Improving Colonoscopy Surveillance for Patients With High Risk Colon Polyps
This study is looking for ways to help people with high-risk colon polyps get their follow-up colonoscopies on time. High-risk polyps mean you have a higher chance of getting colorectal cancer (CRC), which can be prevented if these polyps are found and removed. The study will test different approaches, including standard care, reminders through your electronic health record (EHR), and scheduling reminders. The goal is to see if these interventions can increase the number of people who complete their surveillance colonoscopy within 3.5 years. We are looking for patients aged 21 and older who have been diagnosed with high-risk polyps in the past 5 years. The study is currently unclear on its status.
- Study design
- This interventional study plans to enroll 1680 participants. It compares standard care to different communication interventions aimed at improving colonoscopy surveillance.
- What's involved
- Some participants will complete a 20-30 minute interview. Others will receive standard care or various communication interventions like reminders and scheduling assistance.
- Compensation
- Not stated in the trial record.
- Follow-up
- The study will track completion of surveillance colonoscopy for up to 3.5 years and implementation quality for up to 3 years.
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Improving Colonoscopy Surveillance for Patients With High Risk Colon Polyps
At a glance
Conditions
Where it's being run
1 sites across 1 statesStudy leadership
- Folasade P May · PRINCIPAL_INVESTIGATOR · UCLA / Jonsson Comprehensive Cancer Center
Who to contact
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Do you actually qualify for this trial?
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Inclusion
Exclusion
What this trial measures
- Stakeholder perspectives on the multilevel intervention (Aim 1)At time of interview
The Investigators will conduct 1-on-1 in-depth interviews with patients, advocates, providers, and administrators. these interviews will provide data in closer proximity to intervention implementation to optimize composition, timing, and acceptability of each component. Interview content is guided by the multiple health outcomes framework (MHOF) and addresses major barriers (patient, provider, system) to surveillance and challenges (patient, provider, system) to the planned implementation of intervention components.
- Completion of surveillance colonoscopy (Aim 2)At 3.5 years
Will analyze rates during the study period using a generalized linear mixed model with a logit link that includes an indicator for study arm and random effects for clinic and primary care provider to account for the multilevel data structure.
- Implementation quality (Aim 3a)Up to 3 years
The Investigators will assess implementation quality and outcomes through stakeholder interviews (patients, providers, administrators) and chart reviews. The information gained will guide adaptations of the intervention for future use so that clinicians maximize effectiveness, feasibility, acceptability, sustainability, and impact. Findings will also determine the resources needed to successfully scale the intervention to different settings
- Cost effectiveness (Aim 3b)Up to 3 years
Will use standard cost-effectiveness techniques (including time discounting) to conduct an incremental cost-effectiveness analysis, measuring the Incremental Cost-Effectiveness Ratio of the natural language processing-based electronic health record intervention compared to usual care office outreach.