Bundled Cancer Screening and Genetic Services Navigation
The goal of this study is to test bundled familial cancer risk assessment + multicancer (colorectal + breast) vs. single (breast) cancer navigation, using a wait list control for colorectal cancer screening referral and navigation. Among those eligible, this study will test usual care referral to genetic services vs. pretest education + usual care referral. The study also will assess how bundled multicancer navigation works and for whom it is most effective through a multisite, mixed-methods patient- and…
Conditions studied
Breast Cancer Screening, Colon Cancer Screening, Genetics Predisposition
About this study
The goal of this study is to test bundled familial cancer risk assessment + multicancer (colorectal + breast) vs. single (breast) cancer navigation, using a wait list control for colorectal cancer screening referral and navigation. Among those eligible, this study will test usual care referral to genetic services vs. pretest education + usual care referral. The study also will assess how bundled multicancer navigation works and for whom it is most effective through a multisite, mixed-methods patient- and organization-level process evaluation.
Interventions
- Behavioral: Breast cancer screening navigation — Single cancer navigation includes the following, oriented to breast cancer only: cancer education, barrier assessment and resolution, screening exam scheduling, text and mail reminders, documentation of appointment completion and results communicated to patient.
- Behavioral: Multicancer screening navigation — Multi-cancer navigation includes the following, oriented to breast and colorectal cancers: cancer education, barrier assessment and resolution, screening exam scheduling, text and mail reminders, documentation of appointment completion and results communicated to patient.
- Behavioral: Usual care genetics referral — Referral for genetics will be provided at the completion of the navigation call.
- Behavioral: Pretest education + usual care genetics referral — Print education regarding the genetic counseling and testing process and specific tips to support at-home testing. Referral for genetics will be provided at the completion of the navigation call.
Primary outcomes
- Receipt of colorectal cancer screening (6 months after navigation completion)
- Receipt of breast cancer screening (Six months after completion of navigation)
Eligibility information
Study locations
- ChristianaCare-Helen F. Graham Cancer Center & Research Institute, Newark, Delaware 19713 United States
- Georgetown University, Washington D.C., District of Columbia 20007 United States
Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-09-27.