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CompletedNCT05021172Updated Jul 11, 2022

Incorporating ePrognosis for the Encouragement of Smarter Screening for Breast and Colorectal Cancer in Older Adults

An interventional study of Best Practice and Informational Intervention in Breast Carcinoma and Colorectal Carcinoma, sponsored by University of California, San Francisco. Completed at 1 site in United States. Open to participants aged 70 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-07-11.

Sponsored by University of California, San Francisco · Not applicable, Interventional, and Screening

Phase
Not applicable
Study type
Interventional
Enrollment
75
Allocation
Randomized
Ages
70 Years and older
Sex
All
01

Study summary

This clinical trial assesses the feasibility and acceptability of a smarter screening intervention for breast and colorectal cancer in older adults. This study aims to learn more about how to support patients and physicians in making cancer screening decisions for older adults.

Read the detailed description

PRIMARY OBJECTIVES:

I. Complete development of and refine "Smarter Screening", a multi-component, patient-centered intervention centered around ePrognosis: Cancer Screening to facilitate shared decision-making screening discussions for breast and colorectal cancer in older adults.

II. Assess feasibility and acceptability of the "Smarter Screening" intervention and assess its impact versus usual care on shared decision-making about whether or not to continue breast and colorectal cancer (CRC) screening among multi-ethnic and socioeconomically diverse primary care patients.

EXPLORATORY OBJECTIVES:

I. Impact on breast and CRC screening versus usual care.

II. Risk perception, worry, and a patient-reported measure of decision quality.

OUTLINE: Participants are randomized to 1 of 2 arms.

ARM I: Participants receive Passport to Health booklet and complete ePrognosis before scheduled primary care visit.

ARM II: Participants receive usual care before scheduled primary care visit.

After completion of study, participants are followed up at 1 week post primary care visit.

02

Conditions studied

  • Breast Carcinoma
  • Colorectal Carcinoma
03

In context

Carcinoma

6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.

This study's enrollment of 75 is above the median of 45 across 5,170 interventional studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

University of California, San Francisco is the lead sponsor of 2,132 studies on the registry; 375 are open to participants now.

Of its 262 completed or terminated interventional studies of FDA-regulated products, 196 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
70 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Age 70 years and above
  • Ability to understand study procedures and to comply with them for the entire length of the study
  • Ability of individual to understand a written informed consent document, and the willingness to sign it
  • Have no prior history of cancer
  • Scheduled for an upcoming appointment in University of California, San Francisco (UCSF) General Internal Medicine or Women's Health Primary Care clinics
  • English-speaking

Exclusion criteria

Exclusion Criteria:

  • Contraindication to any study-related procedure or assessment
  • Non-English speaking
  • Are under the current medical care of either the study primary investigator (PI) or co-investigator (Co-I)
05

Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
75 participants (actual)

Study arms

  • Experimental
    Arm I (Passport to Health booklet, ePrognosis)

    Participants receive Passport to Health booklet and complete ePrognosis before scheduled primary care visit.

    Other: Informational Intervention · Other: Questionnaire Administration

  • Active comparator
    Arm II (usual care)

    Participants receive usual care before scheduled primary care visit.

    Other: Best Practice · Other: Survey Administration

Interventions

  • OtherBest Practice

    Receive usual care

    Also known as: standard of care, standard therapy

  • OtherInformational Intervention

    Receive Passport to Health booklet

  • OtherQuestionnaire Administration

    Complete ePrognosis

  • OtherSurvey Administration

    Ancillary studies

06

What researchers measure

Primary outcomes

  1. Proportion of participants enrolled

    Ability to successfully recruit the target of approximately 40 patients will be determined by the overall number of participants who were screened for enrollment compared to the overall number of participants who were randomized to one of the groups.

    Time frame: 6 months

  2. Proportion of primary care physicians (PCPs) enrolled

    Ability to successfully recruit PCPs will be determined by the overall number of physicians who were contacted compared to the overall number of physicians who actively participated over the course of the study.

    Time frame: 6 months

  3. Percentage of participants enrolled at 6 months

    The investigators aim to attain at least 75% of recruited patients in each arm at the 6 month follow-up.

    Time frame: 6 months

  4. Proportion of participants who received an ePrognosis report

    The proportion of participants who received an ePrognosis report will be reported

    Time frame: 6 months

  5. Proportion of physicians who utilized the ePrognosis clinician report

    All enrolled intervention PCPs will receive a web-based survey after each patient visit to record whether the physicians used and/or discussed ePrognosis in that visit. The proportion of physicians who use the ePrognosis clinician report in their cancer screening counseling with participants/patients will be reported

    Time frame: 6 months

  6. Responses to Qualitative Acceptability survey

    A survey will be provided to PCPs and used to measure acceptability of the ePrognosis report by asking patients and providers to provide feedback about the intervention, including likes and dislikes, and future recommendation of using the report provided.

    Time frame: 6 months

Other outcomes

  1. Proportion of patients screened for breast cancer

    The impact on breast cancer screening versus usual care will be measured by comparing the proportion or participants who were screened for cancers by treatment arm.

    Time frame: 6 months

  2. Proportion of patients screened for colorectal cancer

    The impact on colorectal cancer screening versus usual care will be measured by comparing the proportion or participants who were screened for cancers by treatment arm.

    Time frame: 6 months

07

Study locations

1 site
  • University of California San Francisco
    San Francisco, California 94143, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 11, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05021172
Lead sponsor
University of California, San Francisco
Collaborators
Mount Zion Health Fund
Responsible party
Sponsor
First posted
Aug 25, 2021
Start date
Aug 24, 2021
Primary completion
Jun 30, 2022
Completion
Jun 30, 2022
Last update
Jul 11, 2022

Study contacts

Judith M Walsh-Cassidy, MD
principal investigator · University of California, San Francisco

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2022. You cannot join it, but the record below documents what was studied.

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