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Behavioral Economic Approaches to Increase Colorectal Cancer Screening

Primary Purpose

Cancer of the Colon

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Email outreach
Active choice
Financial incentive
Sponsored by
University of Pennsylvania
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Cancer of the Colon

Eligibility Criteria

50 Years - 64 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and female employees of the University of Pennsylvania Health System who live within 30 miles of a health system endoscopy center.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Active Comparator

    Experimental

    Experimental

    Arm Label

    Usual care

    Active choice

    Financial incentive + Active choice

    Arm Description

    Email outreach

    Email outreach + active choice

    Email outreach + active choice + financial incentive

    Outcomes

    Primary Outcome Measures

    Colonoscopy participation
    The percentage of participants who follow through with screening colonoscopy.

    Secondary Outcome Measures

    Email engagement
    The percentage of participants who respond to the email (arm 2 and 3).
    Scheduling of colonoscopy
    The percentage of participants who schedule a procedure.

    Full Information

    First Posted
    January 19, 2016
    Last Updated
    May 3, 2017
    Sponsor
    University of Pennsylvania
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02660671
    Brief Title
    Behavioral Economic Approaches to Increase Colorectal Cancer Screening
    Official Title
    Behavioral Economic Approaches to Increase Colorectal Cancer Screening
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    January 2016 (Actual)
    Primary Completion Date
    August 2016 (Actual)
    Study Completion Date
    September 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    University of Pennsylvania

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This is an RCT aimed at testing different population-based approaches to increasing colorectal cancer screening through email outreach, including usual email communication, active choice, and active choice + financial incentive.
    Detailed Description
    This is an RCT aimed at testing different population-based approaches to increasing colorectal cancer screening. The investigators will randomize a cohort of employees between the ages of 50-64 to 3 arms of email communications: a.) Usual email communication; b.) Active choice- usual care + the ability to pre-commit directly through a web form; c.) Financial incentive- usual care + active choice + financial incentive for completion.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Cancer of the Colon

    7. Study Design

    Primary Purpose
    Health Services Research
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    Investigator
    Allocation
    Randomized
    Enrollment
    2250 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Usual care
    Arm Type
    Active Comparator
    Arm Description
    Email outreach
    Arm Title
    Active choice
    Arm Type
    Experimental
    Arm Description
    Email outreach + active choice
    Arm Title
    Financial incentive + Active choice
    Arm Type
    Experimental
    Arm Description
    Email outreach + active choice + financial incentive
    Intervention Type
    Behavioral
    Intervention Name(s)
    Email outreach
    Intervention Description
    Subjects will receive an email describing the importance of colorectal cancer screening and that s/he has been selected to participate in this VIP concierge service.
    Intervention Type
    Behavioral
    Intervention Name(s)
    Active choice
    Intervention Description
    S/he will receive the ability to pre-commit and choose from 3 different appointment slots by clicking directly on the email.
    Intervention Type
    Behavioral
    Intervention Name(s)
    Financial incentive
    Intervention Description
    The participant will receive the offering of $100 if s/he follows through with screening colonoscopy.
    Primary Outcome Measure Information:
    Title
    Colonoscopy participation
    Description
    The percentage of participants who follow through with screening colonoscopy.
    Time Frame
    3 months
    Secondary Outcome Measure Information:
    Title
    Email engagement
    Description
    The percentage of participants who respond to the email (arm 2 and 3).
    Time Frame
    3 months
    Title
    Scheduling of colonoscopy
    Description
    The percentage of participants who schedule a procedure.
    Time Frame
    3 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    50 Years
    Maximum Age & Unit of Time
    64 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Male and female employees of the University of Pennsylvania Health System who live within 30 miles of a health system endoscopy center.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Shivan Mehta, MD
    Organizational Affiliation
    University of Pennsylvania
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    Undecided
    Citations:
    PubMed Identifier
    28734830
    Citation
    Mehta SJ, Feingold J, Vandertuyn M, Niewood T, Cox C, Doubeni CA, Volpp KG, Asch DA. Active Choice and Financial Incentives to Increase Rates of Screening Colonoscopy-A Randomized Controlled Trial. Gastroenterology. 2017 Nov;153(5):1227-1229.e2. doi: 10.1053/j.gastro.2017.07.015. Epub 2017 Jul 20.
    Results Reference
    derived

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