An automated intervention with stepped increases in support to increase uptake of colorectal cancer screening: a randomized trial.

ABSTRACT:

Background

Screening decreases colorectal cancer (CRC) incidence and mortality, yet almost half of age-eligible patients are not screened at recommended intervals.

Objective

To determine whether interventions using electronic health records (EHRs), automated mailings, and stepped increases in support improve CRC screening adherence over 2 years.

Design

4-group, parallel-design, randomized, controlled comparative effectiveness trial with concealed allocation and blinded outcome assessments. (ClinicalTrials.gov: NCT00697047)

Setting

21 primary care medical centers.

Patients

4675 adults aged 50 to 73 years not current for CRC screening.

Intervention

Usual care, EHR-linked mailings ("automated"), automated plus telephone assistance ("assisted"), or au

SUBMITTER: Green BB 

PROVIDER: S-EPMC3953144 | biostudies-literature | 2013 Mar

REPOSITORIES: biostudies-literature