Colorectal Cancer Screening Outreach for Better Adherence
Official title: Optimizing Evidence-Based Interventions to Improve Colorectal Cancer Screening Adherence in Community Health Clinics
Run by Yale University · NCT07345676 · Data updated 2026-11-12
This trial tests a bundled messaging approach to help adults at risk complete colorectal cancer screening.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 45 Years to 75 Years |
| Sex | All |
| Enrollment | 2000 (estimated) |
| Sponsor | Yale University Academic / other |
| Locations | 1 site (New Haven, Connecticut) |
| Status | Recruiting |
| Started | June 23, 2026 |
| Main results expected | April 2027 |
| Study ends | July 2027 |
| Registry record updated | July 7, 2026 |
| Trial ID | NCT07345676 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with an existing primary care relationship at Cornell Scott Hill Health who have an outstanding CRC screening order or an abnormal stool-based test without follow-up.
✕Probably not a fit
Patients who already completed screening or those not responsive to messaging may not experience benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This pragmatic, four-arm study targets adults with an established primary care relationship at Cornell Scott Hill Health. It uses a multicomponent messaging intervention to encourage completion of outstanding or abnormal colorectal cancer screening tests. Eligible participants include those with an incomplete colonoscopy or stool-based test and those with abnormal results lacking timely follow-up, with randomization occurring after a 90-365 day window from the initial order. The trial is led by Yale University, conducted at a New Haven, CT health system site, and focuses on real-world adherence rather than specialized laboratory outcomes.
Why it matters
Potential benefit: If successful, participants may complete recommended colorectal cancer screening more consistently, potentially enabling earlier detection.
How similar studies have gone: Previous similar approaches in screening programs have shown improvements in adherence, though results can vary by setting and implementation.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Established adult medicine patient at Cornell Scott Hill health (defined as having a CSHH primary care doctor or \>1 adult medicine visits in the last year). * Incomplete colorectal cancer screening test defined as an outstanding order for colonoscopy or stool-based CRC screening (e.g., fecal immunochemical test (FIT) or FIT-DNA testing), but no evidence of test completion at the time of randomization. Orders must have been placed between 90-365 days prior to randomization. OR * Abnormal stool-based test without follow-up, defined as an abnormal stool-based test result (e.g., positive FIT or FIT-DNA) with no completed diagnostic colonoscopy within 90 days of the result. Patients who meet this criterion will be included in a non randomized arm of the study. Exclusion Criteria: * Because this is a pragmatic study of a behavioral intervention to improve colorectal cancer screening adherence, any participants who otherwise meet the inclusion criteria will not be excluded.
Where it's running
-
Cornell Scott Hill Health
New Haven, Connecticut, United States Recruiting
Study contacts
- Principal investigator: Ilana Richman, MD — Yale University
- Study coordinator: Ilana Richman, MD
- Email: ilana.richman@yale.edu
- Phone: 203 737 1024
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.