UH3 Project: Strategies and Opportunities to Stop Colorectal Cancer in Priority Populations (STOP CRC)

UH3 Project: Strategies and Opportunities to Stop Colorectal Cancer in Priority Populations (STOP CRC)

Principal Investigators:

Sponsoring Institution: Kaiser Permanente Center for Health Research

Collaborators:

  • Federally qualified health centers in the Oregon Community Health Information Network (OCHIN)

  • Group Health Cooperative

  • The National Center for Complementary and Integrative Health (NCCIH)

NIH Institute Providing Oversight: National Cancer Institute (NCI)

Program Official: Erica Breslau, PhD, MPH (NCI)

Project Scientist: Jerry Suls, PhD (NCI)

ClinicalTrials.gov Identifier: NCT01742065

Study Locations: Affiliated clinics in California and Oregon 

Trial Status: Completed

Study Snapshot

Trial Summary

Study question and significance: Federally qualified health centers have low rates of colorectal cancer screening. The objective of the study was to determine the effectiveness of an electronic health record (EHR)–embedded outreach program implemented in health centers as part of standard care to improve screening rates.

Design and setting: Cluster randomized trial in 26 federally qualified health center clinics in 8 health centers in Oregon and California with participants who were overdue for colorectal cancer screening. Of the 26 participating clinics, 13 received the intervention and 13 practiced usual care.

Intervention and methods: The intervention involved embedding a tool in the EHR to identify patients who were overdue for colorectal cancer screening, mailing a fecal immunochemical test (FIT) kit and reminder letter to eligible patients, and implementing a practice improvement process at participating clinics.

Findings: Compared with clinics that practiced usual care, intervention clinics had a significantly higher proportion of participants who completed a FIT (3.4 percentage points) and any colorectal cancer screening (3.8 percentage points). The improved screening rates occurred despite low and highly variable rates of implementation of the program.

Conclusions and relevance: An EHR-based mailed outreach program improved rates of colorectal cancer screening. Successful implementation of the outreach program was correlated with higher rates of FIT completion.

NIH Project Information

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