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Breast Cancer Outreach Among Primary Care Patients

Abramson Cancer Center at Penn Medicine logo

Abramson Cancer Center at Penn Medicine

Status

Completed

Conditions

Breast Cancer

Treatments

Behavioral: No Bulk Order
Behavioral: Bulk Order
Behavioral: Standard Endorsement
Behavioral: Texting
Behavioral: Clinician Endorsement

Study type

Interventional

Funder types

Other

Identifiers

NCT05089903
UPCC 15121
849863 (Other Identifier)

Details and patient eligibility

About

This project aims to evaluate different approaches to increase breast cancer screening among primary care patients at Penn Medicine through a centralized screening outreach program. In a pragmatic trial, the investigators will evaluate different approaches to increase completion of screening among eligible patients, including ordering mammograms in bulk prior to outreach, sending personalized text reminders, and endorsing of the communication by the primary care provider.

Full description

While mammograms are recommended by guidelines for early detection of breast cancer, mammogram rates are significantly lower now than they were prior to the initial COVID-19 pandemic surge in early 2020. In this project, the investigators will evaluate different ways of reaching out to eligible patients to encourage them to participate in breast cancer screening. Through letters, texting, and the electronic health record portal (MyPennMedicine (MPM)), the investigators will compare mammogram bulk orders, text messaging, and primary care provider endorsement to traditional outreach messaging with the goal of increasing breast cancer screening uptake.

Enrollment

24,680 patients

Sex

Female

Ages

40 to 74 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  1. Women ages 40-74
  2. Followed by Primary Care with a Penn Medicine PCP listed and at least one visit in the last 2 years
  3. Health Maintenance due (default biannual screening starting at age 50 or edit modifier based on input by clinician)

Exclusion criteria

  1. Currently scheduled for a mammogram
  2. History of bilateral mastectomy

Trial design

Primary purpose

Screening

Allocation

Randomized

Interventional model

Factorial Assignment

Masking

Double Blind

24,680 participants in 8 patient groups

No Order
Experimental group
Treatment:
Behavioral: No Bulk Order
No Order + Text (NO+T)
Experimental group
Treatment:
Behavioral: Texting
Behavioral: No Bulk Order
Bulk Order (BO)
Experimental group
Treatment:
Behavioral: Bulk Order
Bulk Order + Text (BO+T)
Experimental group
Treatment:
Behavioral: Bulk Order
Behavioral: Texting
Clinician Endorsement (CE)
Experimental group
Treatment:
Behavioral: Clinician Endorsement
Clinician Endorsement + Text (CE+T)
Experimental group
Treatment:
Behavioral: Texting
Behavioral: Clinician Endorsement
Standard Messaging (SM)
Experimental group
Treatment:
Behavioral: Standard Endorsement
Standard Messaging (SM+T)
Experimental group
Treatment:
Behavioral: Texting
Behavioral: Standard Endorsement

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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