RCT of Primary Care-based Patient Navigation-Activation
University of Rochester Medical Center
Racial/Ethnic Minorities and Low Income
Investigators at the University of Rochester Medical Center, in collaboration with the Highland Hospital Family Medicine Research Program and the Monroe Plan for Medical Care, seek to reduce cancer health disparities by creating and evaluating a primary care-based intervention of patient navigation and activation through the use of Community Health Workers (CHWs). Patients recruited from six large inner-city practices and three hospital-based oncology clinics will be randomly assigned to usual care or patient navigation. All racial groups and income levels will be recruited to assess whether underserved populations experience greater benefits from navigation than patients who face fewer access barriers.
Using the community health worker model, the RCT of Primary Care-based Patient Navigation-Activation project will assign navigators to breast and colorectal cancer patients at the time of an abnormal finding with navigation to cancer diagnosis and/or end of cancer treatment. Patients with a previous diagnosis of breast or colorectal cancer are also eligible for study participation. The aims of the study are to evaluate the impact and level of intensity (i.e., low, moderate, and high) of patient navigation on cancer-related quality of care, disparities in cancer-related care, and costs.