Impact of a Mailed Educational Reminder on Fecal Occult Blood Testing (FOBT): A Randomized Controlled Trial
Recruitment status was Recruiting
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Purpose
The purpose of our randomized controlled trial is to determine whether mailed educational reminders would increase fecal occult blood test (FOBT) card return rates and, therefore, improve patient compliance with colonrectal cancer (CRC) screening.
We will conduct a randomized, controlled trial to evaluate the hypothesis that compliance to FOBT referrals is at least 10% greater among patients who receive mailed educational reminders on the importance of CRC screening. The study will be conducted in Veteran Affairs Medical Center and surrounding VA clinics in San Diego.
| Condition | Intervention |
|---|---|
|
Colon Cancer |
Other: Mailed Educational Reminder |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Single Group Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Screening |
| Official Title: | Impact of a Mailed Educational Reminder on Fecal Occult Blood Testing (FOBT): A Randomized Controlled Trial |
- Our primary outcome is FOBT card return rate [ Time Frame: 6 months ]
- Predictors of Non-compliance to fecal occult blood testing [ Time Frame: 6 months ]
| Estimated Enrollment: | 800 |
| Study Start Date: | June 2007 |
| Estimated Study Completion Date: | October 2007 |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
400 patients will be given a mailed educational reminder 10 days after picking up their FOBT cards from the VA laboratory.
|
Other: Mailed Educational Reminder
1 page educational reminder that reminds the patient to return their FOBT cards back to the VA laboratory. In addition, it also contains reasons why colon cancer screening is important.
|
|
No Intervention: 2
400 patients will not receive a mailed educational reminder to return their FOBT cards after they have picked up the FOBT cards from the VA laboratory
|
Detailed Description:
Colorectal cancer (CRC) is the third most common cancer in men and women in the United States with an estimated 147,000 new cases and more than 56,000 deaths each year. Early detection of colon cancer and removal of precancerous adenomatous polyps have been shown to reduce its morbidity, mortality and incidence. There are several recommended CRC screening tests, including fecal occult blood test (FOBT), flexible sigmoidoscopy, air-contrast barium enema, and colonoscopy. In the VA, FOBT is the predominant screening test for CRC, however patient compliance is low. Numerous studies have evaluated patient participation in CRC screening programs and FOBT card return rates, all of which have shown patient adherence was suboptimal. To date, there are no studies that have evaluated whether mailed educational reminders can improve FOBT compliance. The purpose of our randomized controlled trial is to determine whether mailed educational reminders would increase FOBT card return rates and, therefore, improve patient compliance with CRC screening.
Eligibility| Ages Eligible for Study: | 50 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- asymptomatic men and women age 50 years or older who received screening FOBT card kits from the laboratory
Exclusion Criteria:
- are less than 50 years of age
- are inpatients
- are not undergoing routine colon cancer screening
Contacts and Locations| Contact: Jeffrey K Lee, B.A. | 510-847-1198 | jklee@ucsd.edu |
| United States, California | |
| Veteran Affairs Medical Center San Diego | Recruiting |
| San Diego, California, United States, 92161 | |
| Principal Investigator: Samuel B Ho, M.D. | |
| Principal Investigator: | Samuel B Ho, M.D. | UCSD, VA San Diego |
More Information
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00534053 History of Changes |
| Other Study ID Numbers: | 070504 |
| Study First Received: | September 20, 2007 |
| Last Updated: | September 20, 2007 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of California, San Diego:
|
colon cancer screening mail reminders fecal occult blood test compliance |
Additional relevant MeSH terms:
|
Colonic Neoplasms Colorectal Neoplasms Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site |
Neoplasms Digestive System Diseases Gastrointestinal Diseases Colonic Diseases Intestinal Diseases |
ClinicalTrials.gov processed this record on May 23, 2013