Study of Patient Navigation to Promote Colon Cancer Screening

Not Applicable

Completed

• Conditions: Colorectal Cancer Screening
• Interventions: Other: Patient navigation; Other: Usual care

• Registration Number: NCT01141114
• Lead Sponsor: Cambridge Health Alliance

Brief Summary

This study will investigate whether patient navigation can increase rates of colorectal cancer screening among linguistically and culturally diverse disadvantaged patients served by urban community health centers.

Detailed Description

Not available

Study Timeline

• Study Start: 2008-09
• Primary Completion: 2010-03
• Study Completion: 2010-03
• Study First Submitted: 2010-06-09
• Study First Submitted QC: 2010-06-09
• Study First Posted: 2010-06-10
• Status Verified: 2017-04
• Last Update Submitted: 2017-04-17
• Last Update Posted: 2017-04-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 465

Inclusion Criteria

• Patients aged 52-75 who had one visit to a primary care physician in a community health center in each of the 2 previous years and who have not received colorectal cancer screening based on HEDIS criteria.

Exclusion Criteria

• Current cancer diagnosis, undergoing treatment (or treatment completed within the past year)
• Severe cardiac disease (high-risk CAD,9 valvular disease, NYHA Class III or IV CHF, EF < 35%)
• Severe COPD (FEV1< 1liter or on home oxygen)
• CVA with severe functional impairment (aphasia or hemiparesis)
• MS with severe functional impairment
• Renal failure with CrCl< 30 or on dialysis
• Gastrointestinal symptoms (pain, bleeding, etc) within the past 6 months
• Chronic active liver disease or cirrhosis, with albumin < 3 or elevated INR
• Advanced HIV disease (CD4 count <200)
• Severe lupus (with cerebritis or renal failure as defined above)
• Severe complications of diabetes (blindness, amputations other than toes)
• Advanced Dementia
• Psychosis
• Paranoia
• Active substance abuse
• Schizophrenia
• Psychiatric hospitalization within the past year

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Use of a Patient Navigator	Patient navigation	-
Usual Care	Usual care	No Intervention - usual care

Primary Outcome Measures

Name	Time	Method
completion of colorectal cancer screening	1 year

Secondary Outcome Measures

Name	Time	Method
Comparison of detection of polyps and cancers in intervention vs. control groups	1 year

Trial Locations

Locations (1)

Cambridge Health Alliance; 🇺🇸 Cambridge, Massachusetts, United States