Cancer Screening Utilization Rates and Cancer Screening Perspectives of Hospitalized Women

NCT ID: NCT04162925

Last Updated: 2022-12-08

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 700 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-12-31
• Study Completion Date: 2022-12-01

Brief Summary

Breast and colon cancers are commonly diagnosed cancers among women after skin cancer in Maryland. Patients' preferences for cancer screening are known to significantly influence utilization, and thus impact health outcomes. In a recent study the investigators conducted at Johns Hopkins Bayview Medical Center, the investigators observed that among women age 50-75 years admitted to general medicine services over 4-month period, 40% were non-adherent to breast cancer screening (overdue) despite being insured.

Therefore, the investigators propose to establish a cohort of hospitalized women to help the investigators develop successful interventions for enhancing breast cancer screening utilization in this group. In following a cohort prospectively, the investigators intend to both reaffirm the results from the investigators' previous study and determine whether the patterns of mammographic screening improve over time as a result of the investigators' interventions. Among non-adherent (overdue) women, the investigators will educate and encourage these women to undergo outpatient screening mammography.

To more comprehensively assess the preventive health in this cohort, the investigators will assess the cohort's adherence to colon cancer screening recommendation and barriers to colon cancer screening.

In addition the investigators will also like to encourage the hospitalists and house staff taking care of these patients to perform oral cancer screen among women who smoke (non-adherent to breast cancer screening) Finally the investigators will also like to ask the perspective of cancer screening among these women.

Conditions

Cancer Screening

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

Cancer screening cohort

All women in this study to be evaluated for cancer screening utilization rates (breast, colon and oral cancers) and cancer screening perspectives of these hospitalized women.

The intervention will be a cancer screening education.

Group Type: EXPERIMENTAL

Cancer screening education for breast, colon and oral cancers

Intervention Type: BEHAVIORAL

Bedside education one-on-one by showing screening video and handouts at the end of educational session for breast, colon and oral cancer. Patient who are agreeable to oral cancer screen during hospitalization perform oral cancer screening

Interventions

Cancer screening education for breast, colon and oral cancers

Bedside education one-on-one by showing screening video and handouts at the end of educational session for breast, colon and oral cancer. Patient who are agreeable to oral cancer screen during hospitalization perform oral cancer screening

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Women between the ages of 50 to 75 years admitted to medicine service at Johns Hopkins Bayview Medical Center
• cancer free at baseline (excluding skin cancers)
• willing to participate voluntarily

Exclusion Criteria

• history of breast cancer or mastectomy
• history of other cancers (except skin) or serious comorbidities making life expectancy <10 years
• pregnancy
• dementia
• chronic disability (unable to stand or nursing home resident)
• current admission because of acute coronary event (heart attack) or stroke or pulmonary embolism
• chronic kidney disease on hemodialysis
• history of BRCA1 or BRCA2 gene mutation
• current admission for cellulitis or abscess of breast

• Minimum Eligible Age: 50 Years
• Maximum Eligible Age: 75 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

State of Maryland

OTHER_GOV

Sponsor Role: collaborator

Johns Hopkins University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Waseem Khaliq, MD

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

References

Olayinka O, Gnanaraj J, Khaliq W. Hospitalized Women's Willingness to Pay for Inpatient Screening Colonoscopy. Womens Health Rep (New Rochelle). 2022 Sep 13;3(1):768-773. doi: 10.1089/whr.2022.0014. eCollection 2022.

Reference Type: DERIVED

PMID: 36185070 (View on PubMed)

Other Identifiers

IO90059879

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

IRB00049608

Identifier Type: -

Identifier Source: org_study_id