Colorectal Cancer Screening Preventive Reminder Ordering AssistanCe Via Texting for Improved Visit Encounters

Part of paid clinical trials in Philadelphia, Pennsylvania.

Sponsor
University of Pennsylvania
Study ID
NCT07636174
Status
Not Yet Recruiting

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Conditions

  • Behavior, Health

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Post-visit patient messaging — BEHAVIORAL
    All patients who complete their primary care visit and whose provider signed a colonoscopy or FIT order at their office visit will be sent post-visit text messages 7 and 14 days after visit completion, if they have not yet scheduled or completed their overdue CRC screening. The messages delivered at 7 and 14 days will remind patients that appointments for their colonoscopy are available for them and provide phone number(s) to call for scheduling, or the messages will remind patients to return their FIT kit in the mail. We will translate patient text messages into Spanish for patients who require an interpreter according to their language preferences in the EHR. Patients will also have the option to engage with a bi-directional support menu via text message.

Study Details

Colorectal cancer (CRC) is the second leading cause of cancer death in the United States. A substantial portion of the United States population remains overdue for screening, despite availability and insurance coverage of preventive health services. Barriers for completion and remaining up to date with screening include patients not remaining actively engaged with their care team, time constraints during office visits, and operational strain. This project aims to implement and evaluate a primary care visit-based outreach program that improves patient follow through on completion of overdue CRC screening. This will be a 6 month, stepped-wedge, pragmatic trial conducted at Penn Medicine.

Key Dates

Start date
Jun 8, 2026
Status verified
Jun 2026
Primary completion
Feb 23, 2027
Completion
May 23, 2027

Study Design

Enrollment
3,888 participants (estimated)
Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • No Intervention: Control Condition
    During the control condition, clinics will receive standard of care.
  • Experimental: Active Intervention
    During the active intervention, clinics will receive patient facing nudges. Patient nudges will be post-visit text message reminders about their overdue CRC screening.

Primary Outcome Measure

Colonoscopy Completion (6 months) [ Time Frame: Within 6 months after first eligible primary care visit. ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
University of Pennsylvania Health SystemPhiladelphiaPennsylvania19104
Caitlin Brophy
[email protected]
267-566-4956
Shivan Mehta (PRINCIPAL_INVESTIGATOR)

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By research site
University of Pennsylvania Health System· Philadelphia, PA

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