Trial Outcomes & Findings for mFOCUS (Multilevel FOllow-up of Cancer Screening) (NCT NCT03979495)

NCT ID: NCT03979495

Last Updated: 2024-05-10

Results Overview

Completion of follow-up test within 120 days of eligibility for mFOCUS (EHR)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

11980 participants

Primary outcome timeframe

120 days

Results posted on

2024-05-10

Participant Flow

Recruitment started in August 2020 and ended in December of 2021

Unit of analysis: Primary Care Practices

Participant milestones

Participant milestones
Measure
Standard of Care
Standard care/no changes to usual care
IT Platform
Access to an IT platform for visit-based reminders about overdue abnormal cancer screening test results mFOCUS: To evaluate the effectiveness of the system, team and individual components of mFOCUS vs. standard care by conducting a 4-arm cluster randomized controlled trial (RCT) of individuals who are due for follow-up of an abnormal screen.
IT Platform With Reminders
Access to an IT platform that will deliver both visit based and between visit reminders about abnormal cancer screening test results. mFOCUS: To evaluate the effectiveness of the system, team and individual components of mFOCUS vs. standard care by conducting a 4-arm cluster randomized controlled trial (RCT) of individuals who are due for follow-up of an abnormal screen.
IT Platform and Patient Navigation
the IT platform available in Arm 3 and navigation to help with scheduling and to address social barriers to care. mFOCUS: To evaluate the effectiveness of the system, team and individual components of mFOCUS vs. standard care by conducting a 4-arm cluster randomized controlled trial (RCT) of individuals who are due for follow-up of an abnormal screen.
Overall Study
STARTED
2702 11
3254 11
2569 11
3455 11
Overall Study
COMPLETED
2702 11
3254 11
2569 11
3455 11
Overall Study
NOT COMPLETED
0 0
0 0
0 0
0 0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

mFOCUS (Multilevel FOllow-up of Cancer Screening)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard of Care
n=2702 Participants
standard of care
IT Platform
n=3254 Participants
Access to an IT platform for visit-based reminders about overdue abnormal cancer screening test results mFOCUS: To evaluate the effectiveness of the system, team and individual components of mFOCUS vs. standard care by conducting a 4-arm cluster randomized controlled trial (RCT) of individuals who are due for follow-up of an abnormal screen.
IT Platform With Reminders
n=2569 Participants
Access to an IT platform that will deliver both visit based and between visit reminders about abnormal cancer screening test results. mFOCUS: To evaluate the effectiveness of the system, team and individual components of mFOCUS vs. standard care by conducting a 4-arm cluster randomized controlled trial (RCT) of individuals who are due for follow-up of an abnormal screen.
IT Platform and Patient Navigation
n=3455 Participants
the IT platform available in Arm 3 and navigation to help with scheduling and to address social barriers to care. mFOCUS: To evaluate the effectiveness of the system, team and individual components of mFOCUS vs. standard care by conducting a 4-arm cluster randomized controlled trial (RCT) of individuals who are due for follow-up of an abnormal screen.
Total
n=11980 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
1828 Participants
n=5 Participants
2051 Participants
n=7 Participants
1557 Participants
n=5 Participants
2042 Participants
n=4 Participants
7478 Participants
n=21 Participants
Age, Categorical
>=65 years
874 Participants
n=5 Participants
1203 Participants
n=7 Participants
1012 Participants
n=5 Participants
1413 Participants
n=4 Participants
4502 Participants
n=21 Participants
Sex: Female, Male
Female
1772 Participants
n=5 Participants
2139 Participants
n=7 Participants
1680 Participants
n=5 Participants
2172 Participants
n=4 Participants
7763 Participants
n=21 Participants
Sex: Female, Male
Male
930 Participants
n=5 Participants
1115 Participants
n=7 Participants
889 Participants
n=5 Participants
1283 Participants
n=4 Participants
4217 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
207 Participants
n=5 Participants
316 Participants
n=7 Participants
228 Participants
n=5 Participants
344 Participants
n=4 Participants
1095 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2310 Participants
n=5 Participants
2642 Participants
n=7 Participants
2137 Participants
n=5 Participants
2913 Participants
n=4 Participants
10002 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
185 Participants
n=5 Participants
296 Participants
n=7 Participants
204 Participants
n=5 Participants
198 Participants
n=4 Participants
883 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
4 Participants
n=5 Participants
7 Participants
n=7 Participants
6 Participants
n=5 Participants
12 Participants
n=4 Participants
29 Participants
n=21 Participants
Race (NIH/OMB)
Asian
90 Participants
n=5 Participants
89 Participants
n=7 Participants
77 Participants
n=5 Participants
101 Participants
n=4 Participants
357 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
6 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
139 Participants
n=5 Participants
265 Participants
n=7 Participants
184 Participants
n=5 Participants
201 Participants
n=4 Participants
789 Participants
n=21 Participants
Race (NIH/OMB)
White
2241 Participants
n=5 Participants
2546 Participants
n=7 Participants
2051 Participants
n=5 Participants
2782 Participants
n=4 Participants
9620 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
226 Participants
n=5 Participants
346 Participants
n=7 Participants
250 Participants
n=5 Participants
357 Participants
n=4 Participants
1179 Participants
n=21 Participants
Region of Enrollment
United States
2702 participants
n=5 Participants
3254 participants
n=7 Participants
2569 participants
n=5 Participants
3455 participants
n=4 Participants
11980 participants
n=21 Participants

