Colorectal Cancer Screening
Conditions
Keywords
Colorectal cancer screening, Social inequalities, Patient Navigator
Brief summary
Variations in participation to the colorectal cancer screening seems to reveal social and geographical inequalities. Our study will investigate whether patient navigation could increase the participation to the colorectal cancer screening and in the same time, reduce the social inequalities.
Interventions
OTHERPatient Navigation
Insured people receive firstly a letter to inform them that a patient navigator is available to navigate them during the colorectal screening steps. A free telephone number and the navigator schedule is given. After a minimum of one week the patient navigator begins the telephone outreach.
Sponsors
National Cancer Institute, France
Institut National de la Santé Et de la Recherche Médicale, France
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
SINGLE (Caregiver)
Eligibility
Sex/Gender
ALL
Age
50 Years to 74 Years
Healthy volunteers
No
Inclusion criteria
* Insured people invited to the national french colorectal screening program are from 50 to 74 years old. * We select people who never do the screening test or are not compliant with it * Among these people we select those living in the randomized geographical areas.
Exclusion criteria
* people who have already done the screening test at the two previous campaigns. * people who have done a colonoscopy in the previous five years or people with a family history with colorectal cancer and people who are following outside of the screening program. * people with other severe disease or in incapacity to realize the screening test * people who have another
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Completion of colorectal cancer screening | 2 years | — |
| Reduction of social inequalities | 2 years | The participation rate to the colorectal cancer screening will be compared between privileged and deprived geographical areas for which the socio-economic status is measured with the Townsend index. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Estimation of Cost effectiveness | 2 years | We will assess the mean cost to navigate one person and compared it to a non navigate person. We will measure the cost effectiveness of the intervention in order to have the cost of the arising of 1% of the participation rate. |
| Evaluation of psychological mechanisms | 2 years | Evaluation of cognitive, behavioural, emotional mechanisms influencing the colorectal screening participation |
Countries
France
Outcome results
None listed