Impact of Basic Needs Assessment and Support to Improve Colposcopy Show Rate

NCT ID: NCT05458960

Last Updated: 2025-12-26

Study Results

Results pending

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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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

3 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-28

Study Completion Date

2025-11-17

Brief Summary

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The investigators will perform a randomized controlled trial in which 72 eligible patients (low-income, uninsured, or on Medicaid) who are referred for colposcopy at Washington University School of Medicine, are enrolled and then screened for unmet social needs and distress. The participants will then be randomized 1:1 into either receive the social needs navigator program (n=36) or enhanced usual care (n=36).

Detailed Description

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Conditions

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Cervical Cancer

Keywords

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Colposcopy Cervical cancer prevention Adherence to follow-up Unmet social needs Distress

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Arm 1: Social needs navigator program

Participants will be paired with a community health worker who will provide tailored support to address unmet social needs. The number and frequency of calls will be limited only by participants' needs, interest, and willingness to interact. The type of contact could include phone calls, or home/community visits. The community health worker will: (1) identify and assess patients' unmet social needs; (2) jointly generate solutions; (3) help prioritize among multiple needs; (4) identify community resources that could help resolve the problem(s); (5) determine eligibility for services; (6) help patients access available resources by scheduling appointments and providing appointment reminders; (7) prepare patients to interact with service agencies and/or act as an advocate; (8) provide support such as arranging transportation; (9) oversee follow-up problem-solving actions; and (10) review progress made towards resolving unmet social needs and adapt solutions.

Group Type EXPERIMENTAL

Social needs navigator program

Intervention Type BEHAVIORAL

4 months of assistance tailored to the needs of the participant

Arm 2: Enhanced usual care

Participants will receive verbal referral to a federally funded, free, 24-hr assistance hotline, United Way 2-1-1, which connects callers with community services to help address unmet social needs.

Group Type ACTIVE_COMPARATOR

Enhanced usual care

Intervention Type BEHAVIORAL

Referral to United Way 2-1-1

Arm 3: Clinic provider

4 WUSM colposcopy providers, 4 staff members, and 1 community health worker will be surveyed to assess potential for dissemination.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Social needs navigator program

4 months of assistance tailored to the needs of the participant

Intervention Type BEHAVIORAL

Enhanced usual care

Referral to United Way 2-1-1

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Abnormal cervical cancer screen
* Missed appointment at BJH colposcopy clinic and need to reschedule
* Age 21 years or older
* Able to provide verbal consent
* Diagnosis of an abnormal cervical screen confirmed by cytology or pathology

Exclusion Criteria

* Individual without a cervix
* Known diagnosis or history of cancer
* Unable to consent
Minimum Eligible Age

21 Years

Maximum Eligible Age

90 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Center for Advancing Translational Sciences (NCATS)

NIH

Sponsor Role collaborator

Washington University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lindsay M Kuroki, M.D.

Role: PRINCIPAL_INVESTIGATOR

Washington University School of Medicine

Locations

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Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Countries

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United States

Related Links

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http://www.siteman.wustl.edu

Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine

Other Identifiers

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202205183

Identifier Type: -

Identifier Source: org_study_id

1R03TR004017-01A1

Identifier Type: NIH

Identifier Source: secondary_id

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