title: ColoNav: patient navigation for colorectal cancer screening in deprived areas - Study protocol.
abstract: The mass colorectal cancer screening program was implemented in 2008 in France, targeting 16 million French people aged between 50 and 74. The current adhesion is insufficient and the participation rate is even lower among the underserved population, increasing health inequalities within our health care system. Patient Navigation programs have proved their efficiency to promote the access to cancer screening and diagnosis.
  
  
  
  The purpose of the study is to assess the implementation of a patient navigation intervention that has been described in another cultural environment and another health care system. The main objective of the program is to increase the colorectal cancer screening participation rate among the deprived population through the intervention of a navigator to promote the Fecal Occult Blood Test (FOBT) and complementary exams. We performed a multisite cluster randomized controlled trial, with three groups (one experimental group and two control groups) for 18 months.
  
  
  
  The study attempts to give a better understanding of the adhesion barriers to colorectal cancer screening among underserved populations. If this project is cost-effective, it could create a dynamic based on peer approaches that could be developed for other cancer screening programs and other chronic diseases.
  
  
  
  NCT02369757.
authors.affiliation: Hygée Centre, Lucien Neuwirth Cancer Institut- ICLN, CIC 1408 INSERM, 108bis avenue A. Raimond, 42270, Saint-Priest-en-Jarez, France.
authors.forename: C
authors.identifier: 0000-0001-9090-4158
authors.initials: C
authors.lastname: Allary
authors.affiliation: Hygée Centre, Lucien Neuwirth Cancer Institut- ICLN, CIC 1408 INSERM, 108bis avenue A. Raimond, 42270, Saint-Priest-en-Jarez, France. aurelie.bourmaud@icloire.fr.
authors.forename: A
authors.initials: A
authors.lastname: Bourmaud
authors.affiliation: Hygée Centre, Lucien Neuwirth Cancer Institut- ICLN, CIC 1408 INSERM, 108bis avenue A. Raimond, 42270, Saint-Priest-en-Jarez, France.
authors.forename: F
authors.initials: F
authors.lastname: Tinquaut
authors.affiliation: Hygée Centre, Lucien Neuwirth Cancer Institut- ICLN, CIC 1408 INSERM, 108bis avenue A. Raimond, 42270, Saint-Priest-en-Jarez, France.
authors.forename: M
authors.initials: M
authors.lastname: Oriol
authors.affiliation: Hygée Centre, Lucien Neuwirth Cancer Institut- ICLN, CIC 1408 INSERM, 108bis avenue A. Raimond, 42270, Saint-Priest-en-Jarez, France.
authors.forename: J
authors.initials: J
authors.lastname: Kalecinski
authors.affiliation: Hygée Centre, Lucien Neuwirth Cancer Institut- ICLN, CIC 1408 INSERM, 108bis avenue A. Raimond, 42270, Saint-Priest-en-Jarez, France.
authors.forename: V
authors.initials: V
authors.lastname: Dutertre
authors.affiliation: EA 4148 - S2HEP, University Lyon 1/Ecole Normale Supérieure de Lyon, 43, Boulevard du 11 novembre 1918, 69622, Villeurbanne cedex, France.
authors.forename: N
authors.initials: N
authors.lastname: Lechopier
authors.affiliation: EA 4148 - S2HEP, University Lyon 1/Ecole Normale Supérieure de Lyon, 43, Boulevard du 11 novembre 1918, 69622, Villeurbanne cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Pommier
authors.affiliation: Gustave Roussy Institut, 114 rue Edouard Vaillant, 94800, Villejuif, France.
authors.forename: Y
authors.initials: Y
authors.lastname: Benoist
authors.affiliation: Gustave Roussy Institut, 114 rue Edouard Vaillant, 94800, Villejuif, France.
authors.forename: S
authors.initials: S
authors.lastname: Rousseau
authors.affiliation: Hygée Centre, Lucien Neuwirth Cancer Institut- ICLN, CIC 1408 INSERM, 108bis avenue A. Raimond, 42270, Saint-Priest-en-Jarez, France.
authors.forename: V
authors.initials: V
authors.lastname: Regnier
authors.affiliation: COACTIS, Lumière University Lyon 2, 16 avenue Berthelot, 69007, Lyon, France.
authors.forename: V
authors.initials: V
authors.lastname: Buthion
authors.affiliation: Hygée Centre, Lucien Neuwirth Cancer Institut- ICLN, CIC 1408 INSERM, 108bis avenue A. Raimond, 42270, Saint-Priest-en-Jarez, France.
authors.forename: F
authors.initials: F
authors.lastname: Chauvin
mesh_terms: D000368:Aged; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D003362:Cost-Benefit Analysis; D055088:Early Detection of Cancer / Q000379:methods / Q000639:trends*; D005260:Female; D005602:France; D006297:Health Services Accessibility / Q000639:trends*; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods* / Q000639:trends; D008875:Middle Aged; D062526:Patient Navigation / Q000379:methods*; D035862:Vulnerable Populations
keywords: Colorectal cancer screening; Health inequalities; Implementation research; Patient navigation; Randomized control study; Realistic evaluation