Trial Outcomes & Findings for Colonoscopy Outreach for Rural Communities Aim 2 (NCT NCT05453630)

NCT ID: NCT05453630

Last Updated: 2026-07-15

Results Overview

Number of participants who received a colonoscopy within 12 months (365 days) of their referral for the procedure. Electronic health record documentation of the procedure (e.g., procedure report, pathology report, results letter) or self-report was used to determine whether the patient received the colonoscopy.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

527 participants

Primary outcome timeframe

1 year

Results posted on

2026-07-15

Participant Flow

Six partner primary care organizations identified potentially eligible patients. The research team recruited participants over 21 months between June 2022 to February 2024. Recruitment outreach occurred via phone, text, and email with enrollment over the phone.

Participant milestones

Participant milestones
Measure
Patient Navigation Intervention
Participants received the CORC Patient Navigation program: Language-concordant patient navigation from a trained, lay navigator, over the phone and via text and email, to assist participants to complete colonoscopy to screen for colorectal cancer. The navigator was employed by a community-based organization and delivered the program to participants across 3 states.
Standard of Care Control
Participants received an educational brochure about colonoscopy to screen for colorectal cancer.
Overall Study
STARTED
263
264
Overall Study
COMPLETED
260
263
Overall Study
NOT COMPLETED
3
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Patient Navigation Intervention
Participants received the CORC Patient Navigation program: Language-concordant patient navigation from a trained, lay navigator, over the phone and via text and email, to assist participants to complete colonoscopy to screen for colorectal cancer. The navigator was employed by a community-based organization and delivered the program to participants across 3 states.
Standard of Care Control
Participants received an educational brochure about colonoscopy to screen for colorectal cancer.
Overall Study
Withdrawal by Subject
3
1

