Getting To Implementation: Improving Cancer Screening for Veterans

Launched by UNIVERSITY OF PITTSBURGH · Jun 12, 2024

Keywords

ClinConnect Summary

Researchers will conduct two hybrid type 3, cluster-randomized trials to compare the effectiveness of Patient Navigation (PN) and Implementation Facilitation (IF) on hepatocellular cancer (HCC) and colorectal cancer (CRC) screening completion. Trials will enroll 24 sites for the HCC arm and 32 sites for the CRC arm, passively enrolling and cluster-randomizing Veterans by their site of primary care. Multi-level implementation determinants (i.e., barriers and facilitators), preconditions, and moderators will also be evaluated pre- and post-intervention, using Consolidated Framework for Implem...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• 1. Veterans:
• • ≥18 years of age
• • Enrolled in Veterans Health Administration (VA)
• • Have ≥1 VA encounter in the prior 18 months
• • Hepatocellular cancer (HCC) screening subgroup: Diagnosis of cirrhosis in electronic medical record
• • Colorectal cancer (CRC) screening subgroup: ≥45 years of age, positive fecal immunochemical test (FIT) (or other screening stool test) in the last 18 months
• 2. Providers:
• • Healthcare provider or related staff at participating VA site or engaged in CRC or HCC screening pathways in an included VA site (e.g., scheduling)
• • ≥18 years of age
• Exclusion Criteria:
• 1. Veterans:
• • \<18 years of age
• • Not enrolled in VA
• • No VA encounters in the prior 18 months
• • Limited life expectancy (\< 6 months), defined as having a code for hospice
• 2. Providers:
• • Members of the study team will not participate, even if their sites are recruited