Impact of Protect Your Colon™ on CRC Screening

N/AActive Not RecruitingNCT05929820

Cedars-Sinai Medical Center184 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SCREENING

Masking

DOUBLE

Enrollment

184

Conditions

Colorectal Cancer Screening

Interventions

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.

Eligibility

Sex: ALLMin age: 45 YearsMax age: 75 Years

Medical Language ↔ Plain English

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."

Outcomes

Primary Outcomes

Rate of completion of a CRC screening test

Uptake of CRC screening within 6 months of patients' initial visit

Time frame: 6 months post visit

Secondary Outcomes

Qualitative feedback on details of CRC screening test

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™

Time frame: 1 day post visit