Choice Architecture and Mailed Colorectal Cancer Screening Outreach in a Community Health Setting

Abramson Cancer Center at Penn Medicine800 enrolled

Overview

This is a 3-arm randomized trial aimed at increasing rates of participation in colorectal cancer (CRC) screening by outreach to patients' homes using choice architecture informed by behavioral science principles.

The investigators will evaluate the effectiveness of mailed outreach with choice between colonoscopy and FIT, and FIT alone, as compared to colonoscopy alone in increasing CRC screening rates.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Enrollment

800

Conditions

Colorectal Cancer

Interventions

Colonoscopy OnlyBEHAVIORAL

Mailed letter asking participants to complete CRC screening by colonoscopy

ChoiceBEHAVIORAL

Mailed letter and FIT test asking participants to complete CRC screening by their choice of either colonoscopy or mailed FIT

FIT OnlyBEHAVIORAL

Mailed letter and FIT test asking participants to complete CRC screening by mailed FIT

Eligibility

Sex: ALLMin age: 50 YearsMax age: 74 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. At least 1 visit with CHDC in the past 2 years 2. Not up to date on CRC screening (no evidence of colonoscopy in the last 10 years, sigmoidoscopy in the last 5 years, or stool testing in the past 12 months) Exclusion Criteria: 1. History of CRC or polyps 2. Significant family history of CRC 3. History of Inflammatory Bowel Disease or Ulcerative Colitis 4. History of colectomy 5. History of metastatic cancer 6. Current use of Medication Assisted Therapy (MAT)

Locations (1)

Community Health and Dental Care

Pottstown, Pennsylvania, United States

Outcomes

Primary Outcomes

Colorectal Cancer Screening Completion

Screening completion rate in arm 2 (Choice) to arm 1 (Colonoscopy only) and arm 3 (FIT only) separately.

Time frame: 6 months from initial outreach

Secondary Outcomes

Choice of Colorectal Cancer Screening Test

The proportion of patients choosing either FIT or Colonoscopy in study arm 2 (Choice)

Time frame: 6 months from initial outreach

Data from ClinicalTrials.gov

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