Evidence map›Paper›PMID 25516073›Full record

Trial reportCancer causes & control : CCC2015

Effect of patient navigation on colorectal cancer screening in a community-based randomized controlled trial of urban African American adults.

Hisani N Horne, Darcy F Phelan-Emrick, Craig E Pollack, Diane Markakis, Jennifer Wenzel, Saifuddin Ahmed, Mary A Garza, Gary R Shapiro, Lee R Bone, Lawrence B Johnson and 1 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Cancer causes & control : CCC, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05903885 (Using a Cross-sectional Partnership to Improve Prevention and Health Equity Among African Americans), which is not on this map. Cited by 49 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 10 pooled it
–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.

NCT05903885 narecruitingnot on this mapstarted 2023, after this paper: background citation

Using a Cross-sectional Partnership to Improve Prevention and Health Equity Among African Americans

TypeinterventionalSponsorUniversity of NebraskaRan2023 to 2026Enrolled1,200ConditionsColorectal Cancer, PreventionArmsOn-site Fecal Immunochemical Test (FIT) Kit Distribution, On-site With Social Media Advertising Fecal Immunochemical Test (FIT) Kit Distribution
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 10 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Health Literacy Interventions in Cancer: a Systematic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
    Pooled it
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  9. Guideline
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  13. Precision Patient Navigation to Improve Rates of Follow-up Colonoscopy, An Individual Randomized Effectiveness Trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021
    Trial
  14. The Effects of the Nurse Navigation Program in Promoting Colorectal Cancer Screening Behaviors: a Randomized Controlled Trial.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
    Trial
  15. Patient Navigation for Colonoscopy Completion: Results of an RCT.American journal of preventive medicine · 2017
    Trial
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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

11 authors.

Hisani N HorneCancer Prevention Fellowship Program, Division of Cancer Prevention, National Cancer Institute, National Institutes of Health, Rockville, MD, USA. hisani.horne@nih.gov.
Darcy F Phelan-EmrickDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Craig E PollackDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Diane MarkakisDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Jennifer WenzelDepartment of Oncology, Department of Acute and Chronic Care, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Saifuddin AhmedDepartment of Population, Family and Reproductive Health and Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Mary A GarzaDepartment of Behavioral and Community Health, School of Public Health, University of Maryland College Park, College Park, MD, USA.
Gary R ShapiroHealth Partners Cancer Program and Institute for Education and Research, Minneapolis, MN, USA.
Lee R BoneDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Lawrence B JohnsonPark West Health Systems, Baltimore, MD, USA.
Jean G FordThe Brooklyn Hospital Center, Brooklyn, NY, USA.

Funding

Uncovering and Addressing Cultural Beliefs Behind Vaccine Racial Disparities P20MD006737 · NIMHD · UNIV OF MARYLAND, COLLEGE PARK · PI QUINN, SANDRA CROUSE, THOMAS, STEPHEN B. · 2012 to 2016
$5.9M
Training ProgramU54CA153710 · NCI · JOHNS HOPKINS UNIVERSITY · PI DOBS, ADRIAN S. · 2010 to 2015
$4.8M
A Network Analytic Approach to Modeling Variation in Prostate Cancer CareK07CA151910 · NCI · JOHNS HOPKINS UNIVERSITY · PI POLLACK, CRAIG EVAN · 2011 to 2015
$780k
African Americans and Colorectal Cancer: A Multilevel Model to Assess Factors forK01CA140358 · NCI · UNIV OF MARYLAND, COLLEGE PARK · PI GARZA, MARY A · 2010 to 2012
$392k
Intramural NIH HHS Z99 CA999999NCI NIH HHS K01 CA140358NCI NIH HHS K01CA140358NCI NIH HHS K07 CA151910NCI NIH HHS U54 CA153710NCI NIH HHS U54CA153710NIMHD NIH HHS P20 MD006737
6 · The paper itself

Abstract

purposeIn recent years, colorectal cancer (CRC) screening rates have increased steadily in the USA, though racial and ethnic disparities persist. In a community-based randomized controlled trial, we investigated the effect of patient navigation on increasing CRC screening adherence among older African Americans.

methodsParticipants in the Cancer Prevention and Treatment Demonstration were randomized to either the control group, receiving only printed educational materials (PEM), or the intervention arm where they were assigned a patient navigator in addition to PEM. Navigators assisted participants with identifying and overcoming screening barriers. Logistic regression analyses were used to assess the effect of patient navigation on CRC screening adherence. Up-to-date with screening was defined as self-reported receipt of colonoscopy/sigmoidoscopy in the previous 10 years or fecal occult blood testing (FOBT) in the year prior to the exit interview.

resultsCompared with controls, the intervention group was more likely to report being up-to-date with CRC screening at the exit interview (OR 1.55, 95 % CI 1.07-2.23), after adjusting for select demographics. When examining the screening modalities separately, the patient navigator increased screening for colonoscopy/sigmoidoscopy (OR 1.53, 95 % CI 1.07-2.19), but not FOBT screening. Analyses of moderation revealed stronger effects of navigation among participants 65-69 years and those with an adequate health literacy level.

conclusionsIn a population of older African Americans adults, patient navigation was effective in increasing the likelihood of CRC screening. However, more intensive navigation may be necessary for adults over 70 years and individuals with low literacy levels.

Indexed as

AgedAged, 80 and overBlack or African AmericanColonoscopyColorectal NeoplasmsEarly Detection of CancerFemaleGuideline AdherenceHealthcare DisparitiesHumansMaleOccult BloodPatient Education as TopicPatient NavigationSigmoidoscopySurveys and Questionnaires

Identifiers

PMID25516073
PMCPMC4370183

What OpenQuestion holds

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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.