Decision Aid to Technologically Enhance Shared Decision Making

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.

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Key information

Conditions

Colorectal Cancer Colonic Diseases Colorectal Neoplasms Digestive System Diseases Digestive System Neoplasms Gastrointestinal Diseases Gastrointestinal Neoplasms Intestinal Diseases Intestinal Neoplasms Neoplasms Neoplasms by Site Rectal Diseases

Age range

50 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Children's and Family Medical Clinic, Allen Park, Michigan, United States

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Colorectal Web

Behavioral

The intervention arm will allow participants on Colorectal Web to manipulate their preferences for CRCS

Primary outcomes

Number of Participants Reporting Preferred Screening Type as Reported by Chart Audits

Time frame: 6 months following intervention a chart audit will be conducted to determine if CRCS was completed.

Chart audits were conducted 6 months after the participant's study visit to determine if screening had occurred and if the type of screen was the same as the participant's preferred type of screening.

Sponsors and collaborators

Lead sponsor

University of Michigan

Other

Registry information

Acronym: DATES

Important dates

Study start: 2012
Primary completion: 2014
Study completion: 2015
First posted: Jan 23, 2012
Registry last updated: Sep 15, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed