A Randomized Controlled Trial Using Patient Navigation to Increase Colonoscopy Screening among Low-Income Minorities

Christie, Jennifer; Itzkowitz, Steven H.; Lihau-Nkanza, Irene; Castillo, Anabella; Redd, William H.; Jandorf, Lina

doi:10.1016/s0027-9684(15)31240-2

Cited by 166 publications

(154 citation statements)

References 17 publications

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“…In part to address these concerns, patient navigators have been used with some success to help individuals obtain health services. 32 Navigators provide guidance on obtaining health care services and also provide assistance with specific barriers; clinic-and community-based navigators could potentially increase access to and utilization of CRC screening by helping patients without health insurance obtain free or reduced cost screening through national programs. For those with low self-efficacy, patient navigators could also provide education about screening so that patients understand the advantages and disadvantages of different screening modalities and working with these individuals to address specific barriers.…”

Section: Discussionmentioning

confidence: 99%

Cultural, Economic, and Psychological Predictors of Colonoscopy in a National Sample

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Cultural, Economic, and Psychological Predictors of Colonoscopy in a National Sample

et al. 2011

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“…25,26 RESULTS Figure 1 presents a PRISMA flow diagram demonstrating the systematic review process and the final 15 articles that were included in the narrative review. The 15 studies were subdivided according to type of cancer screening that was evaluated, including breast (combined with other cancers), [27][28][29][30][31] colorectal cancer, [32][33][34][35][36][37][38][39][40][41][42][43][44] and cervical cancer, [45][46][47] represented in Table 1. Fifteen non-English languages were evaluated in these studies.…”

Section: Quality Appraisalmentioning

confidence: 99%

“…Fifteen non-English languages were evaluated in these studies. Eight articles (53 %) were controlled trials; six of these were randomized 28,33,35,37,41,44 and the remaining two were not. 45,46 Seven (46 %) were cohort studies.…”

Section: Quality Appraisalmentioning

confidence: 99%

“…27,30 Similarly, studies evaluating colorectal cancer screening saw a similar range in increase in screening services with LEP patients being 13-40 % more likely to utilized these preventive methods. 33,35 Cervical cancer screening had the largest increase in service accesses, with one study showing a nearly 60 % difference between cervical cancer screening rates of Mandarin-and Cantonese-speaking patients with patient navigators and LEP patients without patient navigators. 46 Only one study demonstrated no impact of navigation on breast cancer screening rates for Bengali or Pakistani women.…”

Section: Quality Appraisalmentioning

confidence: 99%

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Navigating Language Barriers: A Systematic Review of Patient Navigators’ Impact on Cancer Screening for Limited English Proficient Patients

et al. 2016

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OBJECTIVES:To systematically review the literature on the impact of patient navigators on cancer screening for limited English proficient (LEP) patients. DATA SOURCES: Electronic databases (PubMed, PsycINFO via OVID, Web of Science, Cochrane, EMBASE, and Scopus) through 8 May 2015. ELIGIBILITY CRITERIA: Articles in this review had: (1) a study population of LEP patients eligible for breast, cervical or colorectal cancer screenings, (2) a patient navigator intervention to provide services prior to or during cancer screening, (3) a comparison of the patient navigator intervention to either a control group or another intervention, and (4) language-specific outcomes related to the patient navigator intervention. STUDY APPRAISAL:We assessed the quality of the articles using the Downs and Black Scale. RESULTS: Fifteen studies met the inclusion criteria and evaluated the screening rates for breast, colorectal, and cervical cancer in 15 language populations. Fourteen studies resulted in improved screening rates for LEP patients between 7 and 60 %. There was great variability in the patient navigation interventions evaluated. Training received by navigators was not reported in nine of the studies and no studies assessed the language skills of the patient navigators in English or the target language. LIMITATIONS: This study is limited by the variability in study designs and limited reporting on patient navigator interventions, which reduces the ability to draw conclusions on the full effect of patient navigators. CONCLUSIONS: Overall, we found evidence that navigators improved screening rates for breast, cervical and colorectal cancer screening for LEP patients. Future studies should systematically collect data on the training curricula for navigators and assess their English and nonEnglish language skills in order to identify ways to reduce disparities for LEP patients.

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“…Previous randomized, controlled trials of navigators have generally focused on cancer screening or treatment but have not used patients as navigators (20)(21)(22)(23)(24)(25)(26)(27). Our intervention has the advantage of being simple but also easily tailored to the circumstances of individual patients.…”

Section: Discussionmentioning

confidence: 99%

Impact of Navigators on Completion of Steps in the Kidney Transplant Process

Sullivan

León

Sayre

et al. 2012

Clinical Journal of the American Society of Nephrology

136

151

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SummaryBackground and objectives Many patients with ESRD, particularly minorities and women, face barriers in completing the steps required to obtain a transplant. These eight sequential steps are as follows: medical suitability, interest in transplant, referral to a transplant center, first visit to center, transplant workup, successful candidate, waiting list or identify living donor, and receive transplant. This study sought to determine the effect of navigators on completion of steps.

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A Randomized Controlled Trial Using Patient Navigation to Increase Colonoscopy Screening among Low-Income Minorities

Cited by 166 publications

References 17 publications

Cultural, Economic, and Psychological Predictors of Colonoscopy in a National Sample

Cultural, Economic, and Psychological Predictors of Colonoscopy in a National Sample

Navigating Language Barriers: A Systematic Review of Patient Navigators’ Impact on Cancer Screening for Limited English Proficient Patients

Impact of Navigators on Completion of Steps in the Kidney Transplant Process

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