Community Engaged Colon Cancer Screening Patient Navigator Program

Not Applicable

Completed

• Conditions: ColoRectal Cancer
• Interventions: Behavioral: Non-Navigated; Behavioral: Screening patient navigation

• Registration Number: NCT03031171
• Lead Sponsor: University of Nevada, Reno

Brief Summary

The goal of the project is to increase colorectal cancer screening within the priority population of female and male adults age 50 to 85 in Northern Nevada. A successful community-based cancer patient navigator program will be modified in partnership with the community into a multi-level screening intervention.

Detailed Description

The goal of the project is to increase colorectal cancer screening within the priority population of female and male adults age 50 to 85 in Northern Nevada. A successful community-based cancer patient navigator program will be modified in partnership with the community into a multi-level screening intervention. A well-tested behavioral change theory (the health belief model; HBM) will guide the intervention and the relative efficacy of a) the theory's constructs and b) evidence-based intervention practices on increasing screening rates will be examined. Although increased screening rates are associated with program navigators, it is unclear which program components are related to the outcome. In addition, there is ambiguity surrounding a) the temporal impact of the HBM on cancer screening and b) the relationships among the model's constructs. A quasi-experimental time-series design will be used to evaluate the outcome objective of increased screening rates by comparing screening rates one year pre- and post-intervention and whether navigated patients are better prepared for screening than non-navigated patients. A minimum of 315 participants (to correspond with a power level of .80) in the navigator program will be surveyed on knowledge about colorectal cancer, and satisfaction with and usefulness of the program. The anticipated contribution of the project will be to increase community efficacy, colorectal cancer screening in the project area, and to reduce cancer morbidity and mortality.

Study Timeline

• Study Start: 2010-04
• Primary Completion: 2011-08
• Study Completion: 2011-09
• Status Verified: 2016-11
• Study First Submitted: 2017-01-21
• Study First Submitted QC: 2017-01-21
• Last Update Submitted: 2017-01-21
• Study First Posted: 2017-01-25
• Last Update Posted: 2017-01-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 415

Inclusion Criteria

• Insurance, no history of colon cancer,

Exclusion Criteria

• No experience of relevant GI symptoms

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Non-Navigated	Non-Navigated	Randomly matched sample of non-navigated clinic patients
Navigated: Screening patient navigation	Screening patient navigation	Clinic patients who received navigation

Primary Outcome Measures

Name	Time	Method
Colonoscopy completion	2 years

Trial Locations

Locations (1)

Univeristy of Nevada, Reno; 🇺🇸 Reno, Nevada, United States