Journal of Cancer Education

, Volume 26, Issue 2, pp 277–284 | Cite as

Training Experiences of Lay and Professional Patient Navigators for Colorectal Cancer Screening

  • Rachel C. Shelton
  • Hayley S. Thompson
  • Lina Jandorf
  • Alejandro Varela
  • Bridget Oliveri
  • Cristina Villagra
  • Heiddis B. Valdimarsdottir
  • William H. Redd
Article

Abstract

Patient navigation (PN) is increasingly used in cancer care, but little is known about the identification and training of patient navigators. PN may be implemented by professional health care providers, paraprofessionals, or lay health workers and, therefore, presents an opportunity to compare professional and lay interventionist experiences. The goal of the current report is to compare the training experiences of four professional (Pro) and five lay (LHW) patient navigators enlisted to increase colonoscopy adherence among African American primary care patients. The results of early assessments showed that LHWs’ intervention-related knowledge was significantly lower than that of Pros. However, there were no significant differences in knowledge scores between LHWs and Pros for most subsets of knowledge items in later assessments. Furthermore, there were no significant differences in LHWs’ and Pros’ reported self-efficacy and satisfaction with training. Findings support the use of diverse strategies to train and prepare LHWs as patient navigators.

Keywords

Lay health workers Patient navigation Colonoscopy Cancer screening Training 

References

  1. 1.
    National Cancer Institute (2006) The NCI strategic plan for leading the nation to eliminate the suffering and death due to cancer. US Department of Health and Human Services, NIH, BethesdaGoogle Scholar
  2. 2.
    Hede K (2008) Agencies look to patient navigators to reduce cancer care disparities. Journal Natl Cancer Inst 98:157–159CrossRefGoogle Scholar
  3. 3.
    Institute for Alternative Futures (2007) Patient navigator program overview, April 13, 2007; a report for the Disparity Reducing Advances (DRA) Project, Alexandria, VAGoogle Scholar
  4. 4.
    Lewin S, Munabi-Babigumira S, Glenton C, Daniels K, Bosch-Capblanch X, van Wyk B (2005) Lay health workers in primary and community health care. The Cochrane Database of Systematic Reviews 25(1) doi:10.1002/14651858.CD004015.pub2
  5. 5.
    Eng E, Parker E, Harlan C (1997) Lay health advisor intervention strategies: a continuum from natural helping to paraprofessional helping. Health Educ Behav 34:413–417CrossRefGoogle Scholar
  6. 6.
    Rodriguez V, Conway T, Woodruff S, Edwards C (2003) Pilot test of an assessment instrument for Latina Community Health Advisors conducting an ETS intervention. J Immigr Health 5:129–137PubMedCrossRefGoogle Scholar
  7. 7.
    Han Hae-Ra, Kim KB, Kim MT (2007) Evaluation of the training of Korean community health workers for chronic disease management. Health Educ Res 22:513–521PubMedCrossRefGoogle Scholar
  8. 8.
    Yu Mei-Yu, Song L, Seetoo A, Cai C, Smith G, Oakley D (2007) Culturally competent training program: a key to training lay health advisors for promoting breast cancer screening. Health Educ Behav 34:928–941PubMedCrossRefGoogle Scholar
  9. 9.
    Hurd T, Muti P, Erwin D, Womack S (2003) An evaluation of the integration of non-traditional learning tools into a community-based breast and cervical cancer education program: the Witness Project of Buffalo. BMC Cancer 3:18PubMedCrossRefGoogle Scholar
  10. 10.
    Quinn MT, McNabb WL (2001) Training lay health educators to conduct a church-based weight-loss program for African American women. Diab Educ 27:231–238CrossRefGoogle Scholar
  11. 11.
    American Cancer Society (2009) Cancer facts & figures for African Americans 2009–2010. American Cancer Society, AtlantaGoogle Scholar
