Neoplasms

Respiratory Tract (Lung and Bronchial) Diseases

All Conditions

Urinary Tract, Sexual Organs, and Pregnancy Conditions

Skin and Connective Tissue Diseases

Digestive System Diseases

Lung Neoplasms

Prostatic Neoplasms

Breast Neoplasms

Uterine Cervical Neoplasms

Colonic Neoplasms

Urogenital Neoplasms

Genital Diseases

Urogenital Diseases

Uterine Neoplasms

Genital Neoplasms, Female

Uterine Cervical Diseases

Uterine Diseases

Genital Diseases, Female

Female Urogenital Diseases

Pregnancy Complications

Female Urogenital Diseases and Pregnancy Complications

Colorectal Neoplasms

Intestinal Neoplasms

Gastrointestinal Neoplasms

Digestive System Neoplasms

Gastrointestinal Diseases

Colonic Diseases

Intestinal Diseases

Providers receive standard written screening recommendations and do not receive academic detailing (educational outreach)

Providers receive standard written screening recommendations and receive academic detailing (educational outreach)

Providers receive color-coded written screening recommendations and do not receive academic detailing (educational outreach)

Providers receive color-coded written screening recommendations and receive academic detailing (educational outreach)

A summary of treatment recommendations for each cancer screening is color-coded to indicate the strength and direction of the recommendation

Color-coded materials

Educational outreach to address the rationale and data supporting recommendations for and against screening

Academic detailing

Screening recommendations presented in standard format

Standard support

Physician receives study orientation for not the academic detailing curriculum

No academic detailing

James A Talcott, MD SM

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.

Improving Compliance With Medical Testing Guidelines

measured by self- report in surveys to be determined

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Improving Compliance With Medical Testing Guidelines	NCT02430948	Breast Cancer Cervical Cancer Prostate Cancer Colon Cancer Lung Cancer	Color-coded mat... Academic detail... Standard suppor... No academic det...	30 Years - 89 Years	Beth Israel Medical Center
Improving Compliance With Medical Testing Guidelines	NCT02430948	Breast Cancer Cervical Cancer Prostate Cancer Colon Cancer Lung Cancer	Color-coded mat... Academic detail... Standard suppor... No academic det...	30 Years - 89 Years	Beth Israel Medical Center

Spots Global Cancer Trial Database for no academic detailing