Systems of Support (SOS) to Increase Colon Cancer Screening and Follow-up (SOS)
Colorectal Cancer
About this trial
This is an interventional screening trial for Colorectal Cancer focused on measuring Colorectal Neoplasms, Mass Screening, Population Surveillance, Randomized controlled trial, Occult Blood, Colonoscopy, Sigmoidoscopy, Health Behavior, Colorectal Screening
Eligibility Criteria
Inclusion Criteria:
- Not up to date on CRCS
- Continuously enrolled in Group Health Cooperative (GHC) for 24 months
- Expected to continue to be enrolled at GHC for 24 months.
Exclusion Criteria:
- Known high risk for CRC
- History of CRC
- History of inflammatory bowel disease
- Current anticoagulation therapy
- Organ failure
- Serious illness
- Debilitating disease
- Dementia
- Nursing home resident.
Sites / Locations
- Kaiser Permanente Washington Health Research Institute
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
No Intervention
Experimental
Experimental
Experimental
1- Usual Care
2 - Automated Mailing
3 - Automated Mailing Plus Assisted
4 - Auto Plus Assisted Plus Navigation
Usual Care (UC) includes an annual birthday letter with information on overdue screening tests including CRC screening.
Usual care plus automated mailing. Mailing 1 is a pamphlet about screening choices and number to call for colonoscopy. Mailing 2 is a FIT kit if not requesting colonoscopy. Mailing 3 is a Reminder letter.
Usual care, automated mailing plus, if screening is still not completed, phone assistance by a medical assistant (MA) who asks about patients screening intent, and provides brief assistance to complete this (e.g. sends another fecal test, assists with provider order for a colonoscopy).
Usual care, automated mailing, phone assistance by a medical assistant, plus navigation by a registered nurse (RN) if still not screened. Navigators are trained to use motivational interviewing techniques. They assess CRC and procedure risk, facilitate screening choice, address barriers, and provide follow-up until screening is completed.