Behavioral Nudges for Colon Cancer Screening
(PROMPT-CRC Trial)
Trial Summary
What is the purpose of this trial?
Screening is an important tool for early colorectal cancer detection, and the most recent evidence suggests that early detection significantly improves survival rates. Current medical guidelines recommend that all people aged 45 to 75 be screened regularly. However, actual rates of screening in the United States are much lower than this.Colonoscopy is the gold standard in colon cancer screening, serving as both screening and prevention. However there are many barriers to colonoscopy uptake, including lack of awareness, patient reticence, scheduling complexity, and market variation in access. Stool testing is a valuable alternative to colonoscopy for low-risk patients. Exact Sciences is the company that makes Cologuard, which is the current best-in-class stool testing for colon cancer screening.Despite being a convenient at-home screening option, patient engagement with screening via stool testing has room for improvement. Over 40% of Ascension patients who have a stool testing order placed for them never return the screening kit in the mail.A large body of research demonstrates that interventions informed by behavioral science can support patients in engaging in a variety of preventative health behaviors. Personalized nudges have proven to be among the most effective types of interventions, along with interventions aimed at helping patients overcome barriers to screening. We aim to test whether behavioral nudges can increase stool testing kit return rates.
Research Team
Emily Rosenzweig
Principal Investigator
Ascension Health
Eligibility Criteria
This trial is for people aged 45 to 75 who are due for colorectal cancer screening. It's designed to help those who may face barriers to traditional colonoscopy by using stool testing kits, which can be done at home.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Intervention
Participants receive behavioral nudges to increase stool testing kit return rates
Follow-up
Participants are monitored for kit return rates and lab results
Treatment Details
Interventions
- Three Messaging Nudges
Find a Clinic Near You
Who Is Running the Clinical Trial?
Emily Rosenzweig
Lead Sponsor