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Completed

NCT Number: NCT00380055

Reducing Cancer Disparities for American Indians in the Rural Intermountain West

The purpose of this demonstration is to evaluate the effectiveness of using community outreach workers (navigators) to help American Indians living in rural areas overcome barriers to appropriate cancer screening, diagnosis, and treatment.

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Key information

Conditions

Prostate Cancer Breast Cancer Breast Diseases Breast Neoplasms Cervical Cancer Colonic Diseases Colorectal Cancer Colorectal Neoplasms Digestive System Diseases Digestive System Neoplasms Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Gastrointestinal Diseases Gastrointestinal Neoplasms Genital Diseases Genital Diseases, Female Genital Diseases, Male Genital Neoplasms, Female Genital Neoplasms, Male Intestinal Diseases Intestinal Neoplasms Lung Cancer Lung Diseases Lung Neoplasms Male Urogenital Diseases Neoplasms Neoplasms by Site Prostatic Diseases Prostatic Neoplasms Rectal Diseases Respiratory Tract Diseases Respiratory Tract Neoplasms Skin Diseases Skin and Connective Tissue Diseases Thoracic Neoplasms Urogenital Diseases Urogenital Neoplasms Uterine Cervical Diseases Uterine Cervical Neoplasms Uterine Diseases Uterine Neoplasms

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Sletten Cancer Institute, Great Falls, Montana, United States

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About this study

Even for American Indians who have coverage with Medicare, disparities have been noted in the provision of cancer screening, diagnosis, and treatment. These disparities have been related to a variety of health-system, health-financing, geographic, and cultural barriers. We hypothesize that the use of lay community outreach workers will be an effective means of identifying and overcoming these barriers in order to improve the proportion of Medicare-eligible American Indians who receive recommended screening and diagnosis for prostate, breast, colon, and cervical cancer, and the proportion of individuals receiving appropriate treatment for prostate, breast, colon, cervical, and lung cancer. Community clusters randomized to this form of cancer navigation will be compared with community clusters randomized to receive educational outreach only.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Enrolled in Medicare Part B
  • Self-reported American Indian

Exclusion criteria

  • Have cancer other than study cancer
  • Medicare Part C enrolled

Treatment and study plan

Navigation Services

Behavioral

Navigators (community health workers) identify and assist in overcoming barriers to appropriate cancer care.

Cancer education

Behavioral

Community health workers provide cancer education appropriate for Medicare participants.

Primary outcomes

  1. Proportion of individuals receiving recommended screening for prostate, breast, colorectal, and cervical cancer.

    Time frame: four years

Secondary outcomes

  1. Proportion of individuals receiving recommended diagnostic follow-up for prostate, breast, colorectal, and cervical cancer.

    Time frame: four years

  2. Proportion of individuals receiving recommended treatment for prostate, breast, colorectal, cervical, and lung cancer.

    Time frame: four years

  3. Cost-effectiveness of using community navigators to improve cancer care among rural Native Americans.

    Time frame: 10 years

Sponsors and collaborators

Lead sponsor

University of Utah

Other

Collaborators

  • Centers for Medicare and Medicaid Services
  • Sletten Cancer Institute

Registry information

Important dates

Study start
2006
Primary completion
2010
Study completion
2010
First posted
Sep 25, 2006
Registry last updated
Sep 21, 2011

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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