Clinical trial NCT06995924: Improving Uptake of Surveillance in Colorectal Cancer Survivors Through Navigation and Web Education
Official title: A Pilot Trial to Evaluate the Effectiveness of Navigation, Interactive Web Education, or the Combination of Both to Promote Guideline-Concordant Colorectal Cancer Surveillance Care
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Stage I Colorectal Cancer AJCC v8
Stage II Colorectal Cancer AJCC v8
Stage III Colorectal Cancer AJCC v8
Lead sponsor: Fred Hutchinson Cancer Center
Sponsor class: OTHER
First posted: 2025-05-30
Enrollment: 75
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This pilot clinical trial looks at whether patient navigation services, an interactive web education intervention, called Current Together After Cancer (CTAC), or both navigation and CTAC works to improve the uptake of surveillance in patients with stage I-III colorectal cancer (CRC). Post-treatment surveillance is critical to detect recurrence early, yet many CRC survivors do not receive recommended surveillance care. Surveillance is a complex process that includes laboratory tests, cross-sectional imaging, and endoscopic procedures. Patient navigation services, interactive web education, or a combination of both may improve surveillance care for patients with stage I-III colorectal cancer.

Detailed description: OUTLINE:

Patients are assigned to 1 of 3 arms based on the clinic location they receive cancer care at.

ARM A: Patients receive access to navigation services, including education on surveillance care, reminders to complete care and assistance in scheduling surveillance, within 3 months of standard of care surgical resection for stage I-III CRC.

ARM B: Patients receive access to the CTAC intervention, which includes self-directed, interactive web-based education about surveillance and a checklist of care, within 3 months of standard of care surgical resection for stage I-III CRC.

ARM C: Patients receive access to navigation services, including education on surveillance care, reminders to complete care and assistance in scheduling surveillance, and access to the CTAC intervention, which includes self-directed, interactive web-based education about surveillance and a checklist of care, within 3 months of standard of care surgical resection for stage I-III CRC.

Patients are followed up at 3 and 9 months post study-enrollment and 12-18 months after surgical resection.

Eligibility criteria: Inclusion Criteria:

* Age ≥ 18 due to disease and clinic population
* Stage I-III CRC survivor within 3 months post-surgical resection
* Being seen at a participating clinic
* Ability to understand and complete surveys in English

Primary outcomes:
measure: Completing any colonoscopy, carcinoembryonic antigen tumor marker (CEA), and cross-sectional imaging
timeFrame: Up to 18 months post-surgical resection
Secondary outcomes:
measure: Knowledge of colorectal cancer (CRC) surveillance
timeFrame: At baseline, 3 and 9 months post enrollment
measure: Self-efficacy to complete CRC surveillance
timeFrame: At baseline, 3 and 9 months post enrollment
measure: Acceptability of the intervention
timeFrame: At 3 and 9 months post enrollment
measure: Intervention appropriateness
timeFrame: At 3 and 9 months post enrollment
measure: Feasibility of the intervention
timeFrame: At 3 and 9 months post enrollment
Other outcomes:
Locations:
city: Seattle
country: United States
facility: Fred Hutch/University of Washington Cancer Consortium
state: Washington
Study officials:
affiliation: Fred Hutch/University of Washington Cancer Consortium
name: Rachel B. Issaka, MD, MAS
role: PRINCIPAL_INVESTIGATOR
References: