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Focusing Implementation to Bring Effective Reminders (FIBER) (FIBER)

This study has been completed.
Oregon Health and Science University
Henry Ford Health System
Information provided by (Responsible Party):
Kaiser Permanente Identifier:
First received: April 4, 2008
Last updated: February 19, 2014
Last verified: October 2011
FIBER is 4-year study that will evaluate the implementation of a large-scale population-based colorectal cancer screening patient reminder and coordinated follow-up program. The CRC screening program began in 2007 with Kaiser Permanente Northwest (KPNW),a not-for- profit, integrated health system in Oregon and Washington. FIBER consists of 1)a practical randomized controlled trial at the start of the program, followed by 2) a longer-term cohort study as all remaining eligible patients receive the program, and 3)a qualitative evaluation. FIBER will evaluate the factors that are associated with implementation success across multiple levels: patient, primary care provider (PCP) team, specialists (gastroenterologists, general surgeons, pathologists), and other health plan staff and systems.

Condition Intervention
Colorectal Cancer Behavioral: Patients receives letter, phone call, office visit, educational materials

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Participant)
Primary Purpose: Screening
Official Title: Focusing Implementation to Bring Effective Reminders (FIBER)

Resource links provided by NLM:

Further study details as provided by Kaiser Permanente:

Primary Outcome Measures:
  • To determine the effectiveness and maintenance of a colon-rectal cancer screening patient reminder program.Identify patient, primary care team, and system factors important to implementation success. [ Time Frame: Year 2, 3 ]

Secondary Outcome Measures:
  • Create, refine, and disseminate an implementation guide for colon-rectal cancer screening reminder programs by combining the findings from the primary aim. [ Time Frame: Years 3, 4 ]

Enrollment: 85289
Study Start Date: April 2008
Study Completion Date: February 2013
Primary Completion Date: April 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: 1
Patient has had PCP contact (letter, phone call, office visit, educational materials).
Behavioral: Patients receives letter, phone call, office visit, educational materials
No Intervention: 2
Usual Care


Ages Eligible for Study:   50 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • KPNW members since 2005
  • Men and women, aged 50-80 who were due for CRC screening during a 24-month period of time.

Exclusion Criteria:

  • KPNW members who were part of a previous quantitative study.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00656838

United States, Oregon
Kaiser Permanente Center for Health Research
Portland, Oregon, United States, 97227
Sponsors and Collaborators
Kaiser Permanente
Oregon Health and Science University
Henry Ford Health System
Principal Investigator: Adrianne C. Feldstein, MD, MS Kaiser Foundation Hospital
  More Information

Responsible Party: Kaiser Permanente Identifier: NCT00656838     History of Changes
Other Study ID Numbers: R01CA132709-01 ( U.S. NIH Grant/Contract )
Study First Received: April 4, 2008
Last Updated: February 19, 2014

Keywords provided by Kaiser Permanente:

Additional relevant MeSH terms:
Colorectal Neoplasms
Intestinal Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Digestive System Diseases
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases processed this record on August 16, 2017