About this trial
This is a 4 arm pragmatic trial to test a multicomponent intervention designed to improve adherence to colorectal cancer screening.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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.
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.
Disqualifiers
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.
Trial design
Parallel
Treatments tested in this trial
Bundled messaging intervention
BehavioralA bundled intervention of text message, letter, and provider reminder. Text message content using behaviorally motivated messages will vary.
Treatment groups
Trial outcomes
Primary outcomes
Number of participants with scheduled or completed colorectal cancer screening.
Number of participants who completed or scheduled screening (colonoscopy or stool-based test) within 3 months of randomization.
Secondary outcomes
Number of participants with abnormal stool-based test that complete a diagnostic colonoscopy.
Number of participants with abnormal stool-based test who complete a diagnostic colonoscopy within 90 days of intervention.
Number of participants who complete screening.
Number of participants who complete screening (stool-based testing or colonoscopy) within 90 days of randomization.
Number of participants who achieve the primary endpoint.
Number of participants who achieve the primary endpoint (screening or scheduling of screening) at 6 months post randomization.
Number of participants who achieve the primary endpoint by message type.
Number of participants who achieve the primary endpoint (screening scheduling or completion rate at 90 days) by message type (message A/B/C).
Sponsors and contacts
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