Developing a Culturally Informed Patient Navigation Program to Reduce Delays From Diagnosis to Treatment for Native Americans in a Rural Setting

Summary

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.

Description

Eligibility

Age range

Not specified

Sex

All

Healthy volunteers

Yes

Interventions

• Other
  Discussion

  Serve on CAB

• Other
  Discussion

  Complete focus group

• Other
  Educational Intervention

  Receive opioid misuse education and care coordination

• Other
  Electronic Health Record Review

  Ancillary studies

• Other
  Interview

  Complete KII

• Other
  Interview

  Ancillary studies

• Behavioral
  Patient Navigation

  Engage with CFPN program navigator

Locations (2)