Improving Compliance With Medical Testing Guidelines



Status:Recruiting
Conditions:Breast Cancer, Lung Cancer, Prostate Cancer, Colorectal Cancer, Cervical Cancer, Cervical Cancer, Cancer, Cancer, Cancer, Cancer, Cancer, Women's Studies
Therapuetic Areas:Oncology, Reproductive
Healthy:No
Age Range:30 - 89
Updated:4/21/2017
Start Date:January 2014
End Date:June 2018
Contact:Gina Aharonoff, MPH
Email:GAharonoff@chpnet.org
Phone:212-844-6276

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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.

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.

Inclusion Criteria:

- Patients: healthy men and women ages 30-89 seeing their primary care provider for
routine visit

- Providers: non-pediatric primary care physicians from Mount Sinai Beth Israel or St.
Luke's-Roosevelt associated practices

Exclusion Criteria:

- Patient life expectancy of less than 1 year in primary care provider's judgment

- Inability to read and understand English

- Transgender status
We found this trial at
2
sites
New York, New York 10019
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New York, New York 10003
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