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Patient navigation systems have been shown to effectively increase colorectal cancer (CRC) screening rates in underserved populations. They require sustained financial resources that may be prohibitive. Investigators studied whether a social contact designated by a patient scheduled for CRC screening could fulfill the role of navigator.
To test this hypothesis, investigators randomized 399 black patients (mean age, 58; 53% female) who were scheduled for screening colonoscopy to nominate a social contact navigator or to usual care. Patients in the intervention group designated an adult (63.5% immediate family members, 11% other relatives, 25.5% friends) who was asked to serve as a navigator to remind the patient about bowel preparation and he…