Decision Aid to Technologically Enhance Shared Decision Making
| Status: | Completed |
|---|---|
| Conditions: | Colorectal Cancer, Cancer |
| Therapuetic Areas: | Oncology |
| Healthy: | No |
| Age Range: | 50 - 75 |
| Updated: | 4/21/2016 |
| Start Date: | May 2012 |
| End Date: | April 2015 |
Physicians face a challenge in promoting colorectal cancer screening (CRCS) in the face of
multiple competing demands. A decision aid (DA) that clarifies patient preferences and
improves decision quality could aid shared decision making (SDM) and be effective at
increasing CRCS rates. However, exactly how such DA improves SDM is not clear. This 4-year
R01 study funded by the National Cancer Institute seeks to provide detailed understanding of
how an interactive DA affects patient-physician communication and SDM, and ultimately CRCS
adherence.
multiple competing demands. A decision aid (DA) that clarifies patient preferences and
improves decision quality could aid shared decision making (SDM) and be effective at
increasing CRCS rates. However, exactly how such DA improves SDM is not clear. This 4-year
R01 study funded by the National Cancer Institute seeks to provide detailed understanding of
how an interactive DA affects patient-physician communication and SDM, and ultimately CRCS
adherence.
This two-armed randomized controlled trial (300 patients/arm) will compare Colorectal Web
(CW), the interactive DA, to a non-interactive control website in ten practices in Metro
Detroit. Patients will be adults aged 50 years and over, not current on CRCS. In the clinic
before the patient-physician encounter, participants will complete a Patient Baseline
Survey. They will be randomized to CW or the control website. Data will be collected after
the patient reviews the respective website (Post-Intervention Survey), during the
patient-physician encounter (digital audio recording), and after it (Post-Encounter Survey).
Chart audit will be performed six months after the encounter to determine whether the
patient underwent CRCS.
(CW), the interactive DA, to a non-interactive control website in ten practices in Metro
Detroit. Patients will be adults aged 50 years and over, not current on CRCS. In the clinic
before the patient-physician encounter, participants will complete a Patient Baseline
Survey. They will be randomized to CW or the control website. Data will be collected after
the patient reviews the respective website (Post-Intervention Survey), during the
patient-physician encounter (digital audio recording), and after it (Post-Encounter Survey).
Chart audit will be performed six months after the encounter to determine whether the
patient underwent CRCS.
Inclusion Criteria:
- 50-75 years of age
- not current with colorectal cancer screening
- scheduled for HME, Health Maintenance Exam, or chronic care visit with participating
physician
- able to read English
- current contact information
Exclusion Criteria:
- history of colon cancer or adenomatous polyps
- history of dementia or psychosis
- contraindication to CRCS
We found this trial at
14
sites
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials