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Reducing Cancer Disparities for American Indians in the Rural Intermountain West

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Prostate Cancer, Colorectal Cancer, Breast Cancer, Cervical Cancer, Lung Cancer

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Trial Information

Reducing Cancer Disparities for American Indians in the Rural Intermountain West

Even for American Indians who have coverage with Medicare, disparities have been noted in
the provision of cancer screening, diagnosis, and treatment. These disparities have been
related to a variety of health-system, health-financing, geographic, and cultural barriers.
We hypothesize that the use of lay community outreach workers will be an effective means of
identifying and overcoming these barriers in order to improve the proportion of
Medicare-eligible American Indians who receive recommended screening and diagnosis for
prostate, breast, colon, and cervical cancer, and the proportion of individuals receiving
appropriate treatment for prostate, breast, colon, cervical, and lung cancer. Community
clusters randomized to this form of cancer navigation will be compared with community
clusters randomized to receive educational outreach only.

Inclusion Criteria:

- Enrolled in Medicare Part B

- Self-reported American Indian

Exclusion Criteria:

- Have cancer other than study cancer

- Medicare Part C enrolled

Type of Study:


Study Design:

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Screening

Outcome Measure:

Proportion of individuals receiving recommended screening for prostate, breast, colorectal, and cervical cancer.

Outcome Time Frame:

four years

Safety Issue:


Principal Investigator

Randall W. Burt, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Huntsman Cancer Institute


United States: Institutional Review Board

Study ID:




Start Date:

October 2006

Completion Date:

December 2010

Related Keywords:

  • Prostate Cancer
  • Colorectal Cancer
  • Breast Cancer
  • Cervical Cancer
  • Lung Cancer
  • Cancer Screening
  • Navigators
  • Community Outreach
  • Behavioral Change
  • Access
  • Breast Neoplasms
  • Uterine Cervical Neoplasms
  • Colorectal Neoplasms
  • Lung Neoplasms
  • Prostatic Neoplasms



Huntsman Cancer Institute Salt Lake City, Utah  84112
Sletten Cancer Institute Great Falls, Montana  59405