Behavioral Nudge in Colorectal Cancer Screening

NCT ID: NCT06796049

Last Updated: 2025-04-09

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 600 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-05-31
• Study Completion Date: 2026-07-31

Brief Summary

The purpose of this study is to evaluate if a behavioral nudge principle known as social norm driver can be implemented to improve fecal immunochemical test (FIT) completion rates for patients' age 45-75 years old due for colorectal cancer screening at Bellevue Hospital Medicine Ambulatory Care Clinic. The study's endpoints include FIT screening completion rate and timeliness. Secondary analysis will look at demographic information such as age group, gender, prior screening, number of prior visits at the clinic.

Conditions

Improving Fecal Immunochemical Test (FIT) Completion Rates

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Time Period 1

A FIT test is ordered by the provider and a patient care assistant (PCA) gives patient a FIT kit, which includes a specimen cup and instructions on how to use it, at the end of the visit prior to their departure.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Time Period 2

A new information pamphlet is given to participants alongside the FIT kit at the end of the visit. The pamphlet contains an easy-to-read description of FIT screening adapted from the NYC department of health C5 Colorectal cancer (CRC) screening coalition pamphlet and lead-time CRC screening messaging tool, instructions on how to complete the test and the importance of FIT screening.

Group Type: EXPERIMENTAL

Information pamphlet

Intervention Type: BEHAVIORAL

The information pamphlet is given to participants at the end of the visit. The pamphlet contains an easy-to-read description of FIT screening adapted from the NYC department of health C5 CRC screening coalition pamphlet and lead-time CRC screening messaging tool, instructions on how to complete the test and the importance of FIT screening.

Time Period 3

A new information pamphlet is given to participants along the FIT kit similar to "Time period 2", but includes a social norm driver in the pamphlet that displays the sub-par screening rate of our clinic compared to a collective New York State screening rate and a national screening rate goal set by the Centers for Disease Control and Prevention (CDC).

Group Type: EXPERIMENTAL

Information pamphlet + social norm driver

Intervention Type: BEHAVIORAL

The information pamphlet is given to participants at the end of the visit. The pamphlet contains an easy-to-read description of FIT screening adapted from the NYC department of health C5 Colorectal cancer (CRC) screening coalition pamphlet and lead-time CRC screening messaging tool, instructions on how to complete the test and the importance of FIT screening.

The information pamphlet will also contain a social norm driver that displays the sub-par screening rate the clinic compared to a collective New York State screening rate and a national screening rate goal set by the CDC.

Interventions

Information pamphlet + social norm driver

The information pamphlet is given to participants at the end of the visit. The pamphlet contains an easy-to-read description of FIT screening adapted from the NYC department of health C5 Colorectal cancer (CRC) screening coalition pamphlet and lead-time CRC screening messaging tool, instructions on how to complete the test and the importance of FIT screening.

The information pamphlet will also contain a social norm driver that displays the sub-par screening rate the clinic compared to a collective New York State screening rate and a national screening rate goal set by the CDC.

Intervention Type: BEHAVIORAL

Information pamphlet

The information pamphlet is given to participants at the end of the visit. The pamphlet contains an easy-to-read description of FIT screening adapted from the NYC department of health C5 CRC screening coalition pamphlet and lead-time CRC screening messaging tool, instructions on how to complete the test and the importance of FIT screening.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

1. Patient at Bellevue Ambulatory Care Medicine Clinic between 1/1/2024 and 7/1/2024

2. Age 45-75 years old

1. Patient at Bellevue Ambulatory Care Resident Clinic

2. Age 45-75 years old

3. Has not had a FIT test within the past year

4. Can read either English or Spanish

5. Is able and willing to provide consent

1. Patient at Bellevue Ambulatory Care Resident Clinic

2. Age 45-75 years old

3. Has not had a FIT test completed within the past year

4. Can read either English or Spanish

5. Is able and willing to provide consent

Exclusion Criteria

1. Patient at a clinic that is not Bellevue Ambulatory Care Resident Clinic

2. Age outside of 45-75 years old

1. Patient at a clinic that is not Bellevue Ambulatory Care Resident Clinic

2. Age outside of 45-75 years old

3. Has had a FIT test completed within the past year

4. Cannot read either English or Spanish

1. Patient at a clinic that is not Bellevue Ambulatory Care Resident Clinic

2. Age outside of 45-75 years old

3. Has had a FIT test completed within the past year

4. Cannot read either English or Spanish

• Minimum Eligible Age: 45 Years
• Maximum Eligible Age: 75 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

NYU Langone Health

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Aasma Shaukat, MD

Role: STUDY_DIRECTOR

NYU Langone Health

Locations

NYU Langone Health

New York, New York, United States

Countries

United States

Central Contacts

Tianbo Jiang

Role: CONTACT

tianbojiang@gmail.com

347-209-0211

Other Identifiers

24-00165

Identifier Type: -

Identifier Source: org_study_id