What this study is
Gastrointestinal cancers such as colon cancer and liver cancer cause many deaths in the US. Testing could catch these cancers early, helping people live longer. The goal of this study is to compare two different ways of getting more people tested for these cancers: 1) by directly reaching out to the people who need testing or 2) by helping providers fix issues that hold up testing.
The main question it aims to answer is: how should healthcare systems go about choosing one or the other?
Researchers will look at cancer testing rates over time at sites that are trying these different approaches. They will also survey and interview participants from these sites.
What's being tested
- Patient Navigation
Intervention · BEHAVIORAL
Clinical Resource Hub (CRH) providers include a small group of nurses, advance practice providers, and physicians who work to improve care across a range of measures using virtual PN. CRH providers will 1) use existing dashboards to identify at-risk Veterans, 2) conduct Veteran outreach (two calls, one letter) to provide education, problem solve, and offer screening, 3) order and schedule HCC or CRC screening tests, and 4) provide reminders and follow up on results.
- Implementation Facilitation
Intervention · BEHAVIORAL
Facilitators will provide 20 hours of virtual facilitation to site teams, through 1-hour meetings every other week and ad hoc meetings, over 12 months. They will guide site teams through a seven-step playbook called Getting To Implementation (GTI), which uses a series of tools to select context-specific strategies.
Study details
- Official title
- Getting To Implementation: Comparing the Effectiveness of Implementation Strategies to Improve Cancer Screening for Veterans
- Sponsor
- University of Pittsburgh
- Conditions
- Cancer of Liver · Cancer of Colon · Cirrhosis
- Enrolling
- 30,300 people
- Starts
- 2024-07-15
- Est. completion
- 2030-02-28
- Design
- Open-label, randomized, parallel groups
- Record
- View on ClinicalTrials.gov ↗
Who can join
Age 18 Years and overSex ALLHealthy volunteers Not acceptedYou may qualify if
- Veterans:
- ≥18 years of age
- Enrolled in Veterans Health Administration (VA)
- Have ≥1 VA encounter in the prior 18 months
- Hepatocellular cancer (HCC) screening subgroup: Diagnosis of cirrhosis in electronic medical record
- Colorectal cancer (CRC) screening subgroup: ≥45 years of age, positive fecal immunochemical test (FIT) (or other screening stool test) in the last 18 months
- Providers:
- Healthcare provider or related staff at participating VA site or engaged in CRC or HCC screening pathways in an included VA site (e.g., scheduling)
- ≥18 years of age
You can't join if
- Veterans:
- <18 years of age
- Not enrolled in VA
- No VA encounters in the prior 18 months
- Limited life expectancy (< 6 months), defined as having a code for hospice
- Providers:
- Members of the study team will not participate, even if their sites are recruited
Sign in and we'll check these against your records.Full criteria on ClinicalTrials.gov ↗
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Study locations (1)
1 openVA Pittsburgh Healthcare System
Pittsburgh, Pennsylvania, United States
Study team
Sponsor
University of Pittsburgh
Study ID STUDY24010054
Principal investigator
Shari S Rogal, MD, MPH
University of Pittsburgh
Frequently asked questions
The sponsor hasn't published answers to common questions for this trial.