Colon Cancer Clinical Trial
A Video Intervention to Decrease Patient Fear of Colonoscopy After a Positive Fecal Immunochemical Test
This clinical trial compares an educational video intervention versus usual care of no video intervention in decreasing patient fear of a colonoscopy procedure after receiving a positive fecal immunochemical test (FIT). The lack of a follow-up colonoscopy after an abnormal FIT result is associated with an increased risk of colorectal cancer mortality, advanced-stage colorectal cancer, among other complications, compared to the completion of a follow-up colonoscopy. An educational video may reduce patient fear and increase knowledge, self-efficacy, and intent to complete a colonoscopy compared to the usual care of no video intervention.
OUTLINE: Patients are randomized to 1 of 2 arms.
ARM 1: Patients watch an educational video about the importance of abnormal FIT results, the implications if follow-up colonoscopy is not completed, and demonstrate the steps to complete a colonoscopy.
ARM 2: Patients receive usual care and do not watch the educational video.
After completion of study, patients are followed for 12 months after their abnormal FIT result.
Have an assigned primary care provider in our partnering safety-net health system
Have a billable primary care encounter between 2019-2022
Have an abnormal FIT result for colorectal cancer (CRC) screening without a colonoscopy within 1 year
Ability to communicate in English due to initial videos being available in English
Adults < age 45 or > age 75
Patients who receive care at other University of Washington (UW) medicine sites (non-safety-net patients)
Individuals without a primary care encounter between 2019-2022
Individuals whose primary language is not English
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