Optimizing Navigation to Successful Colorectal Cancer Screening

Rush

Status: Completed

Conditions: Colorectal Cancer Screening

Treatments: Behavioral: Navigation

Study type: Interventional

Funder types: Other

Identifiers

NCT02192034

ACS255086

Details and patient eligibility

About

Colorectal cancer is the second leading cause of death from cancer in the United States. Two major barriers to successful colorectal cancer screening are appointment keeping and proper bowel preparation. The purpose of this study is to test the efficacy of a patient navigation program to increase colorectal cancer screening at Rush University Medical Center. The investigators hypothesize that colorectal cancer screening will be improved for subjects who utilize a patient navigator.

Enrollment: 156 patients

Sex: All

Ages: 40 to 75 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Subject deemed appropriate for colorectal cancer screening by colonoscopy by a primary care physician
• Age 50 or greater or 40 or greater with family history of colorectal cancer in first degree relative
• Average risk for screening as defined as absence of symptomatic abdominal pain and active GI bleeding

Exclusion criteria

• Age > 75 years old
• Congestive Heart Failure
• Chronic Obstructive Pulmonary Disease
• Myocardial Infarction
• Weight greater than 350 pounds
• Anticoagulation
• Inability to speak English

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Triple Blind

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156 participants in 2 patient groups, including a placebo group

Navigation Group

Experimental group

Description:

This group will receive standard clinic instructions for the colonoscopy and two additional phone calls from the patient navigator to discuss the purpose, preparation, and additional information regarding the colonoscopy procedure.

Treatment:

Behavioral: Navigation

Control

Placebo Comparator group

Description:

This group will receive only clinic instructions without intervention from the patient navigator.

Treatment:

Behavioral: Navigation