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Using Patient Navigation to Promote Bowel Screening in AAA Attendees. (TET BETA)

2026年7月20日 更新者：University of Surrey

Testing the Efficacy, Feasibility, Acceptability and Cost-effectiveness of Patient Navigation to Promote Bowel Cancer Screening Participation Among Non-responders Attending Abdominal Aortic Aneurysm (AAA) Screening: A Multi-centre Pilot Study.

The goal of this single-arm, multi-centre feasibility study is to assess the efficacy, feasibility and acceptability of implementing patient navigation across Abdominal Aortic Aneurysm (AAA) screening services in England to increase uptake of bowel cancer screening. The main questions it aims to answer are:

  • Do service users complete a bowel cancer screening within three months of receiving patient navigation?
  • Do service deliverers consider patient navigation as feasible to implement in practice?
  • Do service users consider patient navigation acceptable to receive during their AAA appointment? Participants will be asked to discuss bowel screening with AAA practitioners (patient navigation). Follow-up surveys and interviews will be conducted with those that delivered the intervention and with those that received it.

研究概览

地位

尚未招聘

条件

干预/治疗

详细说明

Bowel cancer is a leading cause of cancer-related mortality in England. Biennial Faecal Immunochemical Test (FIT) screening can reduce bowel cancer-related deaths by detecting cases before symptoms develop. However, uptake remains suboptimal, particularly among men. Evidence from a single-centre study in Scotland suggests that a brief intervention, akin to patient navigation, delivered to men attending routine abdominal aortic aneurysm (AAA) screening appointments, can facilitate participation.

The overarching aim of this study is to evaluate the efficacy, feasibility, acceptability and cost-effectiveness of implementing patient navigation intervention across AAA screening services in England.

This study will be a single-arm, multi-centre feasibility study that will be conducted across five AAA screening centres in England, i.e. Leicester, Birmingham and Black Country, London, West Yorkshire, and Somerset and North Devon. Over a three-month period (August-November 2026), AAA screening practitioners will deliver patient navigation to a sample of approximately 4190 men, aged 65+ years, who attend AAA screening and self-report as bowel screening non-responders.

The primary outcome of the study is completion of a FIT kit within three months of the AAA appointment. Secondary outcomes include the feasibility, acceptability and cost-effectiveness of the intervention.

The study comprises three Work Packages:

Work Package 1 will be the single-arm, multi-centre feasibility study. The outcome will be the completion of a bowel cancer screening kit, providing preliminary evidence of efficacy.

Work Package 2 will evaluate feasibility from the service provider perspective, using surveys (Workstream 2a) and interviews (Workstream 2b) with AAA service providers.

Work Package 3 will assess acceptability from the service user perspective, using surveys (Workstream 3a) and interviews (Workstream 3b) with those who received the intervention during the study period.

The findings will be used to inform an implementation toolkit as part of a national strategy to improve the uptake of bowel screening.

研究类型

介入性

注册 (估计的)

4190

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习联系方式

学习地点

  • 英国
      • Leicester、英国
        • University Hospitals of Leicester NHS Trust

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 年长者

接受健康志愿者

是的

描述

Inclusion Criteria:

  • Men aged 65 years and above
  • Attending an AAA screening appointment
  • Have not completed their most recent bowel screening
  • Agree to discuss bowel screening further

Exclusion Criteria:

  • Men aged <65years
  • Those who do not attend their AAA screening appointment
  • Have completed their most recent bowel screening
  • Do not agree to discuss bowel screening further
  • Those who received a positive AAA result in their appointment.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：放映
  • 分配：不适用
  • 介入模型：单组作业
  • 屏蔽：无（打开标签）

武器和干预

参与者组/臂
干预/治疗
其他：Patient Navigation

Eligibility: Men who have a negative AAA result, indicate that they have not completed their most recent bowel screening and are happy to discuss this further.

Intervention: A 2 minute Patient Navigation intervention (discussion regarding barriers to completing bowel cancer screening)
其他：Patient Navigation conversation
Brief 1.5-2 minute conversation to discuss barriers and solutions to why have not completed most recent bowel screening. Offer of third party request or information to contact screening service.

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Number of FIT test completed
大体时间：Completion within 3 months of patient navigation intervention
Completion of FIT test
Completion within 3 months of patient navigation intervention

次要结果测量

结果测量
措施说明
大体时间
Feasibility of delivering patient navigation (survey)
大体时间：0-5 months post patient navigation delivery
Survey with those who delivered patient navigation. Survey contains 7 items: 2 demographic questions, 2 items on a 3-point Likert scale (with option to provide further detail in open text), 2 open text responses, and one dichotomous item (Yes/No). The Likert scales are scored where 1 is low and 3 is high.
0-5 months post patient navigation delivery
Feasibility of delivering patient navigation (Interviews)
大体时间：0-5 months post patient navigation delivery
Semi-structured interviews with those who delivered patient navigation
0-5 months post patient navigation delivery
Acceptability of receiving patient navigation (Survey)
大体时间：0-5 months post patient navigation
Survey with service users who received patient navigation. Survey contains 12 items: 4 demographic questions, 5 items on a 5-point Likert scale, and 3 open text responses. The Likert scales are scored where 1 is high and 5 is low.
0-5 months post patient navigation
Acceptability of receiving patient navigation (Interviews)
大体时间：0-5 months post patient navigation
Semi-structured interviews with service users who received patient navigation
0-5 months post patient navigation

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

University of Surrey

合作者

Cancer Research UK
NHS England

调查人员

  • 首席研究员：Robert Kerrison, PhD、University of Surrey

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (估计的)

2026年8月3日

初级完成 (估计的)

2027年3月1日

研究完成 (估计的)

2027年7月31日

研究注册日期

首次提交

2026年7月3日

首先提交符合 QC 标准的

2026年7月20日

首次发布 (实际的)

2026年7月23日

研究记录更新

最后更新发布 (实际的)

2026年7月23日

上次提交的符合 QC 标准的更新

2026年7月20日

最后验证

2026年6月1日

更多信息

与本研究相关的术语

其他研究编号

  • SPON 2026-06

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

不

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

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