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Culturally Informed Patient Navigation for American Indian and Alaska Native Cancer Patients

This study is developing and testing a program called Community-Focused Patient Navigation (CFPN) to help American Indian and Alaska Native (AIAN) cancer patients in rural California get treatment faster after a cancer diagnosis. AIAN communities often face challenges like living far from healthcare, confusing referral systems, or not trusting mainstream healthcare, which can lead to later diagnoses and higher death rates from cancer. This study aims to create a program that addresses these issues in a way that respects AIAN cultures. The study will involve 71 participants and will look at themes from focus groups and interviews to see how well the CFPN program works.

Study design
This interventional study plans to enroll 71 participants. It is designed to co-design and evaluate the CFPN program through community advisory boards, focus groups, and key informant interviews.
What's involved
If you join, you might serve on a Community Advisory Board, participate in a 1-2 hour focus group, or complete a 30-minute key informant interview. If you are a patient, you would engage with a CFPN program navigator as needed and receive opioid misuse education and care coordination.
Compensation
Not stated in the trial record.
Follow-up
The study will follow participants through study completion, which could be up to 2 years, to measure the effectiveness of the CFPN program.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT07332312

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

Recruiting
NAAll AgesInterventionalSupportive care
University of Southern California
~71 participants
Updated 2026-05-11 on ClinicalTrials.gov
What's tested:DiscussionEducational InterventionElectronic Health Record ReviewInterviewPatient NavigationSurvey Administration

At a glance

Recruiting sites
2 of 2 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Focus group themes and emerging codes
Measured over Through study completion, up to 2 years
+5 more outcomes measured

Conditions

Hematopoietic and Lymphatic System Neoplasm
Malignant Solid Neoplasm

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NCT07332312

Where you'd take part

This study runs at 2 sites. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Toiyabe Indian Health Project

    Bishop, Californiastudy coordinator listed

    Recruiting

  • USC / Norris Comprehensive Cancer Center

    Los Angeles, Californiastudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

Study leadership

  • Claradina Soto · PRINCIPAL_INVESTIGATOR · University of Southern California

Who to contact

Tina Cassar
[email protected]
760-872-2622
Email the study team

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Eligibility criteria

Inclusion

CAB: Self-identify as AIAN or have experience working with the AIAN community
CAB: Are 18 years or older
CAB: Live within Toiyabe Indian Health Program (TIHP) catchment area(s)
CAB: Are either a cancer patient/survivor/caregiver and/or a family member of an individual(s) affected by cancer, OR a Board member (ex: Tribal Health Board or Elders Board)
FOCUS GROUP: Self-identify as AIAN or a family member of an AIAN individual affected by cancer
FOCUS GROUP: Are 18 years or older
FOCUS GROUP: Live within TIHP catchment area(s)
FOCUS GROUP: Are either a cancer patient/survivor/caregiver and/or a family member of an individual(s) affected by cancer, OR a Board member (ex: Tribal Health Board or Elders Board)
KII: Be a TIHP healthcare staff member
KII: Be 18 years or older
KII: Work with AIAN cancer patients in TIHP catchment area
CFPN PROGRAM IMPLEMENTATION: Have any type of cancer, are in any treatment stage along the cancer continuum
CFPN PROGRAM IMPLEMENTATION: Self-identify as AIAN or be a TIHP patient
CFPN PROGRAM IMPLEMENTATION: Live in the TIHP service area
CFPN PROGRAM IMPLEMENTATION: Receive cancer-related services from TIHP

Exclusion

FOCUS GROUP: Individual with no experience with cancer either as a patient or know someone who is/was a cancer patient at TIHP
CFPN PROGRAM IMPLEMENTATION: Not a TIHP patient
CFPN PROGRAM IMPLEMENTATION: Does not currently have cancer or has not previously had cancer

What this trial measures

  • Focus group themes and emerging codesThrough study completion, up to 2 years

    Will compare themes and emerging codes utilizing qualitative coding computer software. A report will summarize participant responses for each focus group and will be discussed with the Toiyabe Indian Health Program (THIP) co-principal investigator (Co-PI) and staff prior to sharing with the Community Advisory Board (CAB) members.

  • Key informant interview findings and proposed strategiesThrough study completion, up to 2 years

    Will prepare a report with the findings and proposed strategies and discuss it with TIHP Co-PI and CAB.

  • Qualitative Effectiveness of Community-Focused Patient Navigation (CFPN) programThrough study completion, up to 2 years

    Data collected in interviews focusing on patient's cancer journey and experience with the CFPN program will be analyzed using Dedoose software and an inductive qualitative approach. Two-coder teams will code separately and discuss discrepancies and reconciliations, and the codes will be applied to transcripts and fieldnotes.

  • Quantitative Effectiveness of Community-Focused Patient Navigation (CFPN) programThrough study completion, up to 2 years

    Using Patient Satisfaction With Cancer Care Scale (Jean-Pierre, 2010) to collect data regarding the effectiveness of the CFPN program. Data will be analyzed using SAS to measure the unilateral satisfaction construct through descriptive statistics (e.g., means, medians, frequencies) and summarizing single-group satisfaction at post-intervention.

  • Implementation of Community-Focused Patient Navigation (CFPN) programThrough study completion, up to 2 years

    Data will be collected via a study-specific patient survey to examine acceptability, appropriateness, and feasibility of the CFPN program. Data will be analyzed using SAS to calculate means, standard deviations, and ranges.

  • AttritionThrough study completion, up to 2 years

    Number of patients lost to follow up will be examined to establish the reach of the Community-Focused Patient Navigation (CFPN) program.