Tailored Messaging for CRC Screening
Colorectal Cancer
About this trial
This is an interventional screening trial for Colorectal Cancer focused on measuring Colorectal cancer screening
Eligibility Criteria
Inclusion Criteria:
- University of Pennsylvania Health System (UPHS) patients with an active order for screening or surveillance colonoscopy without an existing colonoscopy appointment
- 50-75 years of age
- Due for CRC screening or surveillance (defined as no evidence of: colonoscopy in the past 5 years, fecal immunochemical testing in the past 12 months, flexible sigmoidoscopy or CT colonography in the past 5 years, stool DNA test or Cologuard in the last 3 years)
Exclusion Criteria:
- Age <50 or >75
- Pregnant woman
- Evidence of prior colonoscopy in the past 5 years, fecal immunochemical testing in the past 12 months, flexible sigmoidoscopy or CT colonography in the past 5 years, fecal DNA test or Cologuard in the last 3 years
- History of colorectal cancer
- History of inflammatory bowel disease (Crohn's disease or Ulcerative colitis)
- History of colon surgery or resection
- History of symptoms concerning for colorectal cancer, such as lower GI bleeding, within the past 6 months
- Family history of a hereditary colorectal cancer syndrome, such as familial adenomatous polyposis (FAP) or hereditary non-polyposis colon cancer (HNPCC)
- Current serious medical condition with estimated life expectancy of less than 6 months, such as incurable cancer, end-stage congestive heart failure, decompensated cirrhosis, end stage renal disease, etc.
- Dementia
- Does not speak English
- No telephone number listed in electronic medical record
- Has any other condition that, in the opinion of the investigator, excludes the patient from participating in this study
Sites / Locations
- University of Pennsylvania Health System
Arms of the Study
Arm 1
Arm 2
Arm 3
No Intervention
Experimental
Experimental
Usual Care
Generic Message
Tailored Message
Participants in this arm will Usual scheduling process without any intervention
Participants in this arm will receive a telephone call from a study team member, and if no answer, up to two additional attempts will be made. During the telephone call, the study team member will ask the participant a series of 7 questions then receive a "generic" message encouraging colonoscopy scheduling.
Participants in this arm will receive a telephone call from a study team member, and if no answer, up to two additional attempts will be made. During the telephone call, the participant will answer a series of 7 questions then receive a "tailored" message encouraging colonoscopy scheduling, which will be determined by their responses to the preceding questions.