PRIMARY outcome

Timeframe: 120 days

Completion of follow-up test within 120 days of eligibility for mFOCUS (EHR)

Outcome measures

Outcome measures
Measure
Standard of Care
n=2702 Participants
standard of care
IT Platform
n=3254 Participants
Access to an IT platform for visit-based reminders about overdue abnormal cancer screening test results mFOCUS: To evaluate the effectiveness of the system, team and individual components of mFOCUS vs. standard care by conducting a 4-arm cluster randomized controlled trial (RCT) of individuals who are due for follow-up of an abnormal screen.
IT Platform With Reminders
n=2569 Participants
Access to an IT platform that will deliver both visit based and between visit reminders about abnormal cancer screening test results. mFOCUS: To evaluate the effectiveness of the system, team and individual components of mFOCUS vs. standard care by conducting a 4-arm cluster randomized controlled trial (RCT) of individuals who are due for follow-up of an abnormal screen.
IT Platform and Patient Navigation
n=3455 Participants
the IT platform available in Arm 3 and navigation to help with scheduling and to address social barriers to care. mFOCUS: To evaluate the effectiveness of the system, team and individual components of mFOCUS vs. standard care by conducting a 4-arm cluster randomized controlled trial (RCT) of individuals who are due for follow-up of an abnormal screen.
Completion of Follow-up Test
672 Participants
796 Participants
831 Participants
1062 Participants

SECONDARY outcome

Timeframe: up to 240 days

How many participants completed the required diagnostic evaluation (EHR), 0-60, 61-120, 121-180, 181-240 day intervals were evaluated.

Outcome measures

Outcome measures
Measure
Standard of Care
n=2702 Participants
standard of care
IT Platform
n=3254 Participants
Access to an IT platform for visit-based reminders about overdue abnormal cancer screening test results mFOCUS: To evaluate the effectiveness of the system, team and individual components of mFOCUS vs. standard care by conducting a 4-arm cluster randomized controlled trial (RCT) of individuals who are due for follow-up of an abnormal screen.
IT Platform With Reminders
n=2569 Participants
Access to an IT platform that will deliver both visit based and between visit reminders about abnormal cancer screening test results. mFOCUS: To evaluate the effectiveness of the system, team and individual components of mFOCUS vs. standard care by conducting a 4-arm cluster randomized controlled trial (RCT) of individuals who are due for follow-up of an abnormal screen.
IT Platform and Patient Navigation
n=3455 Participants
the IT platform available in Arm 3 and navigation to help with scheduling and to address social barriers to care. mFOCUS: To evaluate the effectiveness of the system, team and individual components of mFOCUS vs. standard care by conducting a 4-arm cluster randomized controlled trial (RCT) of individuals who are due for follow-up of an abnormal screen.
Number of Participants Who Complete the Required Diagnostic Evaluation
0-60 days
423 Participants
464 Participants
514 Participants
653 Participants
Number of Participants Who Complete the Required Diagnostic Evaluation
61-120 days
249 Participants
332 Participants
317 Participants
409 Participants
Number of Participants Who Complete the Required Diagnostic Evaluation
121-180 days
170 Participants
215 Participants
191 Participants
255 Participants
Number of Participants Who Complete the Required Diagnostic Evaluation
181-240 days
113 Participants
159 Participants
100 Participants
153 Participants
Number of Participants Who Complete the Required Diagnostic Evaluation
Did not receive follow up
1747 Participants
2084 Participants
1447 Participants
1985 Participants

Adverse Events

Standard of Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

IT Platform

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

IT Platform With Reminders

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

IT Platform and Patient Navigation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Jennifer Haas

Massachusetts General Hospital

Phone: 617-724-1832

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place