Study of Adherence to Colonoscopy in Women

University of Colorado Denver (CU Denver)

Status: Completed

Conditions: Colonoscopy

Treatments: Other: Woman endoscopist; Other: Usual care

Study type: Interventional

Funder types: Other

Identifiers

NCT00883545

08-1045

Details and patient eligibility

About

The purpose of this study is to determine whether women who are offered screening colonoscopy will be more likely to schedule and complete this procedure if they are given the option of a woman endoscopist.

Full description

Colorectal cancer (CRC) is the third leading cause of cancer death in women. Although there are a variety of options for colon cancer screening, colonoscopy is thought to be the best modality for women. Despite recommendations by multiple societies, adherence to CRC screening among women is suboptimal. One possible barrier to adherence may be the gender of the endoscopist. Recent studies have shown that a large proportion of surveyed women would prefer a woman endoscopist. These studies suggest that having the option of a woman endoscopist would increase adherence to colonoscopy; however, there is no published literature that addresses this question.

Hypothesis

Women who are offered screening colonoscopy will be more likely to schedule and complete this procedure if they are given the option of a woman endoscopist.

Specific Aims

Primary

• Determine whether the option of a woman endoscopist is associated with increased woman patient adherence to screening colonoscopy.
• Assess the proportion of women who request a woman endoscopist when this option is made available to them.

Secondary

* Identify socio-demographic predictors of (a) completing a screening colonoscopy and (b) requesting a woman endoscopist (e.g. race/ethnicity, age, health insurance, marital status).

Enrollment: 625 patients

Sex: Female

Ages: 50 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Female gender
• Age between 50 and 70
• Receiving primary care at a University Medicine clinic

Exclusion criteria

• No visit to a University Medicine clinic in 18 months or more
• Deceased
• Pregnant
• Terminal or cancer diagnosis
• No longer receiving primary care at a University Medicine clinic

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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625 participants in 2 patient groups

Woman endoscopist

Experimental group

Treatment:

Other: Woman endoscopist

Usual care

Active Comparator group

Treatment:

Other: Usual care