Study of Patient Navigation to Reduce Social Inequalities

Not Applicable

Completed

• Conditions: Colorectal Cancer Screening
• Interventions: Other: Patient Navigation

• Registration Number: NCT01555450
• Lead Sponsor: Institut National de la Santé Et de la Recherche Médicale, France

Brief Summary

Variations in participation to the colorectal cancer screening seems to reveal social and geographical inequalities. Our study will investigate whether patient navigation could increase the participation to the colorectal cancer screening and in the same time, reduce the social inequalities.

Detailed Description

Not available

Study Timeline

• Study Start: 2011-03
• Status Verified: 2012-03
• Study First Submitted: 2012-03-13
• Study First Submitted QC: 2012-03-13
• Study First Posted: 2012-03-15
• Primary Completion: 2013-11
• Study Completion: 2013-11
• Last Update Submitted: 2015-02-23
• Last Update Posted: 2015-02-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 28929

Inclusion Criteria

• Insured people invited to the national french colorectal screening program are from 50 to 74 years old.
• We select people who never do the screening test or are not compliant with it
• Among these people we select those living in the randomized geographical areas.

Exclusion Criteria

• people who have already done the screening test at the two previous campaigns.
• people who have done a colonoscopy in the previous five years or people with a family history with colorectal cancer and people who are following outside of the screening program.
• people with other severe disease or in incapacity to realize the screening test
• people who have another exclusion criteria to realize the screening test.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
With Patient Navigator	Patient Navigation	People in this arm receive the Intervention of a Patient Navigator

Primary Outcome Measures

Name	Time	Method
Completion of colorectal cancer screening	2 years
Reduction of social inequalities	2 years	The participation rate to the colorectal cancer screening will be compared between privileged and deprived geographical areas for which the socio-economic status is measured with the Townsend index.

Secondary Outcome Measures

Name	Time	Method
Estimation of Cost effectiveness	2 years	We will assess the mean cost to navigate one person and compared it to a non navigate person. We will measure the cost effectiveness of the intervention in order to have the cost of the arising of 1% of the participation rate.
Evaluation of psychological mechanisms	2 years	Evaluation of cognitive, behavioural, emotional mechanisms influencing the colorectal screening participation

Trial Locations

Locations (1)

The french screening organization; 🇫🇷 Laon, Region of Picardie, France