Cancer
Conditions
Brief summary
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.
Detailed 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.
Interventions
BEHAVIORALPatient Navigation (PN) 2.0 Checklist
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.
BEHAVIORALOne-on-one Patient Navigation (PN)
The one-on-one Patient Navigation will be based on a Case Management Model where PNs 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
Sponsors
Northwestern University
Northeastern Illinois University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient Receipt of Clinical Cancer Preventive Services and Resolution of Social Determinants of Health Barriers | through study completion, an average of 18 months | Patient Receipt of Clinical Cancer Preventive Services and Resolution of Social Determinants of Health (SDoH) Barriers is an adjusted, composite proportion of items completed/resolved in 2 domains: (1) USPSTF recommended cancer screenings, behavioral counseling, and immunizations; and (2) SDoH barriers resolved from those identified in the Accountable Health Communities Health-Related Social Needs (AHC HRSN) Screening Tool |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Timeliness of diagnostic resolution | through study completion, an average of 18 months | Time from an abnormal screening result to diagnostic resolution |
| Timeliness of treatment initiation | through study completion, an average of 18 months | Time from diagnostic resolution to initiation of treatment |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORMelissa Simon, MD
Northwestern University
Outcome results
None listed