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Doctor-Patient Communication About Colorectal Cancer Screening

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ClinicalTrials.gov Identifier: NCT01534923
Recruitment Status : Active, not recruiting
First Posted : February 17, 2012
Last Update Posted : January 23, 2018
Sponsor:
Collaborators:
Albert Einstein College of Medicine, Inc.
HHC, Gun HIll and Tremont
NYC RING, Director
Virginia Commonwealth University
Information provided by (Responsible Party):
Memorial Sloan Kettering Cancer Center

Brief Summary:
The purpose of this study is to learn more about doctor-patient communication about colon cancer screening. This study will also look to see if there are differences in those who get colon cancer screening based on the discussion the doctor had with the patient.

Condition or disease Intervention/treatment
Colorectal Cancer Screening Behavioral: surveys

Study Type : Observational
Estimated Enrollment : 225 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Doctor-Patient Communication About Colorectal Cancer Screening
Study Start Date : February 2012
Estimated Primary Completion Date : February 2019
Estimated Study Completion Date : February 2019

Resource links provided by the National Library of Medicine


Group/Cohort Intervention/treatment
Pts having colorectal cancer screening
The target sample of this study will be approximately 200 primary care physician-patient consultations who discuss CRC screening during the course of a clinical visit. Physician and patient participants will come from primary care practices associated with the New York City Research and Improvement Networking Group (NYC RING).
Behavioral: surveys
The intervention will be the audio-recording of the physician-patient consultation, patient and doctor surveys. These audio recordings will be coded. It will also include follow-up phone calls with patients.




Primary Outcome Measures :
  1. describe doctor-patient communication about CRC screening [ Time Frame: 2 years ]
    screening adherence through self report. Screening adherence will be assessed by contacting the patients and asking them if they received the CRC screening test their doctor ordered at the audio recorded visit.


Secondary Outcome Measures :
  1. quality of doctor-patient communication about CRC screening and low-income patients' screening outcomes. [ Time Frame: 2 years ]
  2. examine the association between the quality of doctor-patient communication about CRC screening and low-income patients' screening outcomes [ Time Frame: 2 years ]
    intent to be screened (immediately after the consultation) using the item from Geller et al.25 and 2) self-efficacy for screening (immediately after consultation) in case there are few events of actual screening.



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Ages Eligible for Study:   50 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Five health centers of the NYC RING will participate in this project. All are located in underserved urban communities within the Bronx.
Criteria

Inclusion Criteria:

Physicians

  • Attending physicians or third year residents specializing in internal medicine or family medicine, as per the medical director from the clinic.
  • Clinic is based at a NYC RING-affiliated practice.
  • English speaking; Due to limited resources, we cannot have each audio recorded consultation translated therefore, the consultation needs to be in English.

Patients

  • Ages 50-75 years old, per the United States Preventive Services Task Force recommendations for screening. This will be determined by a pre-screening of medical records by the RSA.
  • Due for colorectal cancer screening at the time of the visit, ascertained through patient self-report (e.g., no colonoscopy within the past 10 years, no flexible sigmoidoscopy or barium enema within the past five years, and no FOBT within the past year).
  • Coming for either an annual physical exam or chronic care follow up visit, per patient self-report.
  • Planning to consult with the physician in English, per patient self-report. Due to limited resources, we cannot have each audio recorded consultation translated therefore, the consultation needs to be in English.

Exclusion Criteria:

  • History of colorectal cancer, per patient self-report or per EMR..
  • History of polyps being removed, per patient self-report.
  • Colonoscopy scheduled in EMR at time of screening.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01534923


Locations
United States, New York
Albert Einstein College of Medicine
Bronx, New York, United States
Hhc, Gun Hill and Tremont
Bronx, New York, United States
Sponsors and Collaborators
Memorial Sloan Kettering Cancer Center
Albert Einstein College of Medicine, Inc.
HHC, Gun HIll and Tremont
NYC RING, Director
Virginia Commonwealth University
Investigators
Principal Investigator: Jamie Ostroff, PhD Memorial Sloan Kettering Cancer Center

Additional Information:
Responsible Party: Memorial Sloan Kettering Cancer Center
ClinicalTrials.gov Identifier: NCT01534923     History of Changes
Other Study ID Numbers: 12-017
First Posted: February 17, 2012    Key Record Dates
Last Update Posted: January 23, 2018
Last Verified: January 2018

Keywords provided by Memorial Sloan Kettering Cancer Center:
Doctor-Patient Communication
questionnaire
survey
12-017

Additional relevant MeSH terms:
Colorectal Neoplasms
Intestinal Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Neoplasms
Digestive System Diseases
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases