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Purpose

This is a 4 arm pragmatic trial to test a multicomponent intervention designed to improve adherence to colorectal cancer screening.

Condition

Eligibility

Eligible Ages
Between 45 Years and 75 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Established adult medicine patient at Cornell Scott Hill health (defined as having a CSHH primary care doctor or >1 adult medicine visits in the last year). - Incomplete colorectal cancer screening test defined as an outstanding order for colonoscopy or stool-based CRC screening (e.g., fecal immunochemical test (FIT) or FIT-DNA testing), but no evidence of test completion at the time of randomization. Orders must have been placed between 90-365 days prior to randomization. OR - Abnormal stool-based test without follow-up, defined as an abnormal stool-based test result (e.g., positive FIT or FIT-DNA) with no completed diagnostic colonoscopy within 90 days of the result. Patients who meet this criterion will be included in a non randomized arm of the study.

Exclusion Criteria

  • Because this is a pragmatic study of a behavioral intervention to improve colorectal cancer screening adherence, any participants who otherwise meet the inclusion criteria will not be excluded.

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
The study will include adults who receive care at a local, multisite federally qualified health center, who have outstanding orders for colorectal cancer screening.
Primary Purpose
Screening
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
No Intervention
Control-Usual Care 		Participants will receive a simple text message reminder
Experimental
Messaging Group A 		Participants will receive a series of outreach messages including texts with two-way messaging capabilities, mailed letter, and a reminder to their clinician. Content of the text message arm will be varied so that patients receive one of three messages (A, B or C).
  • Behavioral: Bundled messaging intervention
    A bundled intervention of text message, letter, and provider reminder. Text message content using behaviorally motivated messages will vary.
Experimental
Messaging Group B 		Participants will receive a series of outreach messages including texts with two-way messaging capabilities, mailed letter, and a reminder to their clinician. Content of the text message arm will be varied so that patients receive one of three messages (A, B or C).
  • Behavioral: Bundled messaging intervention
    A bundled intervention of text message, letter, and provider reminder. Text message content using behaviorally motivated messages will vary.
Experimental
Messaging Group C 		Participants will receive a series of outreach messages including texts with two-way messaging capabilities, mailed letter, and a reminder to their clinician. Content of the text message arm will be varied so that patients receive one of three messages (A, B or C).
  • Behavioral: Bundled messaging intervention
    A bundled intervention of text message, letter, and provider reminder. Text message content using behaviorally motivated messages will vary.

Recruiting Locations

Cornell Scott Hill Health
New Haven, Connecticut 06519

More Details

Status
Recruiting
Sponsor
Yale University

Study Contact

Ilana Richman, MD
203 737 1024
ilana.richman@yale.edu

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.