Patient Navigation for Colorectal Cancer Screening

Enrolling by invitation · Not applicable

Conditions studied: Colorectal Cancer Screening

In brief

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.

Key facts

Study ID

NCT06401174

Run by

Medstar Health Research Institute

People needed

1800

Starts

2024-06-01

Expected to finish

2028-07-30

Last updated by the study team

2025-10-22

Who can join

Age: 45 and older, up to 75. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age 45-75
• Due for colorectal cancer screening
• Identify as Black or Hispanic/Latino
• Attend primary care visit at one of the 15 selected clinics within the step time -period

Where it is running

• Internal Medicine Wisconsin Avenue — Washington D.C., District of Columbia, United States
• Family Medicine Spring Valley — Washington D.C., District of Columbia, United States
• Primary Care Lafayette — Washington D.C., District of Columbia, United States
• Family Medicine Fort Lincoln — Washington D.C., 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

Full record on ClinicalTrials.gov

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