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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Patient Navigation in a Colorectal Cancer Screening Program.

Cam Escoffery¹, Maria E Fernandez, Sally W Vernon

¹Rollins School of Public Health, Behavioral Sciences and Health Education, Emory University, Atlanta, Georgia (Drs Escoffery and Ms Liang); University of Texas, Center for Health Promotion and Prevention Research, Houston (Drs Fernandez and Vernon); Center for Cancer Prevention and Control Research, University of California Los Angeles (Dr Maxwell); Community Health Program, Tufts University, Boston, Massachusetts (Dr Allen); University of Colorado Cancer Center, Denver (Ms Dwyer); Health Promotion Research Center, University of Washington, Seattle (Dr Hannon and Ms Kohn); and Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia (Dr DeGroff).

Journal of Public Health Management and Practice : JPHMP

|August 21, 2014

Summary

Patient navigation programs effectively support colorectal cancer screening provision and promotion. These programs help recruit patients, ensure screening completion, and improve follow-up care.

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Comparison of Predictive Performance of Three Lymph Node Staging Systems in Colorectal Signet Ring Cell Carcinoma Based on Machine Learning Model

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Published on: April 18, 2025

Area of Science:

Public Health
Cancer Prevention
Health Services Research

Background:

Colorectal cancer (CRC) is a leading cause of cancer death in the US.
The Centers for Disease Control and Prevention's Colorectal Cancer Control Program (CRCCP) funds screening provision and promotion.
Patient navigation (PN) is a strategy to improve cancer screening access and completion.

Purpose of the Study:

To characterize patient navigation programs within the CRCCP.
To understand PN for both screening provision and promotion in the initial years of funding.

Main Methods:

Cross-sectional survey of 29 CRCCP grantees.
14 in-depth interviews with program staff.
Data collected on PN program structure, navigator characteristics, funding, and activities.

Main Results:

PN was utilized by most grantees for both screening provision (24/28) and promotion (18/28).
Navigators often had nursing or public health backgrounds.
Common PN activities included barrier assessment, patient education, appointment scheduling, reminder calls, and bowel preparation guidance.

Conclusions:

PN programs are integral to federally funded CRC initiatives.
PN appears effective in recruiting individuals for cancer screening.
PN contributes to ensuring completed screening and appropriate follow-up.