NCT07515729

Raising Awareness of Colorectal Screening in American Indian Communities

An American Indian Community-Engaged Approach to Increasing Diagnostic Colonoscopy

• Status: Not Yet Recruiting
• Phase: —
• Study type: Observational
• Enrollment: 446 (estimated)
• Sponsor: University of Oklahoma · Academic / Other
• Sex: All
• Age: 45 Years – 75 Years
• Healthy volunteers: Accepted

Summary

This study focuses exclusively on American Indian individuals within their communities to enhance health equity and address a critical tribal health priority. American Indian populations experience some of the highest colorectal cancer (CRC) mortality rates in the nation. By conducting research within these communities, this study aims to improve early detection, prevention, and treatment strategies tailored to their specific needs. The findings will help develop targeted interventions to reduce CRC disparities and improve health outcomes for American Indian individuals.

Detailed description

Our study aims to close gaps in diagnostic follow-up for American Indian (AI) patients by identifying barriers and facilitators to receiving diagnostic colonoscopies, with a focus on social determinants of health (SDOH). Insights from this will guide an implementation science (IS) study evaluating a CRC Screening Navigator-led intervention to improve access. The primary outcome is the annual percentage change in AI adults (ages 45-75) with positive stool-based screens who complete a diagnostic colonoscopy within 60 days.

Conditions

• Colorectal Cancer (CRC)

Interventions

Type	Name	Description
OTHER	Navigator-led intervention	Navigator will review the proposed implementation plan with PCPs, clinic staff and administrators to address how diagnostic colonoscopy can fit smoothly within overall clinic operations.

Timeline

• Start date: 2026-06-01
• Primary completion: 2029-06-01
• Completion: 2030-06-01
• First posted: 2026-04-07
• Last updated: 2026-04-07