Patient Navigation for Colorectal Cancer Screening

(SCREEN Trial)

Recruiting in Palo Alto (17 mi)

+14 other locations

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: Medstar Health Research Institute

No Placebo Group

Trial Summary

What is the purpose of this trial?

Patient navigation is an evidence-based strategy to increase screening rates among racial and ethnic minorities, but there is a gap in understanding the multi-level influences on implementation of such programs across primary care practices. The investigators will conduct a stepped-wedge, randomized trial to roll out patient navigation and patient and provider reminders across 15 clinics (3 clinics per step, 5 six-month steps). Implementation strategies will include assessing for readiness, audit and feedback, building a community coalition, engaging consumers, modifying referral tracking, and training and educating clinical stakeholders. The research team will use the electronic health record data with consideration for the Observational Medical Outcomes Partnership (OMOP) Common Data Model, additional patient-reported data, and study tracking logs to measure reach, effectiveness, adoption, implementation, and will use qualitative measures and site observations to document contextual factors, including examination of discrimination in patient experiences and provider referral patterns that may influence intervention delivery or colorectal cancer screening completion.

Eligibility Criteria

This trial is for individuals from racial and ethnic minorities who are due for colorectal cancer screening. It aims to understand how well a patient navigation program works in different primary care clinics.

Inclusion Criteria

Identify as Black or Hispanic/Latino

I am between 45 and 75 years old.

I am due for a colorectal cancer screening.

Participant Groups

The study tests the effectiveness of patient navigation, reminders, and other strategies to improve colorectal cancer screening rates across 15 clinics using a stepped-wedge randomized design over five six-month steps.

Group I: Patient navigation Experimental Treatment 1 Intervention

Patient navigation will be rolled out at the clinic level (15 clinics). Referral orders will become available to participating clinics, with education and audit and feedback for providers. The study team will tailor patient navigation supports by clinic site for specifics on how the intervention is delivered.

Group II: Usual care Active Control 1 Intervention

Find a Clinic Near You

Research Locations Nearby Select from list below to view details:

Internal Medicine Clinton Clinton, MD

Family Medicine Olney, MD

Olney Prof Park Olney, MD

Family Medicine Gaithersburg, MD

More Trial Locations

Who Is Running the Clinical Trial?

Medstar Health Research Institute Lead Sponsor

National Committee for Quality Assurance Collaborator

References