Study of Patient Navigation to Reduce Social Inequalities
PRADO
The Patient Navigator to Reduce Social Inequalities. A French Interventional Trial in Public Health
1 other identifier
interventional
28,929
1 country
3
Brief Summary
Variations in participation to the colorectal cancer screening seems to reveal social and geographical inequalities. Our study will investigate whether patient navigation could increase the participation to the colorectal cancer screening and in the same time, reduce the social inequalities.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2011
Typical duration for not_applicable
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2011
CompletedFirst Submitted
Initial submission to the registry
March 13, 2012
CompletedFirst Posted
Study publicly available on registry
March 15, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2013
CompletedDecember 4, 2025
March 1, 2012
2.7 years
March 13, 2012
November 26, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Completion of colorectal cancer screening
2 years
Reduction of social inequalities
The participation rate to the colorectal cancer screening will be compared between privileged and deprived geographical areas for which the socio-economic status is measured with the Townsend index.
2 years
Secondary Outcomes (2)
Estimation of Cost effectiveness
2 years
Evaluation of psychological mechanisms
2 years
Study Arms (2)
With Patient Navigator
EXPERIMENTALPeople in this arm receive the Intervention of a Patient Navigator
Control - Without Patient Navigator
NO INTERVENTIONPeople in this arm receive just the usual care of colorectal cancer screening
Interventions
Insured people receive firstly a letter to inform them that a patient navigator is available to navigate them during the colorectal screening steps. A free telephone number and the navigator schedule is given. After a minimum of one week the patient navigator begins the telephone outreach.
Eligibility Criteria
You may qualify if:
- Insured people invited to the national french colorectal screening program are from 50 to 74 years old.
- We select people who never do the screening test or are not compliant with it
- Among these people we select those living in the randomized geographical areas.
You may not qualify if:
- people who have already done the screening test at the two previous campaigns.
- people who have done a colonoscopy in the previous five years or people with a family history with colorectal cancer and people who are following outside of the screening program.
- people with other severe disease or in incapacity to realize the screening test
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
The french screening organization
Amiens, Region of Picardie, 80048, France
The french screening organization
Compiègne, Region of Picardie, 60312, France
The french screening organization
Laon, Region of Picardie, 02000, France
Related Publications (3)
Dejardin O, Berchi C, Mignon A, Pornet C, Guillaume E, Guittet L, Bouvier V, Sailly M, Salinas A, Christophe V, Launoy G. [Social inequalities in health from observational studies to intervention: can the patient navigator reduce social inequalities in cancer patients?]. Rev Epidemiol Sante Publique. 2011 Feb;59(1):45-51. doi: 10.1016/j.respe.2010.10.008. Epub 2011 Jan 21. French.
PMID: 21256688BACKGROUNDDe Mil R, Guillaume E, Guittet L, Dejardin O, Bouvier V, Pornet C, Christophe V, Notari A, Delattre-Massy H, De Seze C, Peng J, Launoy G, Berchi C. Cost-Effectiveness Analysis of a Navigation Program for Colorectal Cancer Screening to Reduce Social Health Inequalities: A French Cluster Randomized Controlled Trial. Value Health. 2018 Jun;21(6):685-691. doi: 10.1016/j.jval.2017.09.020. Epub 2017 Nov 10.
PMID: 29909873RESULTGuillaume E, Dejardin O, Bouvier V, De Mil R, Berchi C, Pornet C, Christophe V, Notari A, Delattre Massy H, De Seze C, Peng J, Guittet L, Launoy G. Patient navigation to reduce social inequalities in colorectal cancer screening participation: A cluster randomized controlled trial. Prev Med. 2017 Oct;103:76-83. doi: 10.1016/j.ypmed.2017.08.012. Epub 2017 Aug 16.
PMID: 28823681RESULT
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Guy Launoy, Pr
CHU CAEN / INSERM
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- CARE PROVIDER
- Purpose
- SCREENING
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 13, 2012
First Posted
March 15, 2012
Study Start
March 1, 2011
Primary Completion
November 1, 2013
Study Completion
November 1, 2013
Last Updated
December 4, 2025
Record last verified: 2012-03