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ACTIVE NOT RECRUITING
NCT05693649
NA

Behavioral Economic Approaches for Population-Based Colorectal Cancer Screening

Sponsor: Abramson Cancer Center at Penn Medicine

View on ClinicalTrials.gov

Summary

This is a 3-year pragmatic, randomized clinical trial among average-risk patients at diverse primary care practices who are overdue for colorectal (CRC) screening. This project aims to evaluate the effect of a centralized program that includes direct outreach to patients and visit-based, clinician directed nudges facilitated by the electronic health record (EHR) with follow-up text messaging on the uptake of CRC screening. The primary outcome is CRC screening completion at 3 years. Patient and clinician factors impacting the experience and effectiveness of the intervention will be explored through surveys and qualitative interviews.

Key Details

Gender

All

Age Range

50 Years - 72 Years

Study Type

INTERVENTIONAL

Enrollment

20000

Start Date

2023-06-07

Completion Date

2026-12-21

Last Updated

2025-09-05

Healthy Volunteers

No

Interventions

BEHAVIORAL

No Direct Patient Outreach

Patient will not receive direct outreach prompting them to schedule and/or complete colorectal cancer screening.

BEHAVIORAL

Direct Patient Outreach: Colonoscopy Only

Patient will receive direct outreach including an order to schedule and complete colonoscopy.

BEHAVIORAL

Direct Patient Outreach: Sequential Choice

Patient will receive direct outreach including an order to schedule and complete colonoscopy then an at-home fecal immunochemical test (FIT) if colonoscopy is not completed.

BEHAVIORAL

Visit-Based Nudge/Text

Patient's clinician will receive an alert prompting them to discuss colorectal cancer screening with their patient upon visit. Patient will also receive a text message 3 days after visit reminding them to complete colorectal cancer screening.

BEHAVIORAL

No Nudge/Text

Patient's clinician will not receive an alert prompting them to discuss colorectal cancer screening with their patient upon visit. Patient will not receive a text message 3 days after visit reminding them to complete colorectal cancer screening.

Locations (1)

Penn Medicine

Philadelphia, Pennsylvania, United States