Table 1 Original and Adapted Components of the Intervention
Intervention Component | Original | Adaptation | Adaptation details |
|---|---|---|---|
Setting | Primary care clinics and community | Primary care clinics and community | Â |
Patient level tailored education | Tailored Message Library | Tailored Message Library | Revised for culturally appropriate language, graphics, statistics |
Navigator Log | Navigator Log | ||
Patient level—eligibility criteria | Average and high-risk patients at average or high-risk for CRC for CRC screening | Average and high-risk patients at average or high-risk for CRC for CRC screening | Navigator training included talking with patients and barriers when referred for diagnostic testing |
Those referred for diagnostic testing follow-up | |||
Patient level Intervention delivery | In person or phone | In person or phone | Navigator training revised to address issues specific to the AI community |
Delivered by trained Navigator | Delivered by trained Navigator | ||
Clinic level intervention | None | Included | Feedback to clinic on CRC screening |
Use of REDCap for patient tracking | |||
Community level setting for education | Urban and rural, Arizona | Primarily rural/reservation land, Arizona | Â |
Community level education content | Awareness of CRC risk and screening | Awareness of CRC risk and screening | Revised to address issues specific to the AI community |
Implementation strategies | Environmental scan | Environmental scan | Use of a newly developed REDCap database for logging navigation encounters, and tracking screening and diagnostic completion |
Navigators hired by study | Navigators hired by study | ||
No EHR entry by navigators | EHR entry by navigators |