Patient Navigation for Colorectal Cancer Screening for Patients With Mental Illness and/or Substance Use Disorder
ColoRectal Cancer Screening
About this trial
This is an interventional screening trial for ColoRectal Cancer Screening
Eligibility Criteria
Inclusion Criteria:
- adult patients aged 50-75 years who are not up to date on CRC screening (did not have had CRCs colonoscopy in the last 10 years or sigmoidoscopy in the last 5 years or fecal occult blood within last 12 months)
- receive care at MGH Charlestown
- have documented history of MH or SUD in electronic medical record
Exclusion Criteria:
- subsequently identified as having died prior to study intervention
- patients with total colectomy
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
patient navigation
usual care
PN will contact patients during their visits to health cancer or over the phone. During this initial contact, the PN will educate patients about CRC, screening and explore their barriers to screening. The PN will coordinate scheduling of CRC screening and remind patients about the tests. PN will explain preparation for colonoscopy and whenever feasible, accompany patient to obtain the test. Further interventions may include: reminding the patient about the test, helping with translation, insurance issues, transportation, and overcoming any other system barriers as needed.
patients randomly assigned to the control will receive usual care and be eligible for navigation after the study period.