Health Message Framing to Improve Uptake of Bowel Cancer Screening
Primary Purpose
Colorectal Cancer
Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Text Message
Sponsored by
About this trial
This is an interventional prevention trial for Colorectal Cancer focused on measuring Behavioural Economics
Eligibility Criteria
Inclusion Criteria:
- Over 55
- Not yet returned a bowel cancer screening sample
- No diagnosis of bowel cancer
Exclusion Criteria:
- Under 55
- Have already completed bowel cancer screening
- Diagnosed with bowel cancer
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Active Comparator
Active Comparator
No Intervention
Arm Label
Intervention 1
Intervention 2
Intervention 3
Arm Description
Text message (SMS Message)
Text message (SMS Message)
no intervention
Outcomes
Primary Outcome Measures
Number of participants taking part in the Scottish national bowel cancer screening programme
Number of participants taking part in the Scottish national bowel cancer screening programme represented as a patient having submitted a faecal occult blood test.
Secondary Outcome Measures
Full Information
NCT ID
NCT03487523
First Posted
February 2, 2018
Last Updated
March 27, 2018
Sponsor
National Heatlh Service Ayrshire and Arran
1. Study Identification
Unique Protocol Identification Number
NCT03487523
Brief Title
Health Message Framing to Improve Uptake of Bowel Cancer Screening
Official Title
Health Message Framing to Improve Uptake of Bowel Cancer Screening
Study Type
Interventional
2. Study Status
Record Verification Date
March 2018
Overall Recruitment Status
Unknown status
Study Start Date
June 21, 2018 (Anticipated)
Primary Completion Date
December 21, 2018 (Anticipated)
Study Completion Date
January 31, 2019 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
National Heatlh Service Ayrshire and Arran
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The objective of this research is to investigate whether a text message (SMS message) prompting participation in the UK national bowel cancer screening programme improves uptake for those who have not responded to the test.
The secondary objective is to investigate whether the framing/phrasing of the text message improves participation , whether by stating the benefits of uptake or alternatively by stating the costs of non-uptake.
Detailed Description
A national register exists for GP practices to identify which patients of theirs have or have not participated in a national bowel cancer screening programme. A sample of 1600 patients belonging to a particular practice in Scotland aged between 50 and 74 have been identified as having received the test kit but have not responded to it. These individuals have also previously consented to being contacted by the practice via phone text/SMS message for reminders.
The sample will be randomised into three equally populated groups:
One group will act as the control arm and will receive no text message.
One group will receive a text message which encourages participation in the screening programme and provides information on the cost of not participating (negative frame) - "If you do not take part in screening then you increase the risk of having an undiagnosed tumor."
One group will receive a text message which encourages participation in the screening programme and provides information on the benefit of participating (positive frame) - "If you take part in screening then you decrease the risk of having an undiagnosed tumor."
Both text messages will include a weblink which will direct individuals receiving the text to find more information and also with instructions on how to order another kit should they have misplaced the kit that was mailed out to them.
The observation period will last 6 months and patients receiving the text will receive 3 texts in total. One at the start of the 6 months and another every two months after that. These messages will not change or alternate, that is the negatively framed group will receive the same text once every 2 months on 3 occasions in total and vice versa. Other studies have used shorter intervals between text messages to encourage change, although 6 months to 1 year is a standard amount of time overall. The researchers feel that while more regular messages may be more likely prompt behaviour there is also a risk of over-burdening the patient with reminders, as such 3 texts over 6 months was decided upon as a reasonable frequency.
At the end of the 6 months data on uptake of screening for those 1600 patients during that time will be extracted by the practice clinician, matched with patient characteristics (e,g, age, sex) and anonymised so that patients cannot be identified. This will then be sent to the health economist to analyse the data and test the hypotheses above. Regression analysis will be used to see whether a differential pattern of uptake exists between groups receiving and not receiving the text message.
Once analysed the results will be fed back to the practice in order to help inform future reminders and will also be drafted into a paper to be submitted for peer-review.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Cancer
Keywords
Behavioural Economics
7. Study Design
Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Model Description
The study will be a cross sectional randomised controlled trial
Masking
Participant
Allocation
Randomized
Enrollment
1600 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Intervention 1
Arm Type
Active Comparator
Arm Description
Text message (SMS Message)
Arm Title
Intervention 2
Arm Type
Active Comparator
Arm Description
Text message (SMS Message)
Arm Title
Intervention 3
Arm Type
No Intervention
Arm Description
no intervention
Intervention Type
Behavioral
Intervention Name(s)
Text Message
Intervention Description
As already stated
Primary Outcome Measure Information:
Title
Number of participants taking part in the Scottish national bowel cancer screening programme
Description
Number of participants taking part in the Scottish national bowel cancer screening programme represented as a patient having submitted a faecal occult blood test.
Time Frame
6 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Over 55
Not yet returned a bowel cancer screening sample
No diagnosis of bowel cancer
Exclusion Criteria:
Under 55
Have already completed bowel cancer screening
Diagnosed with bowel cancer
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Patrick McGuire
Phone
+447596096536
Email
paddymcguire7@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Patrick McGuire
Organizational Affiliation
Dr
Official's Role
Principal Investigator
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Health Message Framing to Improve Uptake of Bowel Cancer Screening
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