Baseline Characteristics

Participants who provided a response to this question on the baseline survey

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Patient Navigation Intervention
n=263 Participants
Participants received the CORC Patient Navigation program: Language-concordant patient navigation from a trained, lay navigator, over the phone and via text and email, to assist participants to complete colonoscopy to screen for colorectal cancer
Standard of Care Control
n=264 Participants
Participants received an educational brochure about colonoscopy to screen for colorectal cancer
Total
n=527 Participants
Total of all reporting groups
Age, Customized
Age, categorical · ≤ 18 years
0 Participants
n=263 Participants
0 Participants
n=264 Participants
0 Participants
n=527 Participants
Age, Customized
Age, categorical · 19 years to 64 years
181 Participants
n=263 Participants
179 Participants
n=264 Participants
360 Participants
n=527 Participants
Age, Customized
Age, categorical · ≥ 65 years
81 Participants
n=263 Participants
84 Participants
n=264 Participants
165 Participants
n=527 Participants
Age, Customized
Age, categorical · Unknown
1 Participants
n=263 Participants
1 Participants
n=264 Participants
2 Participants
n=527 Participants
Sex/Gender, Customized
Gender · Male
123 Participants
n=263 Participants
114 Participants
n=264 Participants
237 Participants
n=527 Participants
Sex/Gender, Customized
Gender · Female
139 Participants
n=263 Participants
149 Participants
n=264 Participants
288 Participants
n=527 Participants
Sex/Gender, Customized
Gender · Unknown
1 Participants
n=263 Participants
1 Participants
n=264 Participants
2 Participants
n=527 Participants
Race (NIH/OMB)
American Indian or Alaska Native
7 Participants
n=263 Participants
3 Participants
n=264 Participants
10 Participants
n=527 Participants
Race (NIH/OMB)
Asian
2 Participants
n=263 Participants
0 Participants
n=264 Participants
2 Participants
n=527 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=263 Participants
0 Participants
n=264 Participants
0 Participants
n=527 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=263 Participants
1 Participants
n=264 Participants
3 Participants
n=527 Participants
Race (NIH/OMB)
White
243 Participants
n=263 Participants
255 Participants
n=264 Participants
498 Participants
n=527 Participants
Race (NIH/OMB)
More than one race
5 Participants
n=263 Participants
3 Participants
n=264 Participants
8 Participants
n=527 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=263 Participants
2 Participants
n=264 Participants
6 Participants
n=527 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
44 Participants
n=263 Participants
44 Participants
n=264 Participants
88 Participants
n=527 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
217 Participants
n=263 Participants
217 Participants
n=264 Participants
434 Participants
n=527 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=263 Participants
3 Participants
n=264 Participants
5 Participants
n=527 Participants
Region of Enrollment
United States
263 Participants
n=263 Participants
264 Participants
n=264 Participants
527 Participants
n=527 Participants
Rurality
Rural
199 Participants
n=263 Participants
195 Participants
n=264 Participants
394 Participants
n=527 Participants
Rurality
Urban
64 Participants
n=263 Participants
69 Participants
n=264 Participants
133 Participants
n=527 Participants
Insurance type
Private
124 Participants
n=263 Participants
125 Participants
n=264 Participants
249 Participants
n=527 Participants
Insurance type
Medicare
71 Participants
n=263 Participants
78 Participants
n=264 Participants
149 Participants
n=527 Participants
Insurance type
Medicaid
58 Participants
n=263 Participants
51 Participants
n=264 Participants
109 Participants
n=527 Participants
Insurance type
Other insurance
3 Participants
n=263 Participants
2 Participants
n=264 Participants
5 Participants
n=527 Participants
Insurance type
Uninsured
6 Participants
n=263 Participants
7 Participants
n=264 Participants
13 Participants
n=527 Participants
Insurance type
Unknown
1 Participants
n=263 Participants
1 Participants
n=264 Participants
2 Participants
n=527 Participants
Primary language
English
235 Participants
n=263 Participants
235 Participants
n=264 Participants
470 Participants
n=527 Participants
Primary language
Spanish
28 Participants
n=263 Participants
29 Participants
n=264 Participants
57 Participants
n=527 Participants
Education
Less than high school degree or GED
32 Participants
n=258 Participants • Participants who provided a response to this question on the baseline survey
38 Participants
n=255 Participants • Participants who provided a response to this question on the baseline survey
70 Participants
n=513 Participants • Participants who provided a response to this question on the baseline survey
Education
High school graduate or GED
55 Participants
n=258 Participants • Participants who provided a response to this question on the baseline survey
63 Participants
n=255 Participants • Participants who provided a response to this question on the baseline survey
118 Participants
n=513 Participants • Participants who provided a response to this question on the baseline survey
Education
Some college or Associate's degree
86 Participants
n=258 Participants • Participants who provided a response to this question on the baseline survey
77 Participants
n=255 Participants • Participants who provided a response to this question on the baseline survey
163 Participants
n=513 Participants • Participants who provided a response to this question on the baseline survey
Education
Bachelor's degree or higher
85 Participants
n=258 Participants • Participants who provided a response to this question on the baseline survey
77 Participants
n=255 Participants • Participants who provided a response to this question on the baseline survey
162 Participants
n=513 Participants • Participants who provided a response to this question on the baseline survey
Prior colonoscopy
Yes
134 Participants
n=256 Participants • Participants who provided a response to this question on the baseline survey
148 Participants
n=254 Participants • Participants who provided a response to this question on the baseline survey
282 Participants
n=510 Participants • Participants who provided a response to this question on the baseline survey
Prior colonoscopy
No
122 Participants
n=256 Participants • Participants who provided a response to this question on the baseline survey
106 Participants
n=254 Participants • Participants who provided a response to this question on the baseline survey
228 Participants
n=510 Participants • Participants who provided a response to this question on the baseline survey
Family history of CRC
Yes
31 Participants
n=249 Participants • Participants who provided a response to this question on the baseline survey
31 Participants
n=251 Participants • Participants who provided a response to this question on the baseline survey
62 Participants
n=500 Participants • Participants who provided a response to this question on the baseline survey
Family history of CRC
No
218 Participants
n=249 Participants • Participants who provided a response to this question on the baseline survey
220 Participants
n=251 Participants • Participants who provided a response to this question on the baseline survey
438 Participants
n=500 Participants • Participants who provided a response to this question on the baseline survey
General health
Excellent or very good
104 Participants
n=259 Participants • Participants who provided a response to this question on the baseline survey
99 Participants
n=256 Participants • Participants who provided a response to this question on the baseline survey
203 Participants
n=515 Participants • Participants who provided a response to this question on the baseline survey
General health
Good
99 Participants
n=259 Participants • Participants who provided a response to this question on the baseline survey
103 Participants
n=256 Participants • Participants who provided a response to this question on the baseline survey
202 Participants
n=515 Participants • Participants who provided a response to this question on the baseline survey
General health
Fair or poor
56 Participants
n=259 Participants • Participants who provided a response to this question on the baseline survey
54 Participants
n=256 Participants • Participants who provided a response to this question on the baseline survey
110 Participants
n=515 Participants • Participants who provided a response to this question on the baseline survey

PRIMARY outcome

Timeframe: 1 year

Population: All enrolled participants (intention to treat analysis).

Number of participants who received a colonoscopy within 12 months (365 days) of their referral for the procedure. Electronic health record documentation of the procedure (e.g., procedure report, pathology report, results letter) or self-report was used to determine whether the patient received the colonoscopy.

Outcome measures

Outcome measures
Measure
Standard of Care Control
n=264 Participants
Participants received an educational brochure about colonoscopy to screen for colorectal cancer
Patient Navigation Intervention
n=263 Participants
Participants received the CORC Patient Navigation program: Language-concordant patient navigation from a trained, lay navigator, over the phone and via text and email, to assist participants to complete colonoscopy to screen for colorectal cancer
Number of Participants Who Complete Colonoscopy Within 1 Year of the Colonoscopy Referral
184 Participants
196 Participants

SECONDARY outcome

Timeframe: 9 months

Population: All enrolled participants (intention to treat analysis).

