Decision Counseling and Follow-up for Shield+ Patients
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Decision Counseling Session.
- Who it may be relevant to
- Registry conditions: Colo-rectal Cancer. Basic parameters: 45 years — 75 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Decision Counseling and Follow-up (DCaF) for Shield+ Patients
Overview
Prospective, observational, minimal-risk study evaluating decision-making, decisional conflict, intention to undergo complete diagnostic evaluation (CDE), and colonoscopy completion after a positive Shield TM blood-based colorectal cancer screening test result.
Detailed description
The DCaF study uses a prospective, observational design to characterize how patients make decisions following a Shield(+) screening result and to assess real-world adherence to recommended diagnostic colonoscopy. Because the intervention of interest is the patient's naturally occurring decision-making process-not the performance of the test itself-a non-interventional design is methodologically appropriate and minimizes participant burden. Incorporating decision counseling allows systematic evaluation of changes in preference, decisional conflict, and intention, while linkage to real-world evidence (RWE) claims data provides an efficient and objective method for determining colonoscopy completion. This approach enables the study to identify behavioral, clinical, and system-level factors associated with follow-up adherence without altering standard clinical care.
Interventions
- Behavioral Decision Counseling Session
During the decision counseling session, JH research staff will review the Complete Diagnostic Evaluation (CDE) infographic and use an online survey to guide the participant through a telephone encounter that involves the identification of patient goals that are likely to affect their decision to have CDE and not to have CDE.
Primary outcome measures
- CDE Decisional Conflict [Time frame: From Enrollment to the end of study at 6 months]
- Factors for CDE Decisional Conflict [Time frame: From Enrollment to End of Study at 6 months]
- Factors for Changes in CDE Decisional Conflict [Time frame: From Enrollment to End of Study at 6 months]
Eligibility criteria
Inclusion criteria
- Participant is 45-75 years old at the time of ShieldTM test order.
- Participant has a valid Shield(+) test result.
- Participant is willing and able to complete the informed consent process
- Participant is able to complete the informed consent process and decision counseling session in English
Exclusion criteria
- Participant is already enrolled in another Guardant Health, Inc. clinical study or has received a positive MCD result for a cancer type other than CRC.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Cohort
Study locations
United States · 1 center
- Jefferson Center — Philadelphia
Identifiers
NCT: NCT07620535 · 07-GI-008