Evaluating a Preference-based Intervention for Increasing Colorectal Cancer Screening (EPIIC)
Colorectal Neoplasms
About this trial
This is an interventional health services research trial for Colorectal Neoplasms focused on measuring Hospitals, Veterans, Mass Screening/utilization, Patient Preference, Prevention & Control, Epidemiology
Eligibility Criteria
Inclusion Criteria:
- Clinic appointment at Ann Arbor or Pittsburgh VA during recruitment period.
- Age 50-78.
- Not up to date with CRC screening according to VA and USPSTF guidelines.
- At average risk for CRC (no history of CRC, adenomatous colon polyps, inflammatory bowel disease, and no family history of CRC).
- Has current address and telephone number listed in medical record.
Exclusion Criteria:
- DNR/DNI code status.
- Metastatic cancer.
- Stage D congestive heart failure.
- Severe COPD.
- Coronary artery disease (CAD) and MI within one year or CAD and unstable angina within 6 months.
- Dementia.
- Inability to conduct activities of daily living.
- Life expectancy less than one year.
- Other - anything else that limits CRC screening options.
- Scheduled for a colonoscopy, sigmoidoscopy, DCBE, or CTC.
- prior participation in this study
- unable to contact after 2 introductory letters (at least 6 months apart)
Sites / Locations
- VA Ann Arbor Healthcare System
- Center for Health Equity Research and Promotion
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
No Intervention
Preference-tailored (PT) intervention
Standard information (SI) intervention
Usual Care
Intervention: Behavioral: Standard Information Behavioral: Preference-tailored Information
Behavioral: Standard Information
Due to budget and time constraints this group was not powered as a true study arm but was used to assess the impact of our baseline physician information letter and to control for any other interventions of system-wide initiatives that may occur during the study timeframe and impact rated of CRC screening. Data was not collected on every participant in this arm.