Improving Uptake of Surveillance in Colorectal Cancer Survivors Through Navigation and Web Education

A Pilot Trial to Evaluate the Effectiveness of Navigation, Interactive Web Education, or the Combination of Both to Promote Guideline-Concordant Colorectal Cancer Surveillance Care

This pilot clinical trial looks at whether patient navigation services, an interactive web education intervention, called Current Together After Cancer (CTAC), or both navigation and CTAC works to improve the uptake of surveillance in patients with stage I-III colorectal cancer (CRC). Post-treatment surveillance is critical to detect recurrence early, yet many CRC survivors do not receive recommended surveillance care. Surveillance is a complex process that includes laboratory tests, cross-sectional imaging, and endoscopic procedures. Patient navigation services, interactive web education, or a combination of both may improve surveillance care for patients with stage I-III colorectal cancer.

OUTLINE:

Patients are assigned to 1 of 3 arms based on the clinic location they receive cancer care at.

ARM A (VIRGINIA MASON): Patients receive access to navigation services, including education on surveillance care, reminders to complete care and assistance in scheduling surveillance, within 3 months of standard of care surgical resection for stage I-III CRC.

ARM B (FRED HUTCH [SOUTH LAKE UNION]): Patients receive access to the CTAC intervention, which includes self-directed, interactive web-based education about surveillance and a checklist of care, within 3 months of standard of care surgical resection for stage I-III CRC.

ARM C (FRED HUTCH [OVERLAKE + EVERGREEN]): Patients receive access to navigation services, including education on surveillance care, reminders to complete care and assistance in scheduling surveillance, and access to the CTAC intervention, which includes self-directed, interactive web-based education about surveillance and a checklist of care, within 3 months of standard of care surgical resection for stage I-III CRC.

Patients are followed up at 3 months post study-enrollment and 12-18 months after surgical resection.

Inclusion Criteria:

• Age ≥ 18 due to disease and clinic population
• Stage I-III CRC survivor within 3 months post-surgical resection
• Being seen at a participating clinic
• Ability to understand and complete surveys in English