Evaluating the Reach of a Patient Navigation Program for Follow-up Colonoscopy in a Large Federally Qualified Health Center

Patient navigation (PN) has been shown to improve participation in cancer screening, including colorectal cancer screening, and is now a recommended practice by the Community Preventive Services Task Force. Despite the effectiveness of PN programs, little is known about the number of contacts needed...

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Bibliographic Details
Published in:Cancer prevention research (Philadelphia, Pa.) Vol. 17; no. 7; p. 325
Main Authors: Gautom, Priyanka, Rosales, Ana G, Petrik, Amanda F, Thompson, Jamie H, Slaughter, Matthew T, Mosso, Leslie, Hussain, Syed A, Jimenez, Ricardo, Coronado, Gloria D
Format: Journal Article
Language:English
Published: United States 02.07.2024
Subjects:
Adult
Aged
Colonoscopy - methods
Colonoscopy - statistics & numerical data
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - epidemiology
Colorectal Neoplasms - prevention & control
Early Detection of Cancer - methods
Early Detection of Cancer - statistics & numerical data
Female
Follow-Up Studies
Humans
Male
Mass Screening - methods
Mass Screening - organization & administration
Mass Screening - statistics & numerical data
Middle Aged
Occult Blood
Patient Navigation - organization & administration
Patient Navigation - statistics & numerical data
ISSN:1940-6215, 1940-6215
Online Access:Get more information
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Summary:Patient navigation (PN) has been shown to improve participation in cancer screening, including colorectal cancer screening, and is now a recommended practice by the Community Preventive Services Task Force. Despite the effectiveness of PN programs, little is known about the number of contacts needed to successfully reach patients or about the demographic and healthcare utilization factors associated with reach. PRECISE was an individual randomized study of PN versus usual care conducted as a partnership between two large health systems in the Pacific Northwest. The navigation program was a six-topic area telephonic program designed to support patients with an abnormal fecal test result to obtain a follow-up colonoscopy. We report the number of contact attempts needed to successfully reach navigated patients. We used logistic regression to report the demographic and healthcare utilization characteristics associated with patients allocated to PN who were successfully reached. We identified 1,200 patients with an abnormal fecal immunochemical test result, of whom 970 were randomized into the study (45.7% were female, 17.5% were Spanish-speaking, and the mean age was 60.8 years). Of the 479 patients allocated to the PN intervention, 382 (79.7%) were reached within 18 call attempts, and nearly all (n = 356; 93.2%) were reached within six contact attempts. Patient characteristics associated with reach were race, county of residence, and body mass index. Our findings can guide future efforts to optimize the reach of PN programs. Prevention Relevance: The findings from this large study can inform clinic-level implementation of future PN programs in Federally Qualified Health Centers to improve the reach of patients needing cancer screenings, optimize staff resources, and ultimately increase cancer screenings.
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ISSN:1940-6215
1940-6215
DOI:10.1158/1940-6207.CAPR-23-0498