Colorectal Cancer Screening Navigator Program for Low Income and Non-English Speaking Populations

Improving Colorectal Cancer Screening Rates by Lowering Barriers in Low Income and Non-English Speaking Populations: The Chelsea Colorectal Cancer Screening Project

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT00476970

Enrollment

1223

Registered

2007-05-22

Start date

2007-09-30

Completion date

2008-09-30

Last updated

2016-09-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Colorectal Cancer

Keywords

Colorectal Cancer, Cancer Screening, Patient Navigation, Low English Proficiency

Brief summary

The goal of this study is to implement and in a controlled randomised trial test a program to identify and overcome barriers to CRC screening and thus improve CRC screening rates at MGH Chelsea HC. Our hypothesis is that a bilingual navigator program, enhanced by using trained interpreting staff will improve CRC screening rates at MGH Chelsea HC overall, and decrease disparities between patients with limited English proficiency and English speakers

Detailed description

We developed a training program for five health center interpreters fluent in eight different languages. Patients randomly assigned to the study intervention receive an introductory letter in their native language. During the initial contact the navigator educates patients about CRC screening and explores patients' barriers to CRC screening. Based on results from a qualitative study conducted at in 2006, we developed interventions to overcome individual barriers to CRC screening tailored to each individual patient. Specific interventions include elucidation of culturally-specific health beliefs; teaching about cancer risk, colonoscopy, and colon prep administration; and help with appointment-making and transport.

Interventions

BEHAVIORALPatient Navigation

Patient navigators will perform an initial interview with participants to identify and explore barriers, work with patients to overcome barriers, educate patients about CRC screening, motivate and coach patients, and schedule and accompany patients to colonoscopy testing

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

SCREENING

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

52 Years to 79 Years

Healthy volunteers

Yes

Inclusion criteria

* Between 52-79 years of age * Have not had a colonoscopy within the last 10 years * Have not had a sigmoidoscopy/barium enema within the past 5 years * Have not had a home fecal occult blood testing within the past year.

Exclusion criteria

* Acutely ill * Dementia * Metastatic cancer * Schizophrenia * Any end stage disease

Design outcomes

Primary

Measure	Time frame
Percentage of Eligible Patients In Study and Control Groups Who Undergo CRC Screening	18 Months

Secondary

Measure	Time frame
Type of CRC Screening Test Performed in Study vs Control Groups	18 Months
Number of Polyps and Cancers per 100 Patients in the Study vs Control Group	18 Months

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Apr 3, 2026