MedPath

Patient Navigation 2.0

Not Applicable
Active, not recruiting
Conditions
Cancer
Registration Number
NCT04234646
Lead Sponsor
Northwestern University
Brief Summary

This study evaluates whether a "Patient Navigation 2.0 Checklist" intervention is effective in addressing patients' social determinants of health and recommended cancer-related screenings, behavioral counseling, and immunizations.

Detailed Description

Cancer patient navigation (PN) is an effective strategy for resolving patient barriers to care and improving completion and consistency of cancer screening, follow-up of abnormal findings, and treatment initiation. However, as the current standard one-on-one PN model is challenging to scale across cancers and economically difficult to sustain, the investigators propose to convert one-on-one PN into a learning health system "PN 2.0 Checklist" that will help coordinate navigation workflow and integrate clinical team members with community/local resources. This pragmatic, randomized trial tests whether this checklist strategy is as effective as one-on-one PN in addressing patients' social determinants of health and recommended cancer-related screenings, behavioral counseling, and immunizations.

In this study, half of the participants will be navigated using the "PN 2.0 Checklist". The other half will be navigated using the "One-on-One PN". All participants enrolled in the study will be asked to report their utilization of health services and be asked to complete a patient survey at the beginning of the program and every 6 months.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
600
Inclusion Criteria
  • Age 21 or older
  • Reside in one of the eight Chicago zip codes corresponding to Chinatown's geographical boundaries: 60605, 60607, 60608, 60609, 60616, 60623, 60632, 60653
  • Self-identify as Chinese
  • Not cognitively impaired
  • Have the ability to participate in verbal survey in Cantonese, English, Mandarin, or Toishanese
Exclusion Criteria
  • Cognitive impairment
  • Incarceration
  • Under 21 years of age
  • Adult unable to consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Patient Receipt of Clinical Cancer Preventive Services and Resolution of Social Determinants of Health Barriersthrough study completion, an average of 18 months

Patient Receipt of Clinical Cancer Preventive Services and Resolution of Social Determinants of Health (SDoH) Barriers is an adjusted, composite proportion of items completed/resolved in 2 domains: (1) USPSTF recommended cancer screenings, behavioral counseling, and immunizations; and (2) SDoH barriers resolved from those identified in the Accountable Health Communities Health-Related Social Needs (AHC HRSN) Screening Tool

Secondary Outcome Measures
NameTimeMethod
Timeliness of diagnostic resolutionthrough study completion, an average of 18 months

Time from an abnormal screening result to diagnostic resolution

Timeliness of treatment initiationthrough study completion, an average of 18 months

Time from diagnostic resolution to initiation of treatment

Trial Locations

Locations (1)

Northwestern

🇺🇸

Chicago, Illinois, United States

Northwestern
🇺🇸Chicago, Illinois, United States
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