Increasing Primary Care Physician Colorectal Cancer Screening Rates

Colorectal Cancer Screening Clinical Trial

Official title:

Increasing Primary Care Physician Colorectal Cancer Screening Rates

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00955344
• Other study ID #: K22CA133186-01
• Status: Completed
• Phase: N/A
• First received: August 6, 2009
• Last updated: August 15, 2016
• Start date: September 2009
• Est. completion date: November 2011

Study information

• Verified date: August 2016
• Source: University of Pennsylvania
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

The purpose of the study is to determine if a Web-based intervention increases physician rates of colorectal cancer recommendation rates in a group of physicians participating in the American Board of Internal Medicine's Maintenance of Certification Program. This study will also compare the content of practice improvement plans submitted by the diplomats in each study arm to determine the components of the plans that are associated with colorectal cancer rates.

Description:

Colorectal cancer is the 2nd leading cause of cancer deaths in the U.S. Although colorectal cancer screening (CRCS) is effective, cost-effective and consistently recommended by clinical practice guidelines, only 57.3% of the adults over 50 years have been screened within the recommended interval. Preliminary research conducted by this PI demonstrates that approximately 90% of patients who have not had CRCS report that a doctors recommendation would motivate them to undergo screening. However, research also shows that physicians do not consistently recommend CRCS to each eligible patient. In this study the barriers of and facilitators to physician recommendation of CRCS are tested in the to proposed randomized controlled trial. The trial will pilot test an interactive, multifaceted, Web-based intervention (eToolbox) to increase primary care physician rates of CRCS. This application innovatively proposes to pilot test the eToolbox in the setting of the American Board of Internal Medicine (ABIM) Maintenance of Certification process within the Preventive Services Practice Improvement Module, a physician-directed measurement of their performance and quality improvement requirement for board re-certification.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 134
• Est. completion date: November 2011
• Est. primary completion date: November 2011
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• ABIM certification and have or plan to enroll in the Maintenance of Certification program

• Primary Care Physicians

Exclusion Criteria:

• Diplomats are not able to participate in this study if they are retired physicians, do not practice a primary care practice or who have already taken part in the study

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention

Related Conditions & MeSH terms

• Colorectal Cancer Screening
• Colorectal Neoplasms

Intervention

Behavioral:
• eToolbox
Participants randomized to the Web-based intervention will be automatically routed to a URL that will contain the Web-based intervention.
• no link to eToolbox
Participants randomized to the Practice Improvement Module will not be automatically routed to a URL that will contain the Web-based intervention.

Locations

Country	Name	City	State
United States	University of Pennsylvania School of Medicine	Philadelphia	Pennsylvania

Sponsors (4)

Lead Sponsor	Collaborator
University of Pennsylvania	Department of Health and Human Services, National Cancer Institute (NCI), National Institutes of Health (NIH)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Colorectal Cancer Screening Rates		3 years (2012)	No
Secondary	Content of practice improvement plan		3 years (2012)	No