Using Patients' Social Contact to Improve Out-Patient Endoscopy Among Blacks
Study Details
Study Description
Brief Summary
Non-attendance to out-patient endoscopic procedures is high among underserved blacks. The overall goal of this proposal is to evaluate the effect of directly involving a social contact (chosen by the patient) on completion and quality of out-patient endoscopy recommended for the patient by his/her primary care physician, or after scheduling by the gastrointestinal endoscopist.
Improved adherence and better quality of procedures are postulated with involvement of social contacts.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
The overarching goal of this proposal is to determine whether directly involving a social contact, chosen by the patient, will improve the completion and quality of scheduled out-patient endoscopy among blacks.
These are three sub-projects:
Project 1: Involves recruiting 400 patients referred for colonoscopy by their primary care physicians
Project 2: Involves recruiting 400 patients scheduled for colonoscopy by their endoscopist
Project 3: Involves recruiting 200 patients scheduled for upper endoscopy by their endoscopists
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| No Intervention: Usual care The social contact of patients in this arm will not be contacted |
|
| Active Comparator: Social contact intervention The social contact of patients in this arm will be contacted and asked to facilitate the endoscopy care plan of the patient |
Behavioral: Social contact intervention
The social contact of the patients in this arm will be engaged to improve adherence to out-patient endoscopy
|
Outcome Measures
Primary Outcome Measures
- Compliance with appointment and colonoscopy [6 months]
For primary care subjects: Making appointment with Gastrointestinal endoscopist within 3 months and completing colonoscopy within 6 months of enrolment
- Compliance with scheduled upper endoscopy and colonoscopy [Scheduled procedure time, an average of 8 weeks]
For specialty subjects: Completing scheduled upper endoscopy or colonoscopy
Secondary Outcome Measures
- Bowel preparation quality [At scheduled colonoscopy, an average of 8 weeks]
Adequacy of bowel preparation with ratings of good to excellent on Aronchick scale
Other Outcome Measures
- Social contact's activity [During the duration of the project, an average of 6 months]
Characteristics of participants and Lubbens social network scale correlation with other outcomes and activities of the social contact
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patients referred for out-patient colonoscopy by primary care physicians
-
Patients scheduled for out-patient screening colonoscopy
-
Patients scheduled for out-patient upper endoscopy
Exclusion Criteria:
-
Patients who were referred for colorectal cancer (CRC) screening as in-patients
-
Patients with personal history of familial adenomatous polyposis syndrome (FAP)
-
Patients with family history of Hereditary non-polyposis colorectal cancer syndrome (HNPCC)
-
Patients with inflammatory bowel disease
-
Patients with Crohn's disease
-
Patients with ulcerative colitis
-
Patients with personal history of CRC
-
Patients who have had colonic resection
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Howard University | Washington | District of Columbia | United States | 20060 |
Sponsors and Collaborators
- Howard University
Investigators
- Principal Investigator: Adeyinka O Laiyemo, MD, MPH, Howard University
Study Documents (Full-Text)
None provided.More Information
Publications
- Badurdeen DS, Umar NA, Begum R, Sanderson AK 2nd, Jack M, Mekasha G, Kwagyan J, Smoot DT, Laiyemo AO. Timing of procedure and compliance with outpatient endoscopy among an underserved population in an inner-city tertiary institution. Ann Epidemiol. 2012 Jul;22(7):531-5. doi: 10.1016/j.annepidem.2012.04.013. Epub 2012 May 8.
- Laiyemo AO, Williams CD, Burnside C, Moghadam S, Sanasi-Bhola KD, Kwagyan J, Brim H, Ashktorab H, Scott VF, Smoot DT. Factors associated with attendance to scheduled outpatient endoscopy. Postgrad Med J. 2014 Oct;90(1068):571-5. doi: 10.1136/postgradmedj-2012-131650. Epub 2014 Sep 1.
- Laiyemo AO. In search of a perfect solution to ensure that "no colon is left behind". Dig Dis Sci. 2012 Feb;57(2):263-5. doi: 10.1007/s10620-011-2010-6. Epub 2011 Dec 20.
- Tammana VS, Laiyemo AO. Colorectal cancer disparities: issues, controversies and solutions. World J Gastroenterol. 2014 Jan 28;20(4):869-76. doi: 10.3748/wjg.v20.i4.869. Review.
- IRB-14-MED-11