Evidence map›Paper›PMID 19067085›Full record

Trial reportJournal of general internal medicine2009

A culturally tailored navigator program for colorectal cancer screening in a community health center: a randomized, controlled trial.

Sanja Percac-Lima, Richard W Grant, Alexander R Green, Jeffrey M Ashburner, Gloria Gamba, Sarah Oo, James M Richter, Steven J Atlas

4 registry-linked trialsOpen access · bronzeAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 202 papers, 21 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
202citing papers in PubMed, 21 pooled it
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00476970 nacompletednot on this map

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

TypeinterventionalSponsorMassachusetts General HospitalRan2007 to 2008Enrolled1,223ConditionsColorectal CancerArmsPatient Navigation
NCT02351609 nacompletednot on this mapstarted 2015, after this paper: background citation

Patient Navigation and Financial Incentives to Promote Smoking Cessation

TypeinterventionalSponsorBoston Medical CenterRan2015 to 2017Enrolled352ConditionsSmoking CessationArmsIntervention, Enhanced Traditional Care control
NCT02553538 nacompletednot on this mapstarted 2014, after this paper: background citation

Improving Comprehensive Cancer Screening Among Vulnerable Patients Using Patient Navigation as Part of a Population-Based Health IT System: A Randomized Control Trial

TypeinterventionalSponsorMassachusetts General HospitalRan2014 to 2014Enrolled1,612ConditionsPatient ComplianceArmsPatient Navigation
NCT05527392 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Assessing the Effect of Virtual Navigation Interventions to Improve Health Insurance Literacy and Decrease Financial Burden: A Childhood Cancer Survivor Study Randomized Trial (HINTII)

TypeinterventionalSponsorMassachusetts General HospitalRan2023 to 2027Enrolled529ConditionsChildhood Cancer SurvivorsArmsHealth Insurance Navigation Tools Program
3 · Its place in the literature

Who cites it

202 citing papers in PubMed, 21 syntheses or guidelines pooled it, 338 citations in OpenAlex.

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142 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Sanja Percac-LimaChelsea HealthCare Center, Massachusetts General Hospital, Chelsea, MA 02150, USA. spercaclima@partners.org
Richard W Grant
Alexander R Green
Jeffrey M Ashburner
Gloria Gamba
Sarah Oo
James M Richter
Steven J Atlas
Massachusetts General Hospital · USChelsea Hospital · USHarvard University · US

Funding

Breast Cancer Screening and Follow-up in a PBRN: The Ma*R21CA121908 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI BARRY, MICHAEL J · 2006 to 2007
$359k
NCI NIH HHS 1CA121908NCI NIH HHS R21 CA121908
6 · The paper itself

Abstract

backgroundMinority racial/ethnic groups have low colorectal cancer (CRC) screening rates.

objectiveTo evaluate a culturally tailored intervention to increase CRC screening, primarily using colonoscopy, among low income and non-English speaking patients.

designRandomized controlled trial conducted from January to October of 2007.

settingSingle, urban community health center serving a low-income, ethnically diverse population. PATIENTS: A total of 1,223 patients 52-79 years of age overdue for CRC screening, randomized to intervention (n = 409) vs. usual care control (n = 814) groups.

interventionIntervention patients received an introductory letter with educational material followed by phone or in-person contact by a language-concordant "navigator." Navigators (n = 5) were community health workers trained to identify and address patient-reported barriers to CRC screening. Individually tailored interventions included patient education, procedure scheduling, translation and explanation of bowel preparation, and help with transportation and insurance coverage. Rates of colorectal cancer screening were assessed for intervention and usual care control patients.

resultsOver a 9-month period, intervention patients were more likely to undergo CRC screening than control patients (27% vs. 12% for any CRC screening, p < 0.001; 21% vs. 10% for colonoscopy completion, p < 0.001). The higher screening rate resulted in the identification of 10.5 polyps per 100 patients in the intervention group vs. 6.8 in the control group (p = 0.04). LIMITATIONS: Patients were from one health center. Some patients may have obtained CRC screening outside our system.

conclusionsA culturally tailored, language-concordant navigator program designed to identify and overcome barriers to colorectal cancer screening can significantly improve colonoscopy rates for low income, ethnically and linguistically diverse patients. ClinicalTrials.gov registration number: NCT00476970.

Indexed as

Community Health CentersEarly Detection of CancerAgedColorectal NeoplasmsFemaleHealth BehaviorHumansMaleMiddle AgedPatient Education as Topic

Identifiers

PMID19067085
PMCPMC2628981
OpenAlexW2007520372

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.