The purpose of this study is to evaluate patient navigation programs designed to reduce barriers to cancer screening and improve healthcare experiences for adults living in Chicago. Participants will be asked to complete two surveys: the first survey shortly after the participants join the study and a second survey after 1 year. Participants will be joining one of three patient navigation programs, assigned at random. The investigators expect the participants to be in this patient navigation program for 12 months, followed by a 1-month window to complete the final survey.
adults 18 years and older;
able to complete verbal survey in English, Spanish, or Mandarin/Cantonese Chinese;
reside in Chicago;
able to give informed consent;
Age <18
Incarceration
Adults unable to give informed consent
Parallel
Standard-PN
Other interventionThe standard health navigation group will work with a Health Navigator during the 12 months time in the study. A Health Navigator is a trained, non-clinical staff member who helps the participants understand and access cancer screening and follow-up care. They are not doctors or nurses, but they work to support the participants in navigating the healthcare system.
4R-PN
Other interventionThe standard Health Navigation with the "Get Healthy" checklist group will work with a Health Navigator and a guided checklist over the next 12 months. A Health Navigator is a trained, non-clinical staff member who helps you understand and access cancer screening and follow-up care. They are not doctors or nurses, but they work to support you in navigating the healthcare system.
AI-PN
Other interventionThe health navigation with the AI chatbot group will work with a Health Navigator and an AI Chatbot over 12 months. A Health Navigator is a trained, non-clinical staff member who helps you understand and access cancer screening and follow-up care. They are not doctors or nurses, but they work to support you in navigating the healthcare system.
Cancer screening utilization
Patient Receipt of Clinical Cancer Preventive Services composite proportion of items completed/resolved in NCCN and USPSTF recommended cancer screenings, behavioral counseling, and immunizations.
Resolution of SDOH barriers
Patient Receipt of Resolution of Social Determinants of Health (SDoH) Barriers is an adjusted, composite proportion of items completed/resolved from those identified in the Accountable Health Communities Health-Related Social Needs (AHC HRSN) Screening Tool.
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Northwestern University
Lead sponsor
Loyola University
Collaborator
