Cancer Prevention and Early Detection Among the Homeless Population: The Health Navigator Model
NCT ID: NCT05406687
Last Updated: 2024-01-08
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
654 participants
INTERVENTIONAL
2022-06-08
2023-12-29
Brief Summary
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Detailed Description
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The Health Navigator Model (HNM), a person-centered intervention co-designed during the first part of the project, will address the growing health and social disparities in the homeless population and promote timely access to cancer prevention and screening services. Therefore, the aim of this longitudinal, person-centered, and community-based intervention study is to pilot test the HNM by investigating a cohort of individuals experiencing homelessness in pilot-sites in Austria, Greece, Spain and the United Kingdom. Our study will assess whether the HNM intervention can improve the delivery of evidence of community-based primary and secondary cancer preventive care for the homeless population. The HNM will be conducted over a set time frame, with active participation being individually tailored to the needs of participants, within an overall period of 18 months. Evaluation will be performed at baseline and at three further evaluation points to assess the outcomes of the intervention. Adult individuals experiencing homelessness (as defined by the European Topology of Homelessness and Housing Exclusion) will be asked to participate during their visits to the pilot sites of cooperating facilities (non-governmental organizations offering free medical care, or social service institutions) after assessing eligibility criteria.
The study utilizes both a qualitative and quantitative methodology which will allow us to conduct both exploratory and confirmatory research and thus, gain a deeper comprehension of the impact of the HNM intervention on overall participation of homeless individuals in primary and secondary cancer preventive programs.
The project has been funded by the HORIZON 2020 program of the European Commission under the topic: "H2020-SC1-2020-Single-Stage-RTD - Call for proposals on the prevention and/or early diagnosis of cancer" and is coordinated by the Medical University of Vienna.
Conditions
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Study Design
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NA
SINGLE_GROUP
PREVENTION
NONE
Study Groups
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People experiencing homelessness
All homeless adults, aged 18 years and over, who visit the CANCERLESS pilot sites will be asked to participate (convenience sampling). We define individuals as being homeless if they fall under one of the categories listed in the European typology of homelessness and housing exclusion.
Health Navigator Model
The Health Navigator Model will be a longitudinal, person-centered and community-based intervention focused on addressing both primary and secondary cancer prevention, as well as reducing wider barriers to healthcare. Health Navigators (HNs) will be professionals who have a background in social care and an understanding of the local user population, and will be embedded in settings familiar and accessible to people experiencing homelessness. The primary aspects of the HN role will be to identify the health needs and barriers of users, promote cancer awareness and education, facilitate timely access to healthcare services and cancer screening, provide practical assistance, delivered through regular in-person meetings, and utilize wider stakeholders, including healthcare professionals, to deliver the intervention. A comprehensive training package will be delivered to the HNs, covering population specific knowledge, interpersonal skills, cancer education and local resources.
Interventions
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Health Navigator Model
The Health Navigator Model will be a longitudinal, person-centered and community-based intervention focused on addressing both primary and secondary cancer prevention, as well as reducing wider barriers to healthcare. Health Navigators (HNs) will be professionals who have a background in social care and an understanding of the local user population, and will be embedded in settings familiar and accessible to people experiencing homelessness. The primary aspects of the HN role will be to identify the health needs and barriers of users, promote cancer awareness and education, facilitate timely access to healthcare services and cancer screening, provide practical assistance, delivered through regular in-person meetings, and utilize wider stakeholders, including healthcare professionals, to deliver the intervention. A comprehensive training package will be delivered to the HNs, covering population specific knowledge, interpersonal skills, cancer education and local resources.
Eligibility Criteria
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Inclusion Criteria
* No diagnosed cancer
* Any category of the European Typology of Homelessness and housing exclusion applies
* Sufficient knowledge of language
Exclusion Criteria
* Persons who do not provide informed consent
* Known cancer diagnosis
* Cancer survivorship
18 Years
ALL
Yes
Sponsors
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University of Valencia
OTHER
Senior Europa Sociedad Limitada
UNKNOWN
Ministry of Social Policies and Family, Spain
UNKNOWN
Servicio Madrileño de Salud, Madrid, Spain
OTHER
International Foundation for Integrated Care
UNKNOWN
Programs of Development, Social Support and Medical Cooperation Association
UNKNOWN
European Federation of National Organisations working with the Homeless
UNKNOWN
Prolepsis Institute for Preventive, Environmental and Occupational Medicine
OTHER
Anglia Ruskin University
OTHER
Universitat Politècnica de València
OTHER
Medical University of Vienna
OTHER
Responsible Party
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Igor Grabovac
Principal Investigator
Principal Investigators
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Igor Grabovac, MD, PhD
Role: PRINCIPAL_INVESTIGATOR
Medical University of Vienna
Locations
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AmberMed
Vienna, , Austria
PRAKSIS Open Day Center for Homeless Athens
Athens, Attica, Greece
PRAKSIS Open Day Center for Homeless Piraeus
Piraeus, Attica, Greece
PRAKSIS Community Center
Sepolia, Attica, Greece
Centro de Salud Segre
Madrid, , Spain
Centro de Salud Segovia
Madrid, , Spain
Samur Social
Madrid, , Spain
Centro de Salud Casa de Campo
Madrid, , Spain
Centro de Salud Cortes
Madrid, , Spain
Centro de Salud Justicia
Madrid, , Spain
Centro de Salud Benita de Ávila
Madrid, , Spain
Centro de Salud Las Águilas
Madrid, , Spain
Shelter el Pinar
Madrid, , Spain
Shelter San Isidro
Madrid, , Spain
Shelter San Juan de Dios
Madrid, , Spain
Women's centre Beatriz Galindo
Madrid, , Spain
The Purfleet Trust - Pathway House
Kings Lynn, Norfolk, United Kingdom
Dibden Road Hostel (Part of St Martins Housing Trust)
Norwich, Norfolk, United Kingdom
Countries
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References
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Carmichael C, Schiffler T, Smith L, Moudatsou M, Tabaki I, Donate-Martinez A, Alhambra-Borras T, Kouvari M, Karnaki P, Gil-Salmeron A, Grabovac I. Barriers and facilitators to health care access for people experiencing homelessness in four European countries: an exploratory qualitative study. Int J Equity Health. 2023 Oct 6;22(1):206. doi: 10.1186/s12939-023-02011-4.
Related Links
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Related Info
Other Identifiers
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965351
Identifier Type: -
Identifier Source: org_study_id
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