Getting To Implementation: Improving Cancer Screening for Veterans

Part of paid clinical trials in Pittsburgh, Pennsylvania.

Sponsor
University of Pittsburgh
Study ID
NCT06458998
Status
Enrolling By Invitation

Conditions

  • Cancer of Colon
  • Cancer of Liver
  • Cirrhosis

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Patient Navigation — BEHAVIORAL
    Patient Navigation providers include nurses, advance practice providers, and physicians who work to improve care across a range of measures using virtual PN. Providers will 1) use existing dashboards to identify at-risk Veterans, 2) conduct Veteran outreach (two calls, one letter) to provide education, problem solve, and offer screening, 3) order and schedule HCC or CRC screening tests, and 4) provide reminders and follow up on results.
  • Implementation Facilitation — BEHAVIORAL
    Facilitators will provide 20 hours of virtual facilitation to site teams, through 1-hour meetings every other week and ad hoc meetings, over 12 months. They will guide site teams through a seven-step playbook called Getting To Implementation (GTI), which uses a series of tools to select context-specific strategies.

Study Details

Gastrointestinal cancers such as colon cancer and liver cancer cause many deaths in the US. Testing could catch these cancers early, helping people live longer. The goal of this study is to compare two different ways of getting more people tested for these cancers: 1) by directly reaching out to the people who need testing or 2) by helping providers fix issues that hold up testing. The main question it aims to answer is: how should healthcare systems go about choosing one or the other? Researchers will look at cancer testing rates over time at sites that are trying these different approaches. They will also survey and interview participants from these sites.

Key Dates

Start date
Jul 15, 2024
Status verified
Jul 2025
Primary completion
Feb 28, 2030
Completion
Feb 28, 2030

Study Design

Enrollment
30,300 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Active Comparator: Patient Navigation (PN)
    Half of the HCC sites and half of the CRC sites will be randomized to PN.
  • Active Comparator: Implementation Facilitation (IF)
    Half of the HCC sites and half of the CRC sites will be randomized to IF delivered by 2 facilitators (one clinical and one evaluation expert) per site.

Primary Outcome Measure

Change in Reach of HCC screening from Baseline to 12 months [ Time Frame: Baseline, 12 months from Baseline ]

Locations (1)

FacilityCityStateZIPSite coordinators
VA Pittsburgh Healthcare SystemPittsburghPennsylvania15240-

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By research site
VA Pittsburgh Healthcare System· Pittsburgh, PA

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