Characteristics of patient navigation programs in the Cancer Moonshot ACCSIS colorectal cancer screening initiative

Author:

Coronado Gloria D1ORCID,Ferrari Renée M2ORCID,Barnes Autumn3ORCID,Castañeda Sheila F4ORCID,Cromo Mark5ORCID,Davis Melinda M6ORCID,Doescher Mark P7ORCID,English Kevin8ORCID,Hatcher Jenna9ORCID,Kim Karen E10ORCID,Kobrin Sarah11ORCID,Liebovitz David12ORCID,Mishra Shiraz I13ORCID,Nodora Jesse N14ORCID,Norton Wynne E11ORCID,Oliveri Jill M15ORCID,Reuland Daniel S2ORCID,Subramanian Sujha3ORCID,Thompson Jamie H1ORCID,Paskett Electra D16ORCID

Affiliation:

1. Kaiser Permanente Center for Health Research , Portland, OR, USA

2. Lineberger Comprehensive Cancer Center, Carolina Cancer Screening Initiative, University of North Carolina, Chapel Hill , Chapel Hill, NC, USA

3. Research Triangle International , Research Triangle Park, NC, USA

4. Department of Psychology, South Bay Latino Research Center, San Diego State University , Chula Vista, CA, USA

5. Department of Internal Medicine, Healthy Kentucky Research Building, University of Kentucky , Lexington, KY, USA

6. Department of Family Medicine and School of Public Health, Oregon Rural Practice-based Research Network, Oregon Health and Science University , Portland, OR, USA

7. Department of Family and Preventive Medicine, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, University of Oklahoma , Oklahoma City, OK, USA

8. Albuquerque Area Southwest Tribal Epidemiology Center, Albuquerque Area Indian Health Board, Inc , Albuquerque, NM, USA

9. University of Arizona Cancer Center, University of Arizona , Tucson, AZ, USA

10. University of Chicago , Chicago, IL, USA

11. Division of Cancer Control and Population Sciences, National Cancer Institute , Rockville, MD, USA

12. Department of Medicine, Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University , Chicago, IL, USA

13. University of New Mexico Comprehensive Cancer Center and Departments of Pediatrics and Family and Community Medicine, University of New Mexico Health Sciences Center , Albuquerque, NM, USA

14. Department of Family Medicine and Public Health, Moores UC San Diego Cancer Center, University of California, San Diego , La Jolla, CA, USA

15. Comprehensive Cancer Center, Ohio State University , Columbus, OH, USA

16. Department of Internal Medicine, College of Medicine and Comprehensive Cancer Center, Ohio State University, Columbus, OH, USA

Abstract

AbstractBackgroundAlthough patient navigation has shown promise for increasing participation in colorectal cancer screening and follow-up, little evidence is available to guide implementation of patient navigation in clinical practice. We characterize 8 patient navigation programs being implemented as part of multi-component interventions of the National Cancer Institute's Cancer Moonshot Accelerating Colorectal Cancer Screening and Follow-Up Through Implementation Science (ACCSIS) initiative.MethodsWe developed a data collection template organized by ACCSIS framework domains. The template was populated by a representative from each of the 8 ACCSIS research projects. We report standardized descriptions of 1) the socio-ecological context in which the navigation program was being conducted, 2) navigation program characteristics, 3) activities undertaken to facilitate program implementation (eg, training), and 4) outcomes used in program evaluation.ResultsACCSIS patient navigation programs varied broadly in their socio-ecological context and settings, the populations they served, and how they were implemented in practice. Six research projects adapted and implemented evidence-based patient navigation programs; the remaining projects developed new programs. Five projects began navigation when patients were due for initial colorectal cancer screening; 3 projects began navigation later in the screening process, when patients were due for follow-up colonoscopy after an abnormal stool-test result. Seven projects relied on existing clinical staff to deliver the navigation; 1 hired a centralized research navigator. All project researchers plan to evaluate the effectiveness and implementation of their programs.ConclusionsOur detailed program descriptions may facilitate cross-project comparisons and guide future implementation and evaluation of patient navigation programs in clinical practice.

Funder

National Cancer Institute

National Institutes of Health

Publisher

Oxford University Press (OUP)

Subject

Cancer Research,Oncology

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