Improving Colonoscopy Surveillance for Patients With High Risk Colon Polyps

Part of paid clinical trials in Los Angeles, California.

Sponsor
Jonsson Comprehensive Cancer Center
Study ID
NCT06376565
Status
Recruiting

Conditions

Eligibility Criteria

Sex
ALL
Age
21 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • Best Practice — OTHER
    Receive standard care
  • Communication Intervention — OTHER
    Complete clinic EHR interventions
  • Communication Intervention — OTHER
    Receive scheduling reminders
  • Communication Intervention — OTHER
    Receive reminders and pending EHR orders
  • Interview — OTHER
    Complete interview
  • Interview — OTHER
    Ancillary studies

Study Details

This clinical trial tests a multilevel intervention at the clinic, provider and patient levels, to improve colonoscopy surveillance in patients with high risk colon polyps. Colorectal cancer (CRC) is a common and deadly disease that is largely preventable through the detection and removal of colorectal polyps. One million Americans are diagnosed with high risk polyps of the colon or rectum annually and are at increased risk for CRC; however, uptake of recommended repeat colonoscopy in 3 years to reduce CRC risk is low in this group. This multilevel intervention may work to improve timely colonoscopy screening for patients with high risk colon polyps.

Key Dates

Start date
Nov 8, 2023
Status verified
Nov 2025
Primary completion
Nov 30, 2027
Completion
Nov 30, 2027

Study Design

Enrollment
1,680 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING

Arms

  • Experimental: Arm I(Multilevel intervention)
    Aim 1: Participants complete an interview over 20-30 minutes. Aim 2: Clinics have the automatic addition of HRN to the medical problem list and indication of surveillance interval is added to the health maintenance portion of the electronic health records (EHR). Clinics also call patients to schedule their colonoscopy. Providers receive reminders and pending orders for the colonoscopy in the electronic health record. Patients receive a reminder 6 months in advance via their patient portal and mail to schedule a colonoscopy, and also receive a phone call from the patient communication center.
  • Active Comparator: Arm II (Standard follow up)
    Patients receive care according to the clinics' usual care practices.

Primary Outcome Measure

Stakeholder perspectives on the multilevel intervention (Aim 1) [ Time Frame: At time of interview ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
UCLA / Jonsson Comprehensive Cancer CenterLos AngelesCalifornia90095
Jenna Alarcon
310-794-6197
Folasade P. May (PRINCIPAL_INVESTIGATOR)

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