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Personalized Risk-based Follow-up of Cervical Cancer Screening in Practice, RCT
Sponsor: Massachusetts General Hospital
Summary
The goal of this PREDICT is to assess a personalize approach to screening and management of cervical cancer testing. The investigators will evaluate patients who are due for a follow up cervical cancer screening in the primary care clinics in the Massachusetts General Brigham system. Patients will be randomized by clinic into three different arms (Arm 1: standard care, Arm 2: visit based reminders, Arm 3: visit based reminders and population health outreach)
Official title: Personalized Risk-based Follow-up of Cervical Cancer Screening in Practice (PREDICT), Randomized Control Trial
Key Details
Gender
FEMALE
Age Range
21 Years - 70 Years
Study Type
INTERVENTIONAL
Enrollment
7500
Start Date
2026-07-22
Completion Date
2029-01-22
Last Updated
2026-08-07
Healthy Volunteers
No
Conditions
Interventions
Visit-based IT reminders to patients and practitioners
To identify patients due for CCSM, simplify test ordering/referral, and track follow-up, PREDICT will include: 1) automated updating of a patient's problem list with the current cervical screening finding, 2) automated updating of cervical cancer health maintenance topics to the appropriate time interval and follow-up test/ procedure through the use of modifiers, 3) "SmartSets" to standardize ordering of procedures/ specialty referrals.
Population outreach
Patients will be sent a reminder letter 90 days prior to the due date via the patient portal or mailed if no portal account (Outreach 1). If needed, four weeks later a phone call from the outreach coordinator reminds patients of the follow-up date if scheduled or helps establish follow-up (Outreach 2). The coordinator could also place an order for a referral and send a reminder to the practitioner to sign it if appropriate. The coordinator will review and document any "alternative care plans" discussed by the PCP and patient.
Locations (1)
Massachusetts General Brigham
Boston, Massachusetts, United States