Colorectal Cancer Screening in a Community Health Setting
Study Details
Study Description
Brief Summary
This randomized controlled pilot study at the Health Annex, Family Practice & Counseling Network (FPCN), a community clinic in Southwest Philadelphia, aimed at providing data on the feasibility of a mailed FIT approach to CRC screening in a community health setting, and how patients respond to text messaging and behavioral economic engagement incentives.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
This is a single-center RCT at the Family Practice & Counseling Network (FPCN), a community clinic in Southwest Philadelphia with 320 eligible subjects between the ages of 50-74 randomized to two study arms:
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text messaging outreach (text)
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text messaging outreach with lottery for 1/5 chance to win a financial incentive (text + lottery).
Findings will provide data on the feasibility of this mailed FIT approach in a community health setting, and how patients respond to text messaging and behavioral economic engagement incentives.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Text-only Text-only outreach |
Behavioral: Text-only
Subjects will receive a text communication indicating they are overdue for colon cancer screening with the option to elect to receive a free, at-home FIT kit.
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Experimental: Text + Lottery Text outreach + financial incentive |
Behavioral: Text + Lottery
Subjects will receive a text communication indicating they are overdue for colon cancer screening with the option to elect to receive a free, at-home FIT kit and a 1 in 5 chance to win a $100 gift card for completing the kit.
|
Outcome Measures
Primary Outcome Measures
- FIT completion within 3 months [3 months]
The percentage of participants who successfully complete the FIT
Secondary Outcome Measures
- Response to text-based CRC screening outreach [3 months]
The percentage of people who respond to text message
Eligibility Criteria
Criteria
Inclusion Criteria:
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Between 50 and 74 years old
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Has active medical insurance
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Has had had at least one visit at Health Annex in the prior 12 months (at time of chart review)
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Due for CRC screening (no colonoscopy in last 10 years, sigmoidoscopy in last 5 years, or stool testing in last 1 year)
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Asymptomatic for CRC
Exclusion Criteria:
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Has had prior colonoscopy within 10 years, sigmoidoscopy within 5 years, and FOBT/FIT within twelve months of the chart review (we will exclude patients who self-report undergoing any of the above procedures)
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Has a history of CRC
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Has a history of other GI cancer
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Has history of confirmed Inflammatory Bowel Disease (IBD) (e.g. Crohns disease, ulcerative colitis)
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Has a history of colon polyps
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Has had a colectomy
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Has a first-degree relative that has been diagnosed with CRC
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Has been diagnosed with Lynch Syndrome (i.e. HNPCC)
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Has been diagnosed with Familial Adenomatous Polyposis (FAP).
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Has iron deficiency anemia
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Has recent history of lower GI bleeding
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Has metastatic (Stage IV) blood or solid tumor cancer
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Has end stage renal disease
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Has had congestive heart failure
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Has dementia
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Has liver cirrhosis
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Has any other condition that, in the opinion of the investigator, excludes the patient from participating in this study
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Does not use a mobile phone enabled to send and receive text messages
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Family Practice & Counseling Network - Health Annex | Philadelphia | Pennsylvania | United States | 19142 |
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.- 826576