Supporting ColoREctal Equitable Navigation (SCREEN): a protocol for a stepped-wedge cluster randomized trial for patient navigation in primary care. (Record no. 14489)

MARC details
000 -LEADER
fixed length control field 04429nam a22005777a 4500
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fixed length control field 240807s20242024 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 2662-2211
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1186/s43058-024-00598-5 [pii]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC11149321 [pmc]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 38831365
245 ## - TITLE STATEMENT
Title Supporting ColoREctal Equitable Navigation (SCREEN): a protocol for a stepped-wedge cluster randomized trial for patient navigation in primary care.
251 ## - Source
Source Implementation Science Communications. 5(1):60, 2024 Jun 03.
252 ## - Abbreviated Source
Abbreviated source Implement. sci. commun.. 5(1):60, 2024 Jun 03.
253 ## - Journal Name
Journal name Implementation science communications
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2024
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Manufacturer FY2024
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Publication date 2024 Jun 03
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status epublish
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Medline status PubMed-not-MEDLINE
266 ## - Date added to catalog
Date added to catalog 2024-08-07
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Date Medline record created 2024/06/03 23:45
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Black individuals in the United States (US) have a higher incidence of and mortality from colorectal cancer (CRC) compared to other racial groups, and CRC is the second leading cause of death among Hispanic/Latino populations in the US. Patient navigation is an evidence-based approach to narrow inequities in cancer screening among Black and Hispanic/Latino patients. Despite this, limited healthcare systems have implemented patient navigation for screening at scale.
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Abstract DISCUSSION: Primary care clinics are poised to close disparity gaps in CRC screening completion but may lack an understanding of the magnitude of these gaps and how to address them. We aim to understand how to tailor a patient navigation program for CRC screening to patients and providers across diverse clinics with wide variation in baseline screening rates, payor mix, proximity to specialty care, and patient volume. Findings from this study will inform other primary care practices and health systems on effective and sustainable strategies to deliver patient navigation for CRC screening among racial and ethnic minorities.
520 ## - SUMMARY, ETC.
Abstract METHODS: We are conducting a stepped-wedge cluster randomized trial of 15 primary care clinics with six steps of six-month duration to scale a patient navigation program to improve screening rates among Black and Hispanic/Latino patients. After six months of baseline data collection with no intervention we will randomize clinics, whereby three clinics will join the intervention arm every six months until all clinics cross over to intervention. During the intervention roll out we will conduct training and education for clinics, change infrastructure in the electronic health record, create stakeholder relationships, assess readiness, and deliver iterative feedback. Framed by the Practical, Robust Implementation Sustainment Model (PRISM) we will focus on effectiveness, reach, provider adoption, and implementation. We will document adaptations to both the patient navigation intervention and to implementation strategies. To address health equity, we will engage multilevel stakeholder voices through interviews and a community advisory board to plan, deliver, adapt, measure, and disseminate study progress. Provider-level feedback will include updates on disparities in screening orders and completions.
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Abstract TRIAL REGISTRATION: NCT06401174. Copyright © 2024. The Author(s).
546 ## - LANGUAGE NOTE
Language note English
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Indexing Automated
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Institution MedStar Health Research Institute
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Institution MedStar Washington Hospital Center
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Department Health Equity
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Department Medicine/Internal Medicine
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Department MedStar Health
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Department MedStar Institute for Quality and Safety
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Department Surgery
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Medline publication type Journal Article
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Local Authors Arem, Hannah
Institution Code MHRI
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Local Authors Blumenthal, H Joseph
Institution Code MHRI
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Galarraga, Jessica E
Institution Code MSH
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Grady, MelanieMIQS
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Locke, Marjorie
Institution Code MWHC
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Local Authors Mete, Mihriye
Institution Code MHRI
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Rivera Rivera, Jessica N
Institution Code MHRI
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Schubel, Laura C
Institution Code MHRI
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Starling, Claire
Institution Code MHRI
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Tran, Jennifer
Institution Code MWHC
790 ## - Authors
All authors Rivera Rivera JN, AuBuchon KE, Schubel LC, Starling C, Tran J, Locke M, Grady M, Mete M, Blumenthal HJ, Galarraga JE, Arem H
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1186/s43058-024-00598-5">https://dx.doi.org/10.1186/s43058-024-00598-5</a>
Public note https://dx.doi.org/10.1186/s43058-024-00598-5
858 ## - ORCID
ORCID text Arem, Hannah
Orcid <a href="http://orcid.org/0000-0002-5734-0810">http://orcid.org/0000-0002-5734-0810</a>
Name http://orcid.org/0000-0002-5734-0810
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Barcode Date last seen Price effective from Koha item type
              08/07/2024   38831365 08/07/2024 08/07/2024 Journal Article

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