Breast Cancer Outreach Among Primary Care Patients

NCT ID: NCT05089903

Last Updated: 2022-06-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

24680 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-25

Study Completion Date

2022-04-25

Brief Summary

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This project aims to evaluate different approaches to increase breast cancer screening among primary care patients at Penn Medicine through a centralized screening outreach program. In a pragmatic trial, the investigators will evaluate different approaches to increase completion of screening among eligible patients, including ordering mammograms in bulk prior to outreach, sending personalized text reminders, and endorsing of the communication by the primary care provider.

Detailed Description

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While mammograms are recommended by guidelines for early detection of breast cancer, mammogram rates are significantly lower now than they were prior to the initial COVID-19 pandemic surge in early 2020. In this project, the investigators will evaluate different ways of reaching out to eligible patients to encourage them to participate in breast cancer screening. Through letters, texting, and the electronic health record portal (MyPennMedicine (MPM)), the investigators will compare mammogram bulk orders, text messaging, and primary care provider endorsement to traditional outreach messaging with the goal of increasing breast cancer screening uptake.

Conditions

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Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

SCREENING

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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No Order

Group Type EXPERIMENTAL

No Bulk Order

Intervention Type BEHAVIORAL

The outreach will ask patients to contact their PCP's office in order to have a mammogram order placed on their behalf.

No Order + Text (NO+T)

Group Type EXPERIMENTAL

Texting

Intervention Type BEHAVIORAL

In addition to outreach, patients will receive text messaging with information regarding the importance of screening, how to schedule a mammogram, and locations available for mammography.

No Bulk Order

Intervention Type BEHAVIORAL

The outreach will ask patients to contact their PCP's office in order to have a mammogram order placed on their behalf.

Bulk Order (BO)

Group Type EXPERIMENTAL

Bulk Order

Intervention Type BEHAVIORAL

A mammogram order will be placed using bulk order technology in the EHR in advance of outreach for all patients.

Bulk Order + Text (BO+T)

Group Type EXPERIMENTAL

Bulk Order

Intervention Type BEHAVIORAL

A mammogram order will be placed using bulk order technology in the EHR in advance of outreach for all patients.

Texting

Intervention Type BEHAVIORAL

In addition to outreach, patients will receive text messaging with information regarding the importance of screening, how to schedule a mammogram, and locations available for mammography.

Clinician Endorsement (CE)

Group Type EXPERIMENTAL

Clinician Endorsement

Intervention Type BEHAVIORAL

Outreach informing patients that they are overdue for a mammogram will be signed by the patient's primary care provider.

Clinician Endorsement + Text (CE+T)

Group Type EXPERIMENTAL

Texting

Intervention Type BEHAVIORAL

In addition to outreach, patients will receive text messaging with information regarding the importance of screening, how to schedule a mammogram, and locations available for mammography.

Clinician Endorsement

Intervention Type BEHAVIORAL

Outreach informing patients that they are overdue for a mammogram will be signed by the patient's primary care provider.

Standard Messaging (SM)

Group Type EXPERIMENTAL

Standard Endorsement

Intervention Type BEHAVIORAL

Patient's will receive outreach from the practice informing them that they are overdue for a mammogram.

Standard Messaging (SM+T)

Group Type EXPERIMENTAL

Texting

Intervention Type BEHAVIORAL

In addition to outreach, patients will receive text messaging with information regarding the importance of screening, how to schedule a mammogram, and locations available for mammography.

Standard Endorsement

Intervention Type BEHAVIORAL

Patient's will receive outreach from the practice informing them that they are overdue for a mammogram.

Interventions

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Bulk Order

A mammogram order will be placed using bulk order technology in the EHR in advance of outreach for all patients.

Intervention Type BEHAVIORAL

Texting

In addition to outreach, patients will receive text messaging with information regarding the importance of screening, how to schedule a mammogram, and locations available for mammography.

Intervention Type BEHAVIORAL

Clinician Endorsement

Outreach informing patients that they are overdue for a mammogram will be signed by the patient's primary care provider.

Intervention Type BEHAVIORAL

No Bulk Order

The outreach will ask patients to contact their PCP's office in order to have a mammogram order placed on their behalf.

Intervention Type BEHAVIORAL

Standard Endorsement

Patient's will receive outreach from the practice informing them that they are overdue for a mammogram.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. Women ages 40-74
2. Followed by Primary Care with a Penn Medicine PCP listed and at least one visit in the last 2 years
3. Health Maintenance due (default biannual screening starting at age 50 or edit modifier based on input by clinician)

Exclusion Criteria

1. Currently scheduled for a mammogram
2. History of bilateral mastectomy
Minimum Eligible Age

40 Years

Maximum Eligible Age

74 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Abramson Cancer Center at Penn Medicine

OTHER

Sponsor Role lead

Responsible Party

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Shivan Mehta

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Shivan Mehta, MD

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

Locations

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Penn Medicine

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

References

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Mehta SJ, Rhodes C, Linn KA, Reitz C, McDonald C, Okorie E, Williams K, Resnick D, Arostegui A, McAuliffe T, Wollack C, Snider CK, Peifer MK, Weinstein SP. Behavioral Interventions to Improve Breast Cancer Screening Outreach: Two Randomized Clinical Trials. JAMA Intern Med. 2024 Jul 1;184(7):761-768. doi: 10.1001/jamainternmed.2024.0495.

Reference Type DERIVED
PMID: 38709509 (View on PubMed)

Other Identifiers

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849863

Identifier Type: OTHER

Identifier Source: secondary_id

UPCC 15121

Identifier Type: -

Identifier Source: org_study_id

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