Geographically Clustered Mailing of Fecal Immunochemical Test (FIT) Kits

Launched by UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER · Oct 22, 2018

Keywords

ClinConnect Summary

Colorectal cancer (CRC) screening can save lives but is under-used, especially among minority and low-income patients in urban safety-net systems. Interventions among safety-net patients have improved screening but require additional refinement. For example, the investigators demonstrated that mailing free home fecal immunochemical tests (FIT) to urban safety-net patients doubled screening uptake (59% vs. 30%, p\<.001); however a full 41% who received FIT kits still did not complete screening. Drawing from economics, behavioral science, and healthcare delivery science, the investigators pro...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Males and females
• • Age 50-64 years
• • Seen at least one time at a Parkland primary care clinic within one year prior to randomization
• • Participants in Parkland's medical assistance program for the uninsured (Parkland Financial Assistance), Medicaid, or private/other insurance
• • All races and ethnicities
• Exclusion Criteria:
• * Up-to-date with CRC screening, defined by:
• • 1. Colonoscopy in the last 10 years
• • 2. Sigmoidoscopy in the last 5 years
• • 3. FIT in the last 11 months
• • Prior history of CRC, total colectomy, inflammatory bowel disease, or colon polyps
• • Address or phone number not on file
• • Incarcerated