Behavioral Economic Approaches to Increase Colorectal Cancer Screening

Sponsor

University of Pennsylvania (Other)

Overall Status

Completed

CT.gov ID

NCT02660671

Collaborator

(none)

2,250

Enrollment

Arms

Actual Duration (Months)

Study Details

Study Description

Brief Summary

This is an RCT aimed at testing different population-based approaches to increasing colorectal cancer screening through email outreach, including usual email communication, active choice, and active choice + financial incentive.

Condition or Disease	Intervention/Treatment	Phase
Cancer of the Colon	Behavioral: Email outreach Behavioral: Active choice Behavioral: Financial incentive	N/A

Detailed Description

This is an RCT aimed at testing different population-based approaches to increasing colorectal cancer screening. The investigators will randomize a cohort of employees between the ages of 50-64 to 3 arms of email communications: a.) Usual email communication; b.) Active choice- usual care + the ability to pre-commit directly through a web form; c.) Financial incentive- usual care + active choice + financial incentive for completion.

Study Design

Study Type:

Interventional

Actual Enrollment :

2250 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Single (Investigator)

Primary Purpose:

Health Services Research

Official Title:

Behavioral Economic Approaches to Increase Colorectal Cancer Screening

Actual Study Start Date :

Jan 1, 2016

Actual Primary Completion Date :

Aug 1, 2016

Actual Study Completion Date :

Sep 1, 2016

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: Usual care Email outreach	Behavioral: Email outreach Subjects will receive an email describing the importance of colorectal cancer screening and that s/he has been selected to participate in this VIP concierge service.
Experimental: Active choice Email outreach + active choice	Behavioral: Email outreach Subjects will receive an email describing the importance of colorectal cancer screening and that s/he has been selected to participate in this VIP concierge service. Behavioral: Active choice S/he will receive the ability to pre-commit and choose from 3 different appointment slots by clicking directly on the email.
Experimental: Financial incentive + Active choice Email outreach + active choice + financial incentive	Behavioral: Email outreach Subjects will receive an email describing the importance of colorectal cancer screening and that s/he has been selected to participate in this VIP concierge service. Behavioral: Active choice S/he will receive the ability to pre-commit and choose from 3 different appointment slots by clicking directly on the email. Behavioral: Financial incentive The participant will receive the offering of $100 if s/he follows through with screening colonoscopy.

Arm

Intervention/Treatment

Active Comparator: Usual care

Email outreach

Behavioral: Email outreach

Subjects will receive an email describing the importance of colorectal cancer screening and that s/he has been selected to participate in this VIP concierge service.

Experimental: Active choice

Email outreach + active choice

Behavioral: Email outreach

Subjects will receive an email describing the importance of colorectal cancer screening and that s/he has been selected to participate in this VIP concierge service.

Behavioral: Active choice

S/he will receive the ability to pre-commit and choose from 3 different appointment slots by clicking directly on the email.

Experimental: Financial incentive + Active choice

Email outreach + active choice + financial incentive

Behavioral: Email outreach

Subjects will receive an email describing the importance of colorectal cancer screening and that s/he has been selected to participate in this VIP concierge service.

Behavioral: Active choice

S/he will receive the ability to pre-commit and choose from 3 different appointment slots by clicking directly on the email.

Behavioral: Financial incentive

The participant will receive the offering of $100 if s/he follows through with screening colonoscopy.

Outcome Measures

Primary Outcome Measures

Colonoscopy participation [3 months]
The percentage of participants who follow through with screening colonoscopy.

Secondary Outcome Measures

Email engagement [3 months]
The percentage of participants who respond to the email (arm 2 and 3).
Scheduling of colonoscopy [3 months]
The percentage of participants who schedule a procedure.

Eligibility Criteria

Criteria

Ages Eligible for Study:

50 Years to 64 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Male and female employees of the University of Pennsylvania Health System who live within 30 miles of a health system endoscopy center.

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

University of Pennsylvania

Investigators

Principal Investigator: Shivan Mehta, MD, University of Pennsylvania

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

University of Pennsylvania

ClinicalTrials.gov Identifier:

NCT02660671

Other Study ID Numbers:

822504

First Posted:

Jan 21, 2016

Last Update Posted:

May 5, 2017

Last Verified:

May 1, 2017

Individual Participant Data (IPD) Sharing Statement:

Undecided

Plan to Share IPD:

Undecided

Additional relevant MeSH terms:

Colonic Neoplasms

Study Results

No Results Posted as of May 5, 2017