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Trial Title: NYC Cancer Outreach Network in Neighborhoods for Equity and Community Translation

NCT ID: NCT05742178

Condition: Cancer Screening

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Screening

Masking: None (Open Label)

Intervention:

Intervention type: Behavioral
Intervention name: Patient Navigation (PN) - More Intensive
Description: The PN intervention will be administered by trained, bilingual CHWs: they will screen participants for cancer screening status and social needs and provide navigational support to cancer screening and social services.
Arm group label: Patient Navigation (PN)

Intervention type: Behavioral
Intervention name: Educational Materials
Description: Both PN and LI participants will receive tailored educational materials around cancer screening and SDH resources as needed.
Arm group label: Less Intensive (LI)
Arm group label: Patient Navigation (PN)

Intervention type: Behavioral
Intervention name: Patient Navigation (PN) - Less Intensive
Description: The PN intervention will be administered by trained, bilingual CHWs: they will screen participants for social needs and provide navigational support to social services.
Arm group label: Less Intensive (LI)

Summary: NYC CONNECT will carry out a randomized controlled trial (RCT) which will assess the relative effectiveness of two evidence-based strategies to increase cancer screening rates for breast, cervical, and colorectal cancer. The RCT will compare the effectiveness of using a combination of 1) culturally and linguistically tailored cancer education materials and 2) community health workers (CHWs) to provide navigation services for cancer screening (the "patient navigation" [PN] arm) versus providing culturally and linguistically tailored cancer education only (the "less intensive" [LI] arm). The study population will include individuals who are due for breast, cervical, or colorectal cancer screening. All individuals recruited to the study will be provided navigation for unmet social determinants of health (SDH) needs.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Women between the ages of 21 and 75 years; - Men between the ages of 50 and 75 years; - Women (50-74 years) who have not had a mammogram in the past 24 months, a Pap smear in the last 3 years (21-64 years old) or HPV test in the last 5 years (30-64 years old), or women 50-75 years old who are not up-to-date on colorectal cancer screening (Fecal occult blood test (FOBT)/Fecal immunochemical test (FIT) past year, computerized tomography (CT) colonography or sigmoidoscopy past 5 years, or colonoscopy past 10 years); - Men not up-to-date on colorectal cancer screening (FOBT/FIT past year, computerized tomography (CT) colonography or sigmoidoscopy past 5 years, or colonoscopy past 10 years); - Must speak either English, Spanish, Haitian-Creole, or Chinese Mandarin; - Lives in East Flatbush (zip codes: 11236, 11203, 11212); Sunset Park (zip codes: 11215, 11220, 11232); Highbridge (zip code 10452); or Morrisania (zip codes: 10456, 10459) Exclusion Criteria: - Previous or current diagnosis of any cancer; - Pregnancy (breast and cervical cancer only); - Current participation in an existing cancer navigation program; - Currently in hospice care; - At least 66 years of age with advanced illness or frailty or who live in long-term institution for more than 90 days; - Bilateral mastectomy or right and left unilateral mastectomy (breast cancer only); - Hysterectomy with no residual cervix (cervical cancer only); - Total colectomy (colorectal cancer only).

Gender: All

Minimum age: 21 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: Albert Einstein College of Medicine

Address:
City: Bronx
Zip: 10461
Country: United States

Status: Recruiting

Contact:
Last name: Bruce Rapkin

Phone: 718-839-7453
Email: bruce.rapkin@einsteinmed.org

Facility:
Name: NYU Langone Health

Address:
City: New York
Zip: 10016
Country: United States

Status: Recruiting

Start date: July 5, 2023

Completion date: October 1, 2026

Lead sponsor:
Agency: NYU Langone Health
Agency class: Other

Collaborator:
Agency: Centers for Disease Control and Prevention
Agency class: U.S. Fed

Source: NYU Langone Health

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05742178

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