Bundled Cancer Screening and Genetic Services Navigation
The goal of this study is to test bundled familial cancer risk assessment + multicancer (colorectal + breast) vs. single (breast) cancer navigation, using a wait list control for colorectal cancer screening referral and navigation. Among those eligible, this study will test usual care referral to genetic services vs. pretest education + usual care referral. The study also will assess how bundled multicancer navigation works and for whom it is most effective through a multisite, mixed-methods patient- and organization-level process evaluation.
• Seeking screening navigation services through programs at a participating site (Georgetown Lombardi Cancer Center or Helen F. Graham Cancer Center \& Research Institutes)
• Eligible for breast cancer screening while also due and eligible for colorectal cancer screening (per USPSTF guidelines)
• Female sex
• Aged 45-74
• Identify as Black/African American race and/or Hispanic/Latin(e)(a) ethnicity
• Speak English or Spanish with enough fluency to complete study activities
• Stated willingness to comply with all study procedures (navigation, surveys) and availability for the duration of the study
• Provision of completed electronic informed consent form