Tailored Navigation in CRC Screening

CRC 筛查中的定制导航

• 批准号: 7208624
• 负责人: RONALD E. MYERS
• 金额: $ 56.01万
• 依托单位: THOMAS JEFFERSON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-01-01 至 2010-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7208624
• 关键词: Advisory Committees; Age; Baseline Surveys; Blood Tests; Caring; Case-Control Studies; Cessation of life; Colonoscopy; Colorectal Cancer; Communities; Consent; Control Groups; Data; Delaware; Double contrast barium enema; End Point; Family history of; Fecal occult blood; Feces; Female; Flexible fiberoptic sigmoidoscopy; Generic Drugs; Healthcare Systems; Individual; Inflammatory Bowel Diseases; Intervention; Investigation; Knowledge; Mails; Methods; Modality; Morbidity - disease rate; Nursing Faculty; Outcome; Participant; Patients; Perception; Polyps; Preventive; Primary Health Care; Process; Randomized; Randomized Controlled Trials; Recording of previous events; Research; Screening procedure; Services; Staging; Standards of Weights and Measures; Surveys; Telephone; Testing; Training; United States; Visit; Woman; aged; base; colorectal cancer screening; cost; cost effectiveness; male; men; mortality; performance tests; preference

DESCRIPTION (provided by applicant): We propose to conduct a 4-year study with 6 community-based primary care practices that are part of the Christiana Care Health System (CCHS) in Delaware. CRC screening use in the practices is limited, as it is elsewhere in the United States. The research team will identify individuals in the practices who are eligible for CRC screening and will randomly assign consenting participants who complete a baseline survey to 1 of 3 study groups: a Usual Care (Control) Group, Standard Intervention (SI) Group, or Tailored Navigation Intervention (TNI) Group. Control Group participants will receive usual care. SI Group participants will receive a standard intervention (a generic mailed CRC screening kit) and a mailed reminder. TNI Group participants will receive a tailored navigation intervention (a preference-based mailed CRC screening kit and patient navigation by telephone) and a mailed reminder. The CRC screening kit provided to the TNI Group will reflect the participant's preferred CRC screening strategy. "Navigation" refers to the process of guiding the TNI Group participant towards test performance. Specific aims of the study are to: Determine intervention impact on patient CRC screening utilization. Determine intervention impact on CRC screening preference. Determine intervention impact on patient knowledge and perceptions about CRC screening. We hypothesize that the TNI Group will have significantly higher CRC screening use, increased preference for CRC screening, and more favorable perceptions about CRC screening than the SI and Control Groups. We also expect these outcomes to be significantly more pronounced in the SI Group than the Control Group. Data obtained from baseline survey, endpoint survey, and an endpoint chart audit will be used to assess study group differences. Finally, analyses will be performed to determine intervention cost-effectiveness related to CRC screening utilization.

描述（由申请人提供）：我们建议对特拉华州Christiana Care Health System（CCHS）的6个社区初级保健实践进行为期4年的研究。CRC筛查在实践中的使用是有限的，因为它是在美国其他地方。研究小组将确定实践中有资格进行CRC筛查的个人，并将完成基线调查的知情同意参与者随机分配到3个研究组中的1个：泌尿系统护理（对照）组，标准干预（SI）组或定制导航干预（TNI）组。对照组受试者将接受常规护理。圣莱科特国际集团的参与者将收到标准干预（邮寄的通用CRC筛查试剂盒）和邮寄的提醒。TNI集团的参与者将收到定制的导航干预（基于偏好的邮寄CRC筛查试剂盒和电话患者导航）和邮寄提醒。提供给TNI集团的CRC筛查试剂盒将反映受试者首选的CRC筛查策略。“导航”是指指导TNI集团参与者进行测试的过程。本研究的具体目的是：确定干预措施对患者CRC筛查利用的影响。确定干预对CRC筛查偏好的影响。确定干预对患者对CRC筛查的知识和看法的影响。我们假设TNI组将有显着更高的CRC筛查的使用，增加对CRC筛查的偏好，以及对CRC筛查的更有利的看法比SI和对照组。我们还预计这些结果在SI组中比对照组明显更明显。从基线调查、终点调查和终点图表稽查中获得的数据将用于评估研究组差异。最后，将进行分析，以确定与CRC筛查利用相关的干预成本效益。