Online Program

Key considerations in designing a patient navigation program for colorectal cancer screening

Wednesday, November 6, 2013 : 10:30 a.m. - 10:45 a.m.

Amy DeGroff, PhD, MPH, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA
Elizabeth Rohan, PhD, MSW, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA
Kisha Coa, MPH, Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Beth Slotman, MS, Westat, Rockville, MD
Kerry Grace Morrissey, MPH, Westat, Rockville, MD
Introduction - Colorectal cancer is the second leading cause of cancer deaths among cancers affecting both men and women. Screening reduces mortality by detecting cancer early and removing precancerous polyps when found. Only 58.6% of adults are currently up-to-date with colorectal cancer screening. Patient navigation shows promise in increasing adherence to colorectal cancer screening; however, it is a complex intervention that is operationalized differently across institutions. Methods – We conducted a review of the literature from 1995-2012 and identified 12 efficacy studies of patient navigation for colorectal cancer screening. An abstraction form was used to assess specified criteria. We also conducted an environmental scan of existing navigation programs including a search of grey literature and interviews with 11 practitioners and researchers from established navigation programs. Results – Based on the literature review and environmental scan, we identified ten key considerations in designing a patient navigation intervention for colorectal cancer screening including: (1) identifying a theoretical framework and setting program goals, (2) considering community characteristics, (3) establishing the point(s) of intervention within the cancer continuum, (4) determining the setting in which navigation services are provided, (5) identifying the range of services offered and patient navigator responsibilities, (6) determining the staffing background and qualifications for navigators, (7) selecting the method of communications between patients and navigators, (8) designing the training for navigators, (9) defining the oversight and supervision for the navigators, and (10) evaluating patient navigation. Conclusions - Public health practitioners can benefit from these practical results for designing patient navigation programs.

Learning Areas:

Implementation of health education strategies, interventions and programs
Program planning

Learning Objectives:
Describe key considerations in designing a patient navigation intervention for increasing colorectal cancer screening.

Keyword(s): Cancer Screening, Patient Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal investigator of multiple federally funded studies related to cancer screening and control. I have published multiple peer-reviewed manuscripts in the area of cancer screening and control. I have a doctoral degree in public policy and a masters of public health degree. My areas of scientific interest include patient navigation and cancer screening programs using evidence-based practices to impact population-level screening rates.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.