abstract: 'Background: Patient navigation programs have been launched nationwide in

  an attempt to reduce racial/ethnic and socio-demographic disparities in

  cancer care, but few have evaluated outcomes in the prostate cancer

  setting. The National Cancer Institute-funded Chicago Patient Navigation

  Research Program (C-PNRP) aims to implement and evaluate the efficacy of

  a patient navigation intervention for predominantly low-income minority

  patients with an abnormal prostate cancer screening test at a Veterans

  Affairs (VA) hospital in Chicago.

  Methods/Design: From 2006 through 2010, C-PNRP implemented a

  quasi-experimental intervention whereby trained social worker and lay

  health navigators worked with veterans with an abnormal prostate screen

  to proactively identify and resolve personal and systems barriers to

  care. Men were enrolled at a VA urology clinic and were selected to

  receive navigated versus usual care based on clinic day. Patient

  navigators performed activities to facilitate timely follow-up such as

  appointment reminders, transportation coordination, cancer education,

  scheduling assistance, and social support as needed. Primary outcome

  measures included time (days) from abnormal screening to diagnosis and

  time from diagnosis to treatment initiation. Secondary outcomes included

  psychosocial and demographic predictors of non-compliance and patient

  satisfaction. Dates of screening, follow-up visits, and treatment were

  obtained through chart audit, and questionnaires were administered at

  baseline, after diagnosis, and after treatment initiation. At the VA,

  546 patients were enrolled in the study (245 in the navigated arm, 245

  in the records-based control arm, and 56 in a subsample of surveyed

  control subjects).

  Discussion: Given increasing concerns about balancing better health

  outcomes with lower costs, careful examination of interventions aimed at

  reducing healthcare disparities attain critical importance. While

  analysis of the C-PNRP data is underway, the design of this patient

  navigation intervention will inform other patient navigation programs

  addressing strategies to improve prostate cancer outcomes among

  vulnerable populations.'
affiliation: 'Simon, MA (Corresponding Author), Northwestern Univ, Robert H Lurie
  Comprehens Canc Ctr, Chicago, IL 60611 USA.

  Nonzee, Narissa J.; McKoy, June M.; Rademaker, Alfred W.; Byer, Peter; Liu, Dachao;
  Simon, Melissa A., Northwestern Univ, Robert H Lurie Comprehens Canc Ctr, Chicago,
  IL 60611 USA.

  Nonzee, Narissa J., Jesse Brown VA Med Ctr, Chicago, IL USA.

  McKoy, June M., Northwestern Univ, Feinberg Sch Med, Div Gen Internal Med \& Geriatr,
  Dept Med, Chicago, IL 60611 USA.

  McKoy, June M.; Rademaker, Alfred W.; Liu, Dachao; Simon, Melissa A., Northwestern
  Univ, Feinberg Sch Med, Dept Prevent Med, Chicago, IL 60611 USA.

  Thanh Ha Luu; Samaras, Athena T.; Simon, Melissa A., Northwestern Univ, Feinberg
  Sch Med, Dept Obstet \& Gynecol, Chicago, IL 60611 USA.

  Richey, Elizabeth A., Dartmouth Coll, Geisel Sch Med, Hanover, NH 03755 USA.

  Panucci, Genna, Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA.

  Dong, XinQi, Rush Univ, Inst Hlth Aging, Chicago, IL 60612 USA.'
article-number: '340'
author: Nonzee, Narissa J. and McKoy, June M. and Rademaker, Alfred W. and Byer, Peter
  and Luu, Thanh Ha and Liu, Dachao and Richey, Elizabeth A. and Samaras, Athena T.
  and Panucci, Genna and Dong, XinQi and Simon, Melissa A.
author-email: m-simon2@northwestern.edu
author_list:
- family: Nonzee
  given: Narissa J.
- family: McKoy
  given: June M.
- family: Rademaker
  given: Alfred W.
- family: Byer
  given: Peter
- family: Luu
  given: Thanh Ha
- family: Liu
  given: Dachao
- family: Richey
  given: Elizabeth A.
- family: Samaras
  given: Athena T.
- family: Panucci
  given: Genna
- family: Dong
  given: XinQi
- family: Simon
  given: Melissa A.
da: '2023-09-28'
doi: 10.1186/1472-6963-12-340
eissn: 1472-6963
files: []
journal: BMC HEALTH SERVICES RESEARCH
keywords: Patient navigation; Prostate cancer; Cancer health disparities; Veterans
keywords-plus: 'RELIABILITY-ANALYSIS; RANDOMIZED PROSTATE; MORTALITY; RACE; DIAGNOSIS;

  LITERACY; SATISFACTION; DISPARITIES; VALIDATION; ACCESS'
language: English
month: SEP 25
number-of-cited-references: '46'
papis_id: 03ed09668c7baf8f3d6a78ca823f2c77
ref: Nonzee2012designprostate
researcherid-numbers: 'MCKOY, JUNE/GRJ-5660-2022

  Dong, Xin/IZQ-2213-2023

  Dong, Xin/HSG-6425-2023'
times-cited: '10'
title: Design of a prostate cancer patient navigation intervention for a Veterans
  Affairs hospital
type: Article
unique-id: WOS:000311939100001
usage-count-last-180-days: '0'
usage-count-since-2013: '15'
volume: '12'
web-of-science-categories: Health Care Sciences \& Services
year: '2012'