Evidence map›Paper›PMID 27838858›Full record

ArticleThe journal of primary prevention2017

American Indian and Alaska Native Cancer Patients' Perceptions of a Culturally Specific Patient Navigator Program.

Carol Grimes, Jenine Dankovchik, Megan Cahn, Victoria Warren-Mears

Abstract read
In one paragraph

Article in The journal of primary prevention, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Native and Indigenous Populations and Gastric Cancer: A Worldwide Review.International journal of environmental research and public health · 2022
    Pooled it
  2. Review
  3. Scope and impact of a First Nations cancer coordinator role: perspectives of multidisciplinary cancer staff.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
  5. Article
  6. Pilot implementation and qualitative evaluation of a financial hardship screening among Native American patients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. "Somebody That can Meet you on Your Level:" Cancer Survivors' Perspectives on the Role of Indigenous Patient Navigators in Cancer Care.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. The Role of the Indigenous Patient Navigator: A Scoping Review.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2022
    Article
  15. Article
  16. Article
  17. Health Care Access and Utilization for American Indian Elders: A Concept-Mapping Study.The journals of gerontology. Series B, Psychological sciences and social sciences · 2021
    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

4 authors.

Carol GrimesNorthwest Portland Area Indian Health Board, 918 NE Rosa Parks Way, Portland, OR, 97211, USA.
Jenine DankovchikNorthwest Portland Area Indian Health Board, 2121 SW Broadway, Suite 300, Portland, OR, 97201, USA. jdankovchik@npaihb.org.
Megan CahnCollege of Public Health and Human Sciences, Oregon State University, 6430 SE Ogden St., Portland, OR, 97206, USA.
Victoria Warren-MearsNorthwest Tribal Epidemiology Center, 2121 SW Broadway, Suite 300, Portland, OR, 97201, USA.

Funding

Northwest Tribal Cancer Navigator ProgramU01CA116925 · NCI · NORTHWEST PORTLAND AREA INDIAN HLTH BD · PI WARREN-MEARS, VICTORIA ANN · 2005 to 2009
$3.0M
NCI NIH HHS U01 CA116925
6 · The paper itself

Abstract

Lack of access to care, funding limitations, cultural, and social barriers are challenges specific to tribal communities that have led to adverse cancer outcomes among American Indians/Alaska Natives (AI/AN). While the cancer navigator model has been shown to be effective in other underserved communities, it has not been widely implemented in Indian Country. We conducted in-depth interviews with 40 AI/AN patients at tribal clinics in Idaho and Oregon. We developed the survey instrument in partnership with community members to ensure a culturally appropriate semi-structured questionnaire. Questions explored barriers to accessing care, perceptions of the navigator program, satisfaction, and recommendations. AI/AN cancer patients reported physical, emotional, financial, and transportation barriers to care, but most did not feel there were any cultural barriers to receiving care. Navigator services most commonly used included decision making, referrals, transportation, scheduling appointments, and communication. Satisfaction with the program was high. Our study provides a template to develop a culturally appropriate survey instrument for use with an AI/AN population, which could be adapted for use with other indigenous patient populations. Although our sample was small, our qualitative analysis facilitated a deeper understanding of the barriers faced by this population and how a navigator program may best address them. The results reveal the strengths and weakness of this program, and provide baseline patient satisfaction numbers which will allow future patient navigator programs to better create evaluation benchmarks.

Indexed as

American Indian or Alaska NativeCultural CompetencyNeoplasmsPatient NavigationPatient SatisfactionAdultAgedAttitude to HealthFemaleHumansIdahoInterviews as TopicMaleMiddle AgedModels, OrganizationalOregonIndigenousQualitativeSatisfactionSurveyTribal

Identifiers

PMID27838858
PMCPMC5313295

What OpenQuestion holds

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Registered trials

None linked

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.