  12. 12.
    Levin B, Lieberman DA, MacFarland B, Smith RA, Brooks D, Andrews KS et al (2008) Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. CA Cancer J Clin 58:130–160PubMedCrossRefGoogle Scholar
  13. 13.
    Centers for Disease Control and Prevention (CDC) (2007) Behavioral risk factor surveillance system survey data. Department of Health and Human Services, Centers for Disease Control and Prevention, AtlantaGoogle Scholar
  14. 14.
    Christie J, Itzkowitz S, Lihau-Nkanza I, Castillo A, Redd WH, Jandorf L (2008) A randomized controlled trial using patient navigation to increase colonoscopy screening among low-income minorities. J Natl Med Assoc 100:278–284PubMedGoogle Scholar
  15. 15.
    Chen LA, Santos S, Jandorf L, Christie J, Castillo A, Winkel G, Itzkowitz S (2008) Program to enhance completion of screening colonoscopy completion among urban minorities. Clin Gastroenterol Hepatol 6:443–450PubMedCrossRefGoogle Scholar
  16. 16.
    Miller WR (1996) Motivational interviewing: research, practice, and puzzles. Addict Behav 21:835–842PubMedCrossRefGoogle Scholar
  17. 17.
    Resnicow K, DiIorio C, Soet JE, Borrelli B, Hecht J, Ernst D (2002) Motivational interviewing in health promotion: it sounds like something is changing. Health Psychol 21:444–451PubMedCrossRefGoogle Scholar
  18. 18.
    Brouse CH, Basch CE (2004) Concepts for telephone-based health education. Health Educ J 63:254–265CrossRefGoogle Scholar
  19. 19.
    Greiner K Allen, Born W, Nollen N, Ahluwalia JS (2005) Knowledge and perceptions of colorectal cancer screening among urban African Americans. J Gen Intern Med 20:977–983PubMedCrossRefGoogle Scholar
  20. 20.
    Shokar NK, Vernon SW, Weller SC (2005) Cancer and colorectal cancer: knowledge, beliefs, and screening preferences of a diverse patient population. Fam Med 37:341–347PubMedGoogle Scholar
  21. 21.
    Janz NK, Wren PA, Schottenfeld D, Guire KE (2003) Colorectal cancer screening attitudes and behavior: a population-based study. Prev Med 37:627–634PubMedCrossRefGoogle Scholar
  22. 22.
    Ward SH, Lin K, Brian M, Bass SB, Lalitha P, Gordon Thomas F, Burt RS (2008) Increasing colorectal cancer screening among African Americans: linking risk perception to interventions targeting patients, communities and clinicians. J Natl Med Assoc 100(6):748–758PubMedGoogle Scholar
  23. 23.
    National Cancer Institute (2001) Trainer’s guide for Cancer Education. National Institutes of Health, BethesdaGoogle Scholar
  24. 24.
    Ferrante JM, Chen P-H, Kim S (2007) The effect of patient navigation on time to diagnosis, anxiety, and satisfaction in urban minority women with abnormal mammograms: a randomized controlled trial. J Urban Health 85:114–124PubMedCrossRefGoogle Scholar
  25. 25.
    Battaglia TA, Roloff K, Posner MA, Freund KA (2007) Improving follow-up to abnormal breast cancer screening in an urban population: a patient navigation intervention. Cancer 109:359–367PubMedCrossRefGoogle Scholar

Copyright information

© Springer 2011

Authors and Affiliations

  • Rachel C. Shelton
    • 1
  • Hayley S. Thompson
    • 2
  • Lina Jandorf
    • 3
  • Alejandro Varela
    • 3
  • Bridget Oliveri
    • 4
  • Cristina Villagra
    • 3
  • Heiddis B. Valdimarsdottir
    • 5
  • William H. Redd
    • 3
  1. 1.Department of Sociomedical SciencesColumbia University, Mailman School of Public HealthNew YorkUSA
  2. 2.Department of Epidemiology and Population HealthAlbert Einstein College of Medicine of Yeshiva UniversityBronxUSA
  3. 3.Department of Oncological SciencesMount Sinai School of MedicineNew YorkUSA
  4. 4.New York Medical CollegeValhallaUSA
  5. 5.Reykjavik UniversitySchool of Health and EducationReykjavikIceland

Personalised recommendations