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Cancer of the ColonNCT03072095

Colorectal Cancer Screening in a Community Health Setting

A study testing Text-only and Text + Lottery in people with Cancer of the Colon, run by University of Pennsylvania at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This randomized controlled pilot study at the Health Annex, Family Practice \& Counseling Network (FPCN), a community clinic in Southwest Philadelphia, aimed at providing data on the feasibility of a mailed FIT approach to CRC screening in a community health setting, and how patients respond to text messaging and… Read more about this study

Who is it for?
Ages 50 to 74 yearsHealthy volunteers can take part
Conditions the study is for
Cancer of the Colon
What is being tested?
Text-only and Text + Lottery
Could I receive a placebo?
No, everyone receives an active treatment
How many people
281 participants
Where
1 siteUnited States
Study dates
17 Apr 2017to 3 Nov 2017
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 to 74 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Between 50 and 74 years old
  • Has active medical insurance
  • Has had had at least one visit at Health Annex in the prior 12 months (at time of chart review)
  • Due for CRC screening (no colonoscopy in last 10 years, sigmoidoscopy in last 5 years, or stool testing in last 1 year)
  • Asymptomatic for CRC

Who cannot join

  • Has had prior colonoscopy within 10 years, sigmoidoscopy within 5 years, and FOBT/FIT within twelve months of the chart review (we will exclude patients who self-report undergoing any of the above procedures)
  • Has a history of CRC
  • Has a history of other GI cancer
  • Has history of confirmed Inflammatory Bowel Disease (IBD) (e.g. Crohns disease, ulcerative colitis)
  • Has a history of colon polyps
  • Has had a colectomy
Show all 18Show fewer
  • Has a first-degree relative that has been diagnosed with CRC
  • Has been diagnosed with Lynch Syndrome (i.e. HNPCC)
  • Has been diagnosed with Familial Adenomatous Polyposis (FAP).
  • Has iron deficiency anemia
  • Has recent history of lower GI bleeding
  • Has metastatic (Stage IV) blood or solid tumor cancer
  • Has end stage renal disease
  • Has had congestive heart failure
  • Has dementia
  • Has liver cirrhosis
  • Has any other condition that, in the opinion of the investigator, excludes the patient from participating in this study
  • Does not use a mobile phone enabled to send and receive text messages

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Family Practice & Counseling Network - Health Annex

    Philadelphia, Pennsylvania, 19142

Other trials in United States

About this study

Official title: Patient-Centered Outreach to Increase Colorectal Cancer Screening in a Community Health Setting

This randomized controlled pilot study at the Health Annex, Family Practice \& Counseling Network (FPCN), a community clinic in Southwest Philadelphia, aimed at providing data on the feasibility of a mailed FIT approach to CRC screening in a community health setting, and how patients respond to text messaging and behavioral economic engagement incentives.

Read the detailed description

This is a single-center RCT at the Family Practice \& Counseling Network (FPCN), a community clinic in Southwest Philadelphia with 320 eligible subjects between the ages of 50-74 randomized to two study arms:

  1. text messaging outreach (text)
  2. text messaging outreach with lottery for 1/5 chance to win a financial incentive (text + lottery).

Findings will provide data on the feasibility of this mailed FIT approach in a community health setting, and how patients respond to text messaging and behavioral economic engagement incentives.

Being tested
Text-only, Text + Lottery
Keywords
Colorectal Neoplasms, Colonic Neoplasms, Gastrointestinal Neoplasms, Digestive System Neoplasms, Neoplasms, Digestive System Diseases, Gastrointestinal Diseases, Colonic Diseases, Rectal Diseases
Medical subject headings
Colonic Neoplasms, Colorectal Neoplasms, Gastrointestinal Neoplasms, Digestive System Neoplasms, Neoplasms, Digestive System Diseases, Gastrointestinal Diseases, Colonic Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Text-onlyBehavioural

    Subjects will receive a text communication indicating they are overdue for colon cancer screening with the option to elect to receive a free, at-home FIT kit.

  • Text + LotteryBehavioural

    Subjects will receive a text communication indicating they are overdue for colon cancer screening with the option to elect to receive a free, at-home FIT kit and a 1 in 5 chance to win a $100 gift card for completing the kit.

Study groups in NCT03072095
Study groupRoleWhat they receive
Text-onlyExperimentalText-only outreach
Receives: Behavioral: Text-only
Text + LotteryExperimentalText outreach + financial incentive
Receives: Behavioral: Text + Lottery

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. FIT completion within 3 months

    The percentage of participants who successfully complete the FIT

    Measured: 3 months

Secondary outcomes (1)
  1. Response to text-based CRC screening outreach

    The percentage of people who respond to text message

    Measured: 3 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Mar 2017
  2. Study start17 Apr 2017
  3. Primary completion3 Aug 2017
  4. Study completion3 Nov 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Screening
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Investigator
Enrolment
281 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03072095
Sponsor's protocol ID
826576
Status last verified
Feb 2019
First submitted
23 Feb 2017
Last updated
20 Feb 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Mehta SJ, Oyalowo A, Reitz C, Dean O, McAuliffe T, Asch DA, Doubeni CA. Text messaging and lottery incentive to improve colorectal cancer screening outreach at a community health center: A randomized controlled trial. Prev Med Rep. 2020 May 8;19:101114. doi: 10.1016/j.pmedr.2020.101114. eCollection 2020 Sep.

    PubMed 32477853

Questions about this trial

What is this clinical trial studying?

A study testing Text-only and Text + Lottery in people with Cancer of the Colon, run by University of Pennsylvania at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Feb 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

FIT completion within 3 months (time frame: 3 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03072095, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Feb 2019.

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