Clinical Trials Logo
  1. Home
  2. Colorectal Cancer Screening
  3. NCT04683744

Facilitators and Barriers to Cancer Screening: Stakeholder Perspectives on Implementation

Colorectal Cancer Screening Clinical Trial

Official title:
Facilitators and Barriers to Cancer Screening: Stakeholder Perspectives on Implementation

Clinical Trial Summary

The rate of screening for colorectal cancer (CRC) in the U.S. remains low (under 65%), meaning that thousands of people die of colorectal cancer unnecessarily. Colorectal cancer screening tests range from more invasive and very sensitive for polyps and cancer (colonoscopy) to less invasive and less sensitive (e.g., fecal immunochemical testing (FIT)). Screening rates go up when patients consider all these tests, not just colonoscopy. Informing patients about their options for CRC screening could produce higher quality decisions, improve the match between patient preferences and tests performed, and increase uptake of CRC screening. Decision aids (DAs) are a promising tool for accomplishing this goal. Also, precision CRC prevention - providing information about an individual's specific risk for CRC - has great promise to increase uptake and improve decision making. Unfortunately, the COVID-19 pandemic is causing severe challenges to providing CRC screening and other prevention services. Health systems are trying to adapt, but these efforts have only begun and are poorly understood. Moreover, patient perceptions of disease risk and risk from COVID-19 are unknown.

Clinical Trial Description

The study team will engage with the leadership, staff, and providers in the study team's partner healthcare systems, to identify facilitators and barriers to implementing patient decision aids and provider notifications as well as cancer risk assessment tools, for colorectal cancer screening, and for other evidence-based cancer screening during the COVID pandemic and, potentially, after the conclusion of the pandemic. At the conclusion of the study, the investigators will have extensive information regarding how best to provide decision aids through an electronic health record (EHR) portal, with or without personalized information, and to deliver provider notifications, which can guide broader implementation. The study will involve interviews with staff and providers at the study team's partner healthcare systems to identify facilitators and barriers to implementing decision aids and provider notifications for colorectal cancer screening. Also, the investigators will interview patients to identify perceptions of prevention during the COVID-19 pandemic including risk perception and barriers to screening, perceptions of risk from both the pandemic and disease, and patient cancer screening and risk prevention behaviors engaged in or postponed during the pandemic and patient rationales for their decisions. This part of the study will suggest potentially promising approaches for providing prevention and disease management during the COVID-19 pandemic. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT04683744
Study type Observational
Source Indiana University
Contact
Status Recruiting
Phase
Start date January 11, 2021
Completion date July 2023
View Details
See also
  Status Clinical Trial Phase
Recruiting NCT05929820 - Impact of Protect Your Colon™ on CRC Screening N/A
Completed NCT02754661 - Colon Capsule Endoscopy (CCE) Versus Computed Tomographic Colonography (CTC) in the Identification of Colonic Polyps in a Screening Population. N/A
Completed NCT00955344 - Increasing Primary Care Physician Colorectal Cancer Screening Rates N/A
Completed NCT01141114 - Study of Patient Navigation to Promote Colon Cancer Screening N/A
Completed NCT01250015 - Does Numerical And Pictorial Information On Risk And Benefit Affects The Uptake Of Colorectal Cancer Screening? N/A
Completed NCT00503737 - Pilot Study of the National Colorectal Cancer Roundtable Toolbox (NCCRT) to Increase Colorectal Cancer Screening Rates N/A
Completed NCT04746469 - Using Behavioral Science to Improve Colorectal Cancer Screening Rates With Mailed FIT Kits N/A
Completed NCT03208283 - Evaluation of the Impact of Water Method During Insertion Phase of Flexible Sigmoidoscopy in Training N/A
Not yet recruiting NCT03974542 - Telephone Outreach by Navigators to Improve Repeat Fecal Occult Blood Testing N/A
Completed NCT03176082 - Mailed Reminders Plus Fecal Immunochemical Testing N/A
Completed NCT01210235 - FLU-FIT Program at Kaiser Permanente Northern California N/A
Completed NCT00793455 - Outreach for Patients With Uncompleted Colorectal Cancer Screening Orders N/A
Completed NCT01099826 - Increasing Colorectal Cancer (CRC) Screening In Primary Care N/A
Active, not recruiting NCT04631692 - Evaluating a Health Literacy Intervention to Improve Colorectal Cancer Screening in Underserved Areas N/A
Completed NCT03225560 - Smart Phone App for COLOnoscopic PREParation N/A
Completed NCT01054924 - Performance Study of the Invendo C20 Colonoscope System in Colorectal Cancer Screening N/A
Completed NCT00148226 - ICIBS Trial - Improving Patient Information About Bowel Cancer Screening - a Decision Aid Trial Phase 2
Completed NCT04131946 - Cancer Screening; Access; Awareness; Navigation N/A
Recruiting NCT05785780 - Aim 3, Optimizing CRC Screening in Patients With Diabetes in Safety-net Primary Care Settings N/A
Completed NCT04237883 - Primary Care Clinical Excellence Incentive Study N/A