Multilevel approach to boost follow-up colonoscopy after abnormal FIT

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study tests a multilevel intervention aimed at increasing follow-up colonoscopy after an abnormal FIT result. Participants are adults 45 to 75 receiving care at specified UW/Fred Hutch clinics and who have had an abnormal FIT but not yet completed colonoscopy. They are randomized to usual care with a CRC screening navigator versus usual care plus a patient-facing video and transportation assistance to address common barriers. The intervention includes a patient navigator, an educational video delivered via QR code or link, and rideshare transportation after colonoscopy, with 18 months of follow-up after the intervention. Outcomes focus on the rate of completed colonoscopy and related process measures across groups.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* PATIENTS: Age \>= 45 years old and =\< 75 years old
* PATIENTS: Receives care at an Harborview Medical Center (HMC) or University of Washington-Kent-Des Moines (UW-KDM) or University of Washington- Federal Way (UW-Federal Way) primary care clinic
* PATIENTS: \>= 1 month from documented abnormal FIT result
* PATIENTS: Has not received a colonoscopy between the abnormal FIT and enrollment
* CLINIC STAFF: HMC, UW-Federal Way, or UW-KDM physician or staff member who provides primary care or gastroenterology care
* CLINIC STAFF: Staff in the Fred Hutchinson (Fred Hutch)/UW Medicine Population Health Program that provide colorectal cancer screening and navigation

Where it's running

• Fred Hutch/University of Washington Cancer Consortium
  Seattle, Washington, United States Recruiting

Study contacts

• Principal investigator: Rachel B. Issaka, MD, MAS — Fred Hutch/University of Washington Cancer Consortium
• Study coordinator: Rachel B. Issaka, MD, MAS
• Email: rissaka@fredhutch.org
• Phone: 206-667-1447

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.