Improving Uptake of Surveillance in Colorectal Cancer Survivors Through Navigation and Web Education

Fred Hutchinson Cancer Center (FHCC)

Status: Enrolling

Conditions: Stage I Colorectal Cancer AJCC v8; Stage II Colorectal Cancer AJCC v8; Stage III Colorectal Cancer AJCC v8

Treatments: Other: Survey Administration; Behavioral: Patient Navigation; Other: Internet-Based Intervention; Other: Electronic Health Record Review; Other: Educational Intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT06995924

NCI-2025-03304 (Registry Identifier)

20875 (Other Identifier)

RG1125283

Details and patient eligibility

About

This pilot clinical trial looks at whether patient navigation services, an interactive web education intervention, called Current Together After Cancer (CTAC), or both navigation and CTAC works to improve the uptake of surveillance in patients with stage I-III colorectal cancer (CRC). Post-treatment surveillance is critical to detect recurrence early, yet many CRC survivors do not receive recommended surveillance care. Surveillance is a complex process that includes laboratory tests, cross-sectional imaging, and endoscopic procedures. Patient navigation services, interactive web education, or a combination of both may improve surveillance care for patients with stage I-III colorectal cancer.

Full description

OUTLINE:

Patients are assigned to 1 of 3 arms based on the clinic location they receive cancer care at.

ARM A (VIRGINIA MASON): Patients receive access to navigation services, including education on surveillance care, reminders to complete care and assistance in scheduling surveillance, within 3 months of standard of care surgical resection for stage I-III CRC.

ARM B (FRED HUTCH [SOUTH LAKE UNION]): Patients receive access to the CTAC intervention, which includes self-directed, interactive web-based education about surveillance and a checklist of care, within 3 months of standard of care surgical resection for stage I-III CRC.

ARM C (FRED HUTCH [OVERLAKE]): Patients receive access to navigation services, including education on surveillance care, reminders to complete care and assistance in scheduling surveillance, and access to the CTAC intervention, which includes self-directed, interactive web-based education about surveillance and a checklist of care, within 3 months of standard of care surgical resection for stage I-III CRC.

Patients are followed up at 3 and 9 months post study-enrollment and 12-18 months after surgical resection.

Enrollment: 75 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Age ≥ 18 due to disease and clinic population
• Stage I-III CRC survivor within 3 months post-surgical resection
• Being seen at a participating clinic
• Ability to understand and complete surveys in English

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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75 participants in 3 patient groups

Arm A (navigation)

Experimental group

Description:

Patients at the Virginia Mason clinic location receive access to navigation services, in person, via telephone or via electronic conferencing platform, including education on surveillance care, reminders to complete care and assistance in scheduling surveillance, within 3 months of standard of care surgical resection.

Treatment:

Other: Electronic Health Record Review

Behavioral: Patient Navigation

Other: Survey Administration

Arm B (CTAC)

Experimental group

Description:

Patients at the Fred Hutch (South Lake Union) clinic location receive access to the online CTAC intervention, which includes self-directed, interactive education about surveillance and a checklist of care, within 3 months of standard of care surgical resection.

Treatment:

Other: Educational Intervention

Other: Electronic Health Record Review

Other: Internet-Based Intervention

Other: Survey Administration

Arm C (navigation and CTAC)

Experimental group

Description:

Patients at the Fred Hutch (Overlake) clinic location receive access to navigation services, in person, via telephone or via electronic conferencing platform, including education on surveillance care, reminders to complete care and assistance in scheduling surveillance, and access to the online CTAC intervention, which includes self-directed, interactive education about surveillance and a checklist of care, within 3 months of standard of care surgical resection.

Treatment:

Other: Educational Intervention

Other: Electronic Health Record Review

Behavioral: Patient Navigation

Other: Internet-Based Intervention

Other: Survey Administration