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.
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Screening
Proportion of individuals receiving recommended screening for prostate, breast, colorectal, and cervical cancer.
Randall W. Burt, MD
Huntsman Cancer Institute
United States: Institutional Review Board
|Huntsman Cancer Institute||Salt Lake City, Utah 84112|
|Sletten Cancer Institute||Great Falls, Montana 59405|