A Culturally Informed Patient Navigation Program (CFPN) to Reduce Delays Between Diagnosis and Treatment in American Indian and Alaska Native Cancer Patients Living in Rural California

Part of paid clinical trials in Bishop, California.

Sponsor
University of Southern California
Study ID
NCT07332312
Status
Recruiting
Apply to this trial

Conditions

  • Hematopoietic and Lymphatic System Neoplasm
  • Malignant Solid Neoplasm

Eligibility Criteria

Sex
ALL
Age
N/A - N/A
Healthy Volunteers
Accepted

Interventions

  • Discussion — OTHER
    Serve on CAB
  • Discussion — OTHER
    Complete focus group
  • Educational Intervention — OTHER
    Receive opioid misuse education and care coordination
  • Electronic Health Record Review — OTHER
    Ancillary studies
  • Interview — OTHER
    Complete KII
  • Interview — OTHER
    Ancillary studies
  • Patient Navigation — BEHAVIORAL
    Engage with CFPN program navigator
  • Survey Administration — OTHER
    Ancillary studies
  • Tailored Intervention — PROCEDURE
    Receive treatment plan

Study Details

This clinical trial develops and tests whether a culturally informed patient navigation program, Community-Focused Patient Navigation (CFPN), works to reduce delays between diagnosis and treatment in American Indian and Alaska Native (AIAN) cancer patients living in rural California. AIAN communities face some of the most severe cancer disparities in the United States, including higher death rates, later-stage diagnoses, and limited access to timely, culturally responsive care. This may be due to barriers such as rural isolation, divided referral systems, or a lack of trust in mainstream healthcare systems. Patient navigation is a care delivery model designed to guide a patient through the healthcare system and address the barriers that prevent patients from accessing timely and effective care. The CFPN program is culturally tailored and designed with AIAN communities in mind. The program provides the patient with a treatment plan based on the patient's unique needs, goals, and barriers. This may be an effective way to reduce delays between diagnosis and treatment in AIAN cancer patients living in rural California.

Key Dates

Start date
Apr 17, 2026
Status verified
May 2026
Primary completion
Nov 13, 2027
Completion
Nov 13, 2028

Study Design

Enrollment
71 participants (estimated)
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
SUPPORTIVE_CARE

Arms

  • Other: Objective 1 group I (CAB)
    Participants serve on a CAB to guide the co-design process of the CFPN program on study.
  • Other: Objective 1 group II (focus group)
    Participants complete a focus group over 1-2 hours in support of the co-design process of the CFPN program on study.
  • Other: Objective 1 group III (KII)
    Participants complete a KII over 30 minutes in support of the co-design process of the CFPN program on study.
  • Experimental: Objective 2 (CFPN program)
    Patients engage with the CFPN program navigator as needed and receive a treatment plan based on the patient's needs, goals, and barriers on study. Patients also receive opioid misuse education and care coordination on study.

Primary Outcome Measure

Focus group themes and emerging codes [ Time Frame: Through study completion, up to 2 years ]

Locations (2)

FacilityCityStateZIPSite coordinators
Toiyabe Indian Health ProjectBishopCalifornia93514
Tina Cassar
[email protected]
760-872-2622
Tina Cassar (PRINCIPAL_INVESTIGATOR)
USC / Norris Comprehensive Cancer CenterLos AngelesCalifornia90033
Claradina Soto
[email protected]
323-442-8219
Claradina Soto (PRINCIPAL_INVESTIGATOR)

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Toiyabe Indian Health Project· Bishop, CAUSC / Norris Comprehensive Cancer Center· Los Angeles, CA

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