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Spots Global Cancer Trial Database for Patient Navigation for Colorectal Cancer Screening

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We do not endorse or review these studies in any way.

Trial Identification

Brief Title: Patient Navigation for Colorectal Cancer Screening

Official Title: Bridging the Gap: Delivering Equitable Colorectal Cancer Screening

Study ID: NCT06401174

Study Description

Brief Summary: 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.

Detailed Description: Colorectal cancer (CRC) screening is recommended by the United States Preventative Services Task Force for adults age 45-75. Patient navigation is an evidence-based strategy to increase screening rates among racial and ethnic minorities. While patient navigation is an evidence-based approach to improve screening, there is a gap in understanding the multi-level influences on implementation of such programs across primary care practices, particularly using a health-equity focused, stakeholder-centered approach. Guided by the Practical, Robust Implementation and Sustainability Model (PRISM) and core health and racial equity principles, the investigative team aims to increase reach of patient navigation and show effectiveness through improvement in the percentage of Black and Hispanic patients completing CRC screening. Investigators will also utilize longitudinal tracking of implementation strategies to better track implementation or intervention adaptations navigation delivery in order to inform future scale up. The research team will conduct a stepped-wedged, 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. Researchers 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 CRC screening completion.

Eligibility

Minimum Age: 45 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: ALL

Healthy Volunteers: No

Locations

Internal Medicine Wisconsin Avenue, Washington, District of Columbia, United States

Family Medicine Spring Valley, Washington, District of Columbia, United States

Primary Care Lafayette, Washington, District of Columbia, United States

Family Medicine Fort Lincoln, Washington, District of Columbia, United States

Honeygo, Baltimore, Maryland, United States

MedStar Adult Medicine at Union Memorial, Baltimore, Maryland, United States

Harbor Hospital Primary Care Federal Hill, Baltimore, Maryland, United States

Franklin Square, Baltimore, Maryland, United States

Primary Care at Franklin Square, Baltimore, Maryland, United States

Charlotte Hall, Charlotte Hall, Maryland, United States

Internal Medicine Clinton, Clinton, Maryland, United States

Family Medicine, Gaithersburg, Maryland, United States

Internal Medicine Hyattsville, Hyattsville, Maryland, United States

Family Medicine, Olney, Maryland, United States

Olney Prof Park, Olney, Maryland, United States

Contact Details

Useful links and downloads for this trial

Clinicaltrials.gov

Google Search Results

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