NCT02430948

Improving Compliance With Medical Testing Guidelines

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 218 (actual)
• Sponsor: Beth Israel Medical Center · Academic / Other
• Sex: All
• Age: 30 Years – 89 Years
• Healthy volunteers: Accepted

Summary

The study hypothesis is that clearer visual presentation of guideline recommendations and educational outreach, or academic detailing, can improve guideline compliance. However, it will investigate other aspects of screening-related decision-making, such as provider and patient beliefs about screening, provider-patient communication and patient's willingness to forgo expected testing. The research question is whether educational interventions can decrease non-compliance with screening guidelines for 5 common cancers.

Detailed description

This study is a cluster randomized trial that compares the immediate post-encounter impressions of 12 physicians and 18 of their patients about the discussion of screening for breast, cervical, colorectal, lung and prostate cancer as well as their beliefs about screening efficacy and patient reports of the screening experience. The interventions are educational materials and academic detailing (educational outreach) for providers. The investigators are particularly interested in contrasting the patient and provider recollections, the differential impact on underuse and overuse compliance and whether patient behaviors are consistent with their stated screening plans.

Conditions

• Breast Cancer
• Cervical Cancer
• Prostate Cancer
• Colon Cancer
• Lung Cancer

Interventions

Type	Name	Description
OTHER	Color-coded materials	A summary of treatment recommendations for each cancer screening is color-coded to indicate the strength and direction of the recommendation
OTHER	Academic detailing	Educational outreach to address the rationale and data supporting recommendations for and against screening
OTHER	Standard support	Screening recommendations presented in standard format
OTHER	No academic detailing	Physician receives study orientation for not the academic detailing curriculum

Timeline

• Start date: 2014-01-01
• Primary completion: 2017-02-01
• Completion: 2017-02-01
• First posted: 2015-04-30
• Last updated: 2019-07-26

Locations

2 sites across 1 country: United States