Patient Navigation 2.0

Northwestern University

Status: Active, not recruiting

Conditions: Cancer

Treatments: Behavioral: One-on-one Patient Navigation (PN); Behavioral: Patient Navigation (PN) 2.0 Checklist

Study type: Interventional

Funder types: Other

Identifiers

NCT04234646

STU00211685

Details and patient eligibility

About

This study evaluates whether a "Patient Navigation 2.0 Checklist" intervention is effective in addressing patients' social determinants of health and recommended cancer-related screenings, behavioral counseling, and immunizations.

Full description

Cancer patient navigation (PN) is an effective strategy for resolving patient barriers to care and improving completion and consistency of cancer screening, follow-up of abnormal findings, and treatment initiation. However, as the current standard one-on-one PN model is challenging to scale across cancers and economically difficult to sustain, the investigators propose to convert one-on-one PN into a learning health system "PN 2.0 Checklist" that will help coordinate navigation workflow and integrate clinical team members with community/local resources. This pragmatic, randomized trial tests whether this checklist strategy is as effective as one-on-one PN in addressing patients' social determinants of health and recommended cancer-related screenings, behavioral counseling, and immunizations.

In this study, half of the participants will be navigated using the "PN 2.0 Checklist". The other half will be navigated using the "One-on-One PN". All participants enrolled in the study will be asked to report their utilization of health services and be asked to complete a patient survey at the beginning of the program and every 6 months.

Enrollment: 600 estimated patients

Sex: All

Ages: 21+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age 21 or older
• Reside in one of the eight Chicago zip codes corresponding to Chinatown's geographical boundaries: 60605, 60607, 60608, 60609, 60616, 60623, 60632, 60653
• Self-identify as Chinese
• Not cognitively impaired
• Have the ability to participate in verbal survey in Cantonese, English, Mandarin, or Toishanese

Exclusion criteria

• Cognitive impairment
• Incarceration
• Under 21 years of age
• Adult unable to consent

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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600 participants in 2 patient groups

Group 1: One-on-One Patient Navigation

Active Comparator group

Description:

One-on-one Patient Navigation will be based on a Case Management Model where patients navigators perform appointment scheduling and reminders; facilitate communication between patients and care teams; and identify and reduce patient barriers through education, outreach, and referrals to community, local, and state resources.

Treatment:

Behavioral: One-on-one Patient Navigation (PN)

Group 2: Patient Navigation 2.0 Checklist

Experimental group

Description:

The PN 2.0 Checklist intervention is centered on a learning health system checklist that enumerates a patient's Social Determinants of Health (SDoH) related barriers and tracks completion of services to address SDoH (at community oncology and community social service settings) as well as completion of USPSTF recommended cancer-related screenings, behavioral counseling, and immunizations.

Treatment:

Behavioral: Patient Navigation (PN) 2.0 Checklist