Dissemination of Colorectal Cancer Screening to Primary Care Physicians
Primary Purpose
Colorectal Cancer
Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Academic Detailing
Sponsored by

About this trial
This is an interventional screening trial for Colorectal Cancer focused on measuring colorectal cancer screening, primary care physicians, health disparities, stratified randomized clinical trial
Eligibility Criteria
Inclusion Criteria:
- Devote at least 50% of their practice to primary care
- Work in the study communities
- Are non-hospital based community practitioners
- Have no immediate plans to retire or to leave their practice.
Exclusion Criteria:
- Specialty physicians
- Intend to retire or otherwise leave practice over course of the study
- Other conditions that would preclude meaningful participation
- Not working in study communities
Sites / Locations
- Columbia University Medical Center
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
Academic Detailing
Service-as-Usual
Arm Description
The academic detailing intervention will involve multiple components some of which are standardized across physicians (i.e. self-learning packets, newsletters). Detailing will also be customized to each physician, although the frequency of the detailing visits will be routinized across all participants to reduce cost and to maximize its potential for dissemination.
Control Arm
Outcomes
Primary Outcome Measures
Colorectal cancer screening recommendations
Secondary Outcome Measures
Full Information
NCT ID
NCT00441311
First Posted
February 26, 2007
Last Updated
January 28, 2011
Sponsor
Columbia University
Collaborators
American Cancer Society, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT00441311
Brief Title
Dissemination of Colorectal Cancer Screening to Primary Care Physicians
Official Title
Dissemination of Colorectal Cancer Screening to Primary Care Physicians
Study Type
Interventional
2. Study Status
Record Verification Date
January 2011
Overall Recruitment Status
Completed
Study Start Date
May 2003 (undefined)
Primary Completion Date
July 2006 (Actual)
Study Completion Date
September 2006 (Actual)
3. Sponsor/Collaborators
Name of the Sponsor
Columbia University
Collaborators
American Cancer Society, Inc.
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The aim is to assess the efficacy of an intervention, academic detailing, a brief, frequently repeated educational program, on increasing recommendations for colorectal cancer screening among primary care providers by comparison to a service-as-usual control. The study is a stratified randomized clinical trial of primary care physicians, stratified by distinct urban communities in the New York metropolitan area. The primary outcome is colorectal cancer screening recommendations measured via medical audit at 12-month followup after randomization.
Detailed Description
The purpose of the present study is to adapt and extend the use of academic detailing to the dissemination of colorectal cancer (CRC) screening findings and guidelines to primary care physicians practicing in selected geographic areas in New York City. Since improving implementation of cancer screening guidelines also involves compliance by patients in completing the recommended tests or examinations, we will also seek to assess knowledge, attitude and screening behaviors of patients visiting primary care practitioners in our sample. Our long-term goal is to reduce colorectal cancer mortality among ethnic and racial minorities, by influencing the screening behaviors of their primary care physicians.
The specific aims of the study are as follows:
Aim 1. To test the hypothesis that an intervention, multi-component academic detailing, will increase the rate of physician CRC screening at 3and 6month postrandomization, compared to the rate observed in a serviceasusual control.
Aim 2. To develop models predicting which physician offices are most and least likely to adopt the intervention, and to generate hypotheses about tailoring the dissemination of CRC screening guidelines to different physician subgroups.
Aim 3. To conduct cost-effectiveness analysis comparing the incremental societal costs and effects (in lives saved, life-years saved, and quality-of-life-years saved) of the CRC intervention implemented in physicians' offices.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Cancer
Keywords
colorectal cancer screening, primary care physicians, health disparities, stratified randomized clinical trial
7. Study Design
Primary Purpose
Screening
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
264 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Academic Detailing
Arm Type
Experimental
Arm Description
The academic detailing intervention will involve multiple components some of which are standardized across physicians (i.e. self-learning packets, newsletters). Detailing will also be customized to each physician, although the frequency of the detailing visits will be routinized across all participants to reduce cost and to maximize its potential for dissemination.
Arm Title
Service-as-Usual
Arm Type
No Intervention
Arm Description
Control Arm
Intervention Type
Behavioral
Intervention Name(s)
Academic Detailing
Intervention Description
The academic detailing intervention will involve multiple components some of which are standardized across physicians (i.e. self-learning packets, newsletters). Detailing will also be customized to each physician, although the frequency of the detailing visits will be routinized across all participants to reduce cost and to maximize its potential for dissemination.
Primary Outcome Measure Information:
Title
Colorectal cancer screening recommendations
Time Frame
Up to 12 months from the time of randomization
10. Eligibility
Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Devote at least 50% of their practice to primary care
Work in the study communities
Are non-hospital based community practitioners
Have no immediate plans to retire or to leave their practice.
Exclusion Criteria:
Specialty physicians
Intend to retire or otherwise leave practice over course of the study
Other conditions that would preclude meaningful participation
Not working in study communities
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sherri Sheinfeld Gorin, PhD
Organizational Affiliation
Columbia University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Columbia University Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
12. IPD Sharing Statement
Citations:
PubMed Identifier
16448299
Citation
Honda K, Gorin SS. A model of stage of change to recommend colonoscopy among urban primary care physicians. Health Psychol. 2006 Jan;25(1):65-73. doi: 10.1037/0278-6133.25.1.65.
Results Reference
background
Learn more about this trial
Dissemination of Colorectal Cancer Screening to Primary Care Physicians
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