The prospective cohort study will evaluate the effectiveness of patient navigation in
community health center settings. The investigators will collaborate with the advisory
board, composed of key clinicians and patients, researchers, and policymakers, to
establish a procedure to conduct and evaluate a patient navigation program that aims to
increase rates of follow-up colonoscopy among diverse patient populations served by
safety net clinics. Phase 1 will be a milestone-driven planning process in which the
investigators will validate the risk prediction model and apply the risk prediction model
to stratify the patients and adapt patient navigation materials for the local context.
Phase II will be a large-scale, patient randomized-controlled trial that will include
1200 patients at a large 34-clinic community health center in Washington State.
Study sponsor and potential other locations can be found on ClinicalTrials.gov for NCT03925883.
Locations matching your search criteria
United States
Oregon
Portland
Kaiser Permanente Northwest Center for Health ResearchStatus: Enrolling By Invitation
Name Not Available
The study will fulfill the following aims:
Aim 1: Validate externally the predictive risk score using Sea Mar CHC's robust data
including 29,000 patients age-eligible for colorectal cancer screening; stratify patients
according to risk of non-adherence to follow-up colonoscopy; and adapt patient navigation
program for the local context.
Aim 2: Assess the effectiveness, costs, and cost-effectiveness of a centralized,
phone-based patient navigation program for follow-up colonoscopy receipt for patients at
moderate risk or high risk for non-adherence.
Aim 3: Assess differences in the intervention arms in secondary outcomes (e.g. time to
colonoscopy receipt, no-show/canceled appointments, colonoscopy quality) and moderators
of intervention effectiveness (e.g. probability level, intervention dose, and patient
age, ethnicity, and sex)
Trial PhaseNo phase specified
Trial Typescreening
Lead OrganizationKaiser Permanente
