ColoNav: patient navigation for colorectal cancer screening in deprived areas. Study protocol
Résumé
Background: The mass colorectal cancer screening program was implemented in 2008 in France, targeting 16
million French people aged between 50 and 74. The current adhesion is insufficient and the participation rate is
even lower among the underserved population, increasing health inequalities within our health care system. Patient
Navigation programs have proved their efficiency to promote the access to cancer screening and diagnosis.
Methods/Design: The purpose of the study is to assess the implementation of a patient navigation intervention
that has been described in another cultural environment and another health care system. The main objective of
the program is to increase the colorectal cancer screening participation rate among the deprived population
through the intervention of a navigator to promote the Fecal Occult Blood Test (FOBT) and complementary exams.
We performed a multisite cluster randomized controlled trial, with three groups (one experimental group and two
control groups) for 18 months.
Discussion: The study attempts to give a better understanding of the adhesion barriers to colorectal cancer
screening among underserved populations. If this project is cost-effective, it could create a dynamic based on peer
approaches that could be developed for other cancer screening programs and other chronic diseases.
Fichier principal
Allary et al. - 2016 - ColoNav patient navigation for colorectal cancer .pdf (574.73 Ko)
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| Origine | Publication financée par une institution |
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