A Culturally Informed Patient Navigation Program (CFPN) to Reduce Delays Between Diagnosis and Treatment in American Indian and Alaska Native Cancer Patients Living in Rural California

Summary

This clinical trial develops and tests whether a culturally informed patient navigation program, Community-Focused Patient Navigation (CFPN), works to reduce delays between diagnosis and treatment in American Indian and Alaska Native (AIAN) cancer patients living in rural California. AIAN communities face some of the most severe cancer disparities in the United States, including higher death rates, later-stage diagnoses, and limited access to timely, culturally responsive care. This may be due to barriers such as rural isolation, divided referral systems, or a lack of trust in mainstream healthcare systems. Patient navigation is a care delivery model designed to guide a patient through the healthcare system and address the barriers that prevent patients from accessing timely and effective care. The CFPN program is culturally tailored and designed with AIAN communities in mind. The program provides the patient with a treatment plan based on the patient's unique needs, goals, and barriers. This may be an effective way to reduce delays between diagnosis and treatment in AIAN cancer patients living in rural California.

Conditions

• Hematopoietic and Lymphatic System Neoplasm
• Malignant Solid Neoplasm

Interventions

OTHER

Electronic Health Record Review

Ancillary studies

OTHER

Interview

Complete KII

OTHER

Interview

Ancillary studies

BEHAVIORAL

Patient Navigation

Engage with CFPN program navigator

OTHER

Survey Administration

Ancillary studies

PROCEDURE

Tailored Intervention

Receive treatment plan

OTHER

Discussion

Complete focus group

OTHER

Educational Intervention

Receive opioid misuse education and care coordination

OTHER

Discussion

Serve on CAB

Sponsors & Collaborators

• National Cancer Institute (NCI)

  collaborator NIH

• American Cancer Society, Inc.

  collaborator OTHER

• Pfizer

  collaborator INDUSTRY

• University of Southern California

  lead OTHER

Principal Investigators

• Claradina Soto · University of Southern California

Study Design

Allocation

NON_RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Model

SEQUENTIAL

Eligibility

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2026-04-17

Primary Completion

2027-11-13

Completion

2028-11-13

Countries

• United States

Study Locations