedures are postulated with involvement of social contacts.
The overarching goal of this proposal is to determine whether directly involving a social contact, chosen by the patient, will improve the completion and quality of scheduled out-patient endoscopy among blacks. These are three sub-projects: Project 1: Involves recruiting 400 patients referred for colonoscopy by their primary care physicians Project 2: Involves recruiting 400 patients scheduled for colonoscopy by their endoscopist Project 3: Involves recruiting 200 patients scheduled for upper endoscopy by their endoscopists
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
812
The social contact of the patients in this arm will be engaged to improve adherence to out-patient endoscopy
Howard University
Washington D.C., District of Columbia, United States
Compliance with appointment and colonoscopy
For primary care subjects: Making appointment with Gastrointestinal endoscopist within 3 months and completing colonoscopy within 6 months of enrolment
Time frame: 6 months
Compliance with scheduled upper endoscopy and colonoscopy
For specialty subjects: Completing scheduled upper endoscopy or colonoscopy
Time frame: Scheduled procedure time, an average of 8 weeks
Bowel preparation quality
Adequacy of bowel preparation with ratings of good to excellent on Aronchick scale
Time frame: At scheduled colonoscopy, an average of 8 weeks
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