Number of participants who received a colonoscopy within 9 months (274 days) of their referral for the procedure. Electronic health record documentation of the procedure (e.g., procedure report, pathology report, results letter) or self-report was used to determine whether the patient received the colonoscopy.

Outcome measures

Outcome measures
Measure
Standard of Care Control
n=264 Participants
Participants received an educational brochure about colonoscopy to screen for colorectal cancer
Patient Navigation Intervention
n=263 Participants
Participants received the CORC Patient Navigation program: Language-concordant patient navigation from a trained, lay navigator, over the phone and via text and email, to assist participants to complete colonoscopy to screen for colorectal cancer
Number of Participants Who Complete Colonoscopy Within 9 Months of the Colonoscopy Referral
175 Participants
187 Participants

SECONDARY outcome

Timeframe: 6 months

Population: All enrolled participants (intention to treat analysis).

Number of participants who received a colonoscopy within 6 months (183 days) of their referral for the procedure. Electronic health record documentation of the procedure (e.g., procedure report, pathology report, results letter) or self-report was used to determine whether the patient received the colonoscopy.

Outcome measures

Outcome measures
Measure
Standard of Care Control
n=264 Participants
Participants received an educational brochure about colonoscopy to screen for colorectal cancer
Patient Navigation Intervention
n=263 Participants
Participants received the CORC Patient Navigation program: Language-concordant patient navigation from a trained, lay navigator, over the phone and via text and email, to assist participants to complete colonoscopy to screen for colorectal cancer
Number of Participants Who Complete Colonoscopy Within 6 Months of the Colonoscopy Referral
151 Participants
166 Participants

SECONDARY outcome

Timeframe: 1 year

Population: All enrolled participants (intention to treat analysis).

Kaplan-Meier estimated median days to completion. Based on the number of days to colonoscopy completion or end of the 12 month (365 day) follow-up period, from the participant's referral for the procedure. Electronic health record documentation of the procedure (e.g., procedure report, pathology report, results letter) or self-report was used to determine whether the patient received the colonoscopy.

Outcome measures

Outcome measures
Measure
Standard of Care Control
n=264 Participants
Participants received an educational brochure about colonoscopy to screen for colorectal cancer
Patient Navigation Intervention
n=263 Participants
Participants received the CORC Patient Navigation program: Language-concordant patient navigation from a trained, lay navigator, over the phone and via text and email, to assist participants to complete colonoscopy to screen for colorectal cancer
Time to Completion of Colonoscopy or End of Follow-up After the Colonoscopy Referral
159 Days
Interval 140.0 to 180.0
129 Days
Interval 118.0 to 142.0

SECONDARY outcome

Timeframe: 1 year

Population: Participants who received a colonoscopy within 12 months and had colonoscopy procedure information describing prep in their electronic health record.

Number of participants who received a colonoscopy within 12 months of their referral who had documentation of adequate bowel preparation in their electronic health record. Adequate bowel preparation was defined as a subjective rating of fair, adequate, good, or excellent; or a Boston Bowel Preparation Score (BBPS) total of 6 or higher. The BBPS scale ranges from 0-9 with higher values indicating better preparation.

Outcome measures

Outcome measures
Measure
Standard of Care Control
n=175 Participants
Participants received an educational brochure about colonoscopy to screen for colorectal cancer
Patient Navigation Intervention
n=187 Participants
Participants received the CORC Patient Navigation program: Language-concordant patient navigation from a trained, lay navigator, over the phone and via text and email, to assist participants to complete colonoscopy to screen for colorectal cancer
Number of Participants Who Have Completed Colonoscopies With Adequate Preparation
170 Participants
182 Participants

SECONDARY outcome

Timeframe: 1 year

Population: Participants who received a colonoscopy within 12 months, did not have an obstruction due to cancer, and had procedure information in their electronic health record.

Number of participants who received a colonoscopy within 12 months of their referral who had documentation of cecal intubation in their electronic health record. Cecal intubation was considered achieved if there was text documenting reaching the cecum or photographic documentation labeled with cecal landmarks in the procedure information.

Outcome measures

Outcome measures
Measure
Standard of Care Control
n=175 Participants
Participants received an educational brochure about colonoscopy to screen for colorectal cancer
Patient Navigation Intervention
n=189 Participants
Participants received the CORC Patient Navigation program: Language-concordant patient navigation from a trained, lay navigator, over the phone and via text and email, to assist participants to complete colonoscopy to screen for colorectal cancer
Number of Participants Who Have Colonoscopies With Cecal Intubation
172 Participants
185 Participants

Adverse Events

Patient Navigation Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Standard of Care Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Gina Keppel, MPH

University of Washington

Phone: 206-685-0750

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place