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

  • End date
    Jun 30, 2022
  • participants needed
  • sponsor
    University of California, San Francisco
Updated on 6 September 2021


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.



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.


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.

Condition Ductal Carcinoma In Situ, Colorectal Cancer, Rectal disorder, Breast Cancer, Breast Cancer Diagnosis, breast carcinoma, colorectal cancers
Treatment questionnaire administration, informational intervention, survey administration, Best Practice
Clinical Study IdentifierNCT05021172
SponsorUniversity of California, San Francisco
Last Modified on6 September 2021


Yes No Not Sure

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

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)
Clear my responses

How to participate?

Step 1 Connect with a study center
What happens next?
  • You can expect the study team to contact you via email or phone in the next few days.
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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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