Educational Intervention with or without Behavioral Nudge to Increase Colorectal Cancer Screening

Status: approved

This clinical trial tests how well an educational brochure, with or without a behavioral nudge, works to increase colorectal cancer screening rates for eligible patients when given with a standard fecal immunochemical test (FIT) kit. Annual colorectal cancer screening with FIT is one of several recommended screening strategies that are noninvasive and can identify patients who may warrant further invasive screening. A behavioral nudge, consisting of a display of the sub-par screening rate of the patient's clinic compared to a collective New York State screening rate and a national screening rate goal, may encourage patients to complete screening. Adding a behavioral nudge to an educational brochure about FIT may increase screening completion rates compared to the educational brochure alone in eligible patients.

Inclusion Criteria

TIME PERIOD 1: Patient at Bellevue Ambulatory Care Medicine Clinic between 1/1/2024 and 7/1/2024
TIME PERIOD 1: Age 45-75 years old
TIME PERIOD 2: Patient at Bellevue Ambulatory Care Resident Clinic
TIME PERIOD 2: Age 45-75 years old
TIME PERIOD 2: Has not had a FIT test within the past year
TIME PERIOD 2: Can read either English or Spanish
TIME PERIOD 2: Is able and willing to provide consent
TIME PERIOD 3: Patient at Bellevue Ambulatory Care Resident Clinic
TIME PERIOD 3: Age 45-75 years old
TIME PERIOD 3: Has not had a FIT test completed within the past year
TIME PERIOD 3: Can read either English or Spanish
TIME PERIOD 3: Is able and willing to provide consent

Exclusion Criteria

TIME PERIOD 1: Patient at a clinic that is not Bellevue Ambulatory Care Resident Clinic
TIME PERIOD 1: Age outside of 45-75 years old
TIME PERIOD 2: Patient at a clinic that is not Bellevue Ambulatory Care Resident Clinic
TIME PERIOD 2: Age outside of 45-75 years old
TIME PERIOD 2: Has had a FIT test completed within the past year
TIME PERIOD 2: Cannot read either English or Spanish
TIME PERIOD 3: Patient at a clinic that is not Bellevue Ambulatory Care Resident Clinic
TIME PERIOD 3: Age outside of 45-75 years old
TIME PERIOD 3: Has had a FIT test completed within the past year
TIME PERIOD 3: Cannot read either English or Spanish

PRIMARY OBJECTIVE:

I. To determine if a behavioral nudge tactic can increase FIT screening completion rates among patients age 45-75 years old at Bellevue Outpatient Medicine Residents’ Clinic.

OUTLINE: Patients are assigned to 1 of 2 time periods.

TIME PERIOD 2: Patients receive an educational brochure, consisting of an easy-to-read description of FIT screening, instructions on how to complete the test, and the importance of FIT screening, alongside the standard of care FIT kit at the end of their clinic visit.

TIME PERIOD 3: Patients receive an educational brochure, consisting of an easy-to-read description of FIT screening, instructions on how to complete the test, and the importance of FIT screening as well as a behavioral nudge, alongside the standard of care FIT kit at the end of their clinic visit.

After completion of study intervention, patients are followed up for 3 months.

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Educational Intervention with or without Behavioral Nudge to Increase Colorectal Cancer Screening

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