Reducing Cancer Disparities for American Indians in the Rural Intermountain West

Not Applicable

Completed

• Conditions: Prostate Cancer; Colorectal Cancer; Breast Cancer; Cervical Cancer; Lung Cancer
• Interventions: Behavioral: Navigation Services; Behavioral: Cancer education

• Registration Number: NCT00380055
• Lead Sponsor: University of Utah

Brief Summary

The purpose of this demonstration is to evaluate the effectiveness of using community outreach workers (navigators) to help American Indians living in rural areas overcome barriers to appropriate cancer screening, diagnosis, and treatment.

Detailed Description

Even for American Indians who have coverage with Medicare, disparities have been noted in the provision of cancer screening, diagnosis, and treatment. These disparities have been related to a variety of health-system, health-financing, geographic, and cultural barriers. We hypothesize that the use of lay community outreach workers will be an effective means of identifying and overcoming these barriers in order to improve the proportion of Medicare-eligible American Indians who receive recommended screening and diagnosis for prostate, breast, colon, and cervical cancer, and the proportion of individuals receiving appropriate treatment for prostate, breast, colon, cervical, and lung cancer. Community clusters randomized to this form of cancer navigation will be compared with community clusters randomized to receive educational outreach only.

Study Timeline

• Study First Submitted: 2006-09-22
• Study First Submitted QC: 2006-09-22
• Study First Posted: 2006-09-25
• Study Start: 2006-10
• Primary Completion: 2010-12
• Study Completion: 2010-12
• Status Verified: 2011-09
• Last Update Submitted: 2011-09-19
• Last Update Posted: 2011-09-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1800

Inclusion Criteria

• Enrolled in Medicare Part B
• Self-reported American Indian

Exclusion Criteria

• Have cancer other than study cancer
• Medicare Part C enrolled

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Screening Navigation	Navigation Services	Individuals without a study cancer who receive services of a navigator.
Treatment Navigation	Navigation Services	Individuals with a study cancer who receive navigation services.
Screening Education	Cancer education	Rather than receiving navigation, these participants receive general cancer education appropriate to Medicare enrollees.
Treatment Education	Cancer education	Rather than receiving navigation services, these participants receive cancer education appropriate to Medicare recipients.

Primary Outcome Measures

Name	Time	Method
Proportion of individuals receiving recommended screening for prostate, breast, colorectal, and cervical cancer.	four years

Secondary Outcome Measures

Name	Time	Method
Proportion of individuals receiving recommended diagnostic follow-up for prostate, breast, colorectal, and cervical cancer.	four years
Proportion of individuals receiving recommended treatment for prostate, breast, colorectal, cervical, and lung cancer.	four years
Cost-effectiveness of using community navigators to improve cancer care among rural Native Americans.	10 years

Trial Locations

Locations (2)

Sletten Cancer Institute; 🇺🇸 Great Falls, Montana, United States

Huntsman Cancer Institute; 🇺🇸 Salt Lake City, Utah, United States