Precision navigation to boost cancer screening participation in high-risk communities
Official title: Effectiveness and Mechanisms of a Precision Navigation Intervention to Improve Community Cancer Screening Participation: A Dual-Cohort Cluster Randomized Controlled Trial
Run by Hunan Cancer Hospital · NCT07676383 · Data updated 2026-11-12
This study tests whether a personalized navigation program helps adults aged 45–74 in Chinese communities who are at high risk for several cancers to complete recommended free cancer screenings.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 45 Years to 74 Years |
| Sex | All |
| Enrollment | 1500 (estimated) |
| Sponsor | Hunan Cancer Hospital Academic / other |
| Locations | 3 sites (Huaihua, Hunan and 2 other locations) |
| Status | Recruiting |
| Started | August 4, 2026 |
| Main results expected | March 30, 2027 |
| Study ends | June 2027 |
| Registry record updated | September 18, 2026 |
| Trial ID | NCT07676383 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 45–74 who live in participating communities and are identified as high risk for at least one of the targeted cancers, and who have not yet completed the corresponding free screening.
✕Probably not a fit
Individuals not at high risk for any of the specified cancers or who have already completed the screening may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
In this cluster-randomized trial, communities are assigned to a precision navigation program, usual health education, or a waiting control. Participants are high-risk adults from urban screening programs and are not yet screened for their high-risk cancer type. The study uses two cohorts based on the number of cancer types they are at risk for, and compares completion of recommended screenings across groups. It is conducted at multiple sites in Hunan Province, led by Hunan Cancer Hospital.
Why it matters
Potential benefit: If successful, the approach could increase screening uptake and early detection in high-risk populations.
How similar studies have gone: Prior studies in similar settings show that navigation and targeted outreach can improve screening uptake, though this specific precision-navigation approach is novel in this program.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Aged 45 to 74 years. 2. Permanent resident of a participating community, defined as having lived in the community for at least 6 months during the past 12 months. 3. Participating in the urban cancer screening program. 4. Identified by the program risk assessment questionnaire as being at high risk for at least one of the following cancers: lung cancer, breast cancer, colorectal cancer, upper gastrointestinal cancer, or liver cancer. 5. Has not yet completed the corresponding free clinical screening test for the high-risk cancer type or types. 6. Able to complete electronic questionnaires and read intervention materials independently or with assistance. Paper materials and staff explanation will be provided for participants who do not use smartphones. 7. Able and willing to provide written informed consent. Exclusion Criteria: 1. Previously diagnosed with any of the target cancers, including lung cancer, breast cancer, colorectal cancer, upper gastrointestinal cancer, or liver cancer. 2. Severe cognitive impairment, severe mental illness, or other conditions that prevent the participant from receiving the intervention or completing study questionnaires. 3. Planning to be away from the community for a long period during the next 6 months, defined as cumulative absence of more than 3 months. 4. Currently participating in another interventional study that may affect cancer screening behavior.
Where it's running
-
Huaihua Central Hospital (Huaihua Cancer Hospital)
Huaihua, Hunan, China Recruiting -
Shaoyang Hospital of Traditional Chinese Medicine
Shaoyang, Hunan, China Recruiting -
Yongzhou Central Hospital
Yongzhou, Hunan, China Recruiting
Study contacts
- Study coordinator: Haifan Xiao
- Email: xiaohaifan@hnca.org.cn
- Phone: 8615580869827
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.