A Video Intervention to Decrease Patient Fear of Colonoscopy After a Positive Fecal Immunochemical Test

NCT ID: NCT05458986

Last Updated: 2024-05-30

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

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-15

Study Completion Date

2024-05-03

Brief Summary

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This clinical trial compares an educational video intervention versus usual care of no video intervention in decreasing patient fear of a colonoscopy procedure after receiving a positive fecal immunochemical test (FIT). The lack of a follow-up colonoscopy after an abnormal FIT result is associated with an increased risk of colorectal cancer mortality, advanced-stage colorectal cancer, among other complications, compared to the completion of a follow-up colonoscopy. An educational video may reduce patient fear and increase knowledge, self-efficacy, and intent to complete a colonoscopy compared to the usual care of no video intervention.

Detailed Description

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OUTLINE: Patients are randomized to 1 of 2 arms.

ARM 1: Patients watch an educational video about the importance of abnormal FIT results, the implications if follow-up colonoscopy is not completed, and demonstrate the steps to complete a colonoscopy.

ARM 2: Patients receive usual care and do not watch the educational video.

After completion of study, patients are followed for 12 months after their abnormal FIT result.

Conditions

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Colorectal Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Arm 1 (educational video)

Patients watch an educational video about the importance of abnormal FIT results, the implications if follow-up colonoscopy is not completed, and demonstrate the steps to complete a colonoscopy.

Group Type EXPERIMENTAL

Media Intervention

Intervention Type OTHER

Watch an educational video

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Arm 2 (usual care)

Patients receive usual care and do not watch the educational video.

Group Type ACTIVE_COMPARATOR

Best Practice

Intervention Type OTHER

Receive usual care

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Interventions

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Media Intervention

Watch an educational video

Intervention Type OTHER

Best Practice

Receive usual care

Intervention Type OTHER

Questionnaire Administration

Ancillary studies

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age 45-75
* Have an assigned primary care provider in our partnering safety-net health system
* Have a billable primary care encounter between 2019-2022
* Have an abnormal FIT result for colorectal cancer (CRC) screening without a colonoscopy within 1 year
* Ability to communicate in English due to initial videos being available in English

Exclusion Criteria

* Adults \< age 45 or \> age 75
* Patients who receive care at other University of Washington (UW) medicine sites (non-safety-net patients)
* Individuals without a primary care encounter between 2019-2022
* Individuals whose primary language is not English
Minimum Eligible Age

45 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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American College of Gastroenterology

OTHER

Sponsor Role collaborator

Fred Hutchinson Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rachel Issaka, MD, MAS

Role: PRINCIPAL_INVESTIGATOR

Fred Hutch/University of Washington Cancer Consortium

Locations

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Fred Hutch/University of Washington Cancer Consortium

Seattle, Washington, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Informed Consent Form

View Document

Other Identifiers

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NCI-2022-05223

Identifier Type: REGISTRY

Identifier Source: secondary_id

10950

Identifier Type: OTHER

Identifier Source: secondary_id

RG1122309

Identifier Type: -

Identifier Source: org_study_id

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