Advocacy, Partnership, Outreach, and Yielding Optimized Care for Oncology Patients (APOYO): A Community Health Worker Intervention for Latinx Colorectal Cancer Patients
Status: Recruiting
Location: See location...
Intervention Type: Other, Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
This study is a pilot feasibility randomized trial involving newly diagnosed colorectal cancer (CRC) patients who identify as Latinx. The study aims to leverage existing academic-community partnerships in Santa Clara County to develop and evaluate a multi-level community health worker/promotora (CHW/P) navigator intervention. If found effective, APOYO has the potential to affect clinical outcomes for Latinx colorectal cancer patients both directly and indirectly, including improving health-related quality of life, health care utilization, and reducing social needs.
Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:
• New diagnosis of colon or rectal cancer in the last 30 days
• Identify as Latinx/Hispanic/Latino
• Aged 18 years or older
• Reside in and planning to receive care in Santa Clara County
• Ability to understand and the willingness to provide written informed consent
Locations
United States
California
Stanford University
RECRUITING
Palo Alto
Contact Information
Primary
Study Coordinator
apoyo_team@stanford.edu
(408) 753-8976
Time Frame
Start Date:2026-09-01
Estimated Completion Date:2027-04
Participants
Target number of participants:60
Treatments
Experimental: Community Health Worker (CHW)/Patient Navigator (Intervention Group)
Participants randomized to the intervention group will be assigned a CHW/P who will provide support for up to 6 months after randomization. CHW/Ps will attend the initial oncology visit when possible, review and explain the treatment plan, assist with scheduling and logistics (e.g., transportation, language services), complete a social needs assessment, connect patients to social support services, and offer peer support connections. CHW/Ps will maintain regular contact with patients, at least every other week for the first 3 months, and be available by phone as needed for an additional 3 months. They will also alert the clinical team if the patient expresses unresolved concerns or questions.
Active_comparator: Usual Care plus Social Services Resource List (Control Group)
Participants in the control group will receive a printed or digital list of local social service resources, including websites and phone numbers, but will not receive CHW/P support or navigation services.