Evidence map›Paper›PMID 20939928›Full record

Trial reportBMC cancer2010

Study protocol: a randomized controlled trial of patient navigation-activation to reduce cancer health disparities.

Samantha Hendren, Jennifer J Griggs, Ronald M Epstein, Sharon Humiston, Sally Rousseau, Pascal Jean-Pierre, Jennifer Carroll, Amanat M Yosha, Starlene Loader, Kevin Fiscella

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC cancer, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00496678 (RCT of Primary Care-based Patient Navigation-Activation), which is not on this map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
–field-weighted citation impact
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.

NCT00496678 phase4completednot on this map

RCT of Primary Care-based Patient Navigation-Activation

TypeinterventionalSponsorUniversity of RochesterRan2007 to 2010Enrolled900ConditionsBreast Cancer, Colorectal CancerArmsNavigation, Standard of Care
3 · Its place in the literature

Who cites it

35 citing papers in PubMed.

  1. Trial
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  5. Randomized controlled trial of patient navigation for newly diagnosed cancer patients: effects on quality of life.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2012
    Trial
  6. A cluster randomized trial evaluating the efficacy of patient navigation in improving quality of diagnostic care for patients with breast or colorectal cancer abnormalities.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2012
    Trial
  7. Patient navigation for breast and colorectal cancer treatment: a randomized trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2012
    Trial
  8. Do navigators' estimates of navigation intensity predict navigation time for cancer care?Journal of cancer education : the official journal of the American Association for Cancer Education · 2011
    Trial
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  15. Review
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  20. Toward the Elimination of Colorectal Cancer Disparities Among African Americans.Journal of racial and ethnic health disparities · 2016
    Article
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

10 authors.

Samantha HendrenDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA. hendren@umich.edu
Jennifer J Griggs
Ronald M Epstein
Sharon Humiston
Sally Rousseau
Pascal Jean-Pierre
Jennifer Carroll
Amanat M Yosha
Starlene Loader
Kevin Fiscella

Funding

RCT of Primary Care-based Patient Navigation-ActivationU01CA116924 · NCI · UNIVERSITY OF ROCHESTER · PI FISCELLA, KEVIN ANTHONY · 2005 to 2011
$4.4M
NCI NIH HHS U01 CA116924NCI NIH HHS U01 CA116924-01
6 · The paper itself

Abstract

backgroundCancer health disparities affecting low-income and minority patients are well documented. Root-causes are multifactorial, including diagnostic and treatment delays, social and financial barriers, and poor communication. Patient navigation and communication coaching (activation) are potential interventions to address disparities in cancer treatment. The purpose of this clinical trial is to test the effectiveness of an intervention combining patient navigation and activation to improve cancer treatment. METHODS/

designThe Rochester Patient Navigation Research Program (PNRP) is a National Cancer Institute-sponsored, patient-level randomized trial (RCT) of patient navigation and activation, targeting newly-diagnosed breast and colorectal cancer patients in Rochester, NY. The goal of the program is to decrease cancer health disparities by addressing barriers to receipt of cancer care and promoting patient self-efficacy. The intervention uses trained, paraprofessional patient navigators recruited from the target community, and a detailed training and supervisory program. Recruited patients are randomly assigned to receive either usual care (except for baseline and follow-up questionnaires and interviews) or intervention. The intervention patients receive tailored assistance from their patient navigators, including phone calls, in-person meetings, and behind-the-scenes coordination of care. A total of 344 patients have been recruited. Outcomes measured at three month intervals include timeliness of care, patient adherence, patient satisfaction, quality of life, self-efficacy, health literacy, and cancer knowledge. DISCUSSION: This unique intervention combining patient navigation and patient activation is designed to address the multifactorial problem of cancer health disparities. If successful, this study will affect the design and implementation of patient navigation programs. TRIALS REGISTRATION: clinicaltrials.gov identifier NCT00496678.

Indexed as

Community Health ServicesHealthcare DisparitiesHealth Status DisparitiesPatient ParticipationCommunicationFemaleHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansMaleNational Cancer Institute (U.S.)NeoplasmsPatient ComplianceTreatment OutcomeUnited StatesWorkforce

Identifiers

PMID20939928
PMCPMC2964637

What OpenQuestion holds

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LicenceCC BY
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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.