Sarah Miller
Icahn School of Medicine at Mount Sinai, NY·Public Health & Epidemiology
Colorectal cancer (CRC) is a leading cause of cancer death in the United States, and regular screening can catch it early. Yet only 44% of patients at federally qualified health centers (FQHCs) are up to date on screening.
- Fields
Public Health & Epidemiology
Medicine & Clinical Research
Psychology
- Topics
colorectal cancer
cancer screening
colonoscopy
- Grants
- 1 known grant, through Mar 2027
What they work on
- Refine the eNav Toolkit, a web app for colorectal cancer screening decisions, reminders, bowel-prep instructions and education, through two rounds of field testing with 10 federally qualified health center (FQHC) patients each.
- Test in a multi-site randomized clinical trial of 400 FQHC patients whether the eNav Toolkit, compared with usual care, raises screening completion, screening quality and follow-up adherence at six months.
- Evaluate whether the eNav Toolkit works by changing perceived benefits, perceived barriers, perceived susceptibility and self-efficacy, the mechanisms proposed by the health belief model.
More about the research
FQHCs are community clinics that provide affordable care to underserved populations. Patient navigation, in which staff guide patients through the screening process, reliably raises screening rates across income levels and racial and ethnic groups, including at FQHCs. However, it needs staff time and money that low-resource clinics often lack.
Why it matters
A low-cost digital navigator could raise colorectal cancer screening among socioeconomically disadvantaged and underserved patients served by community health centers. These clinics often cannot afford human patient navigators. If the trial shows the eNav Toolkit works, the plan is to build it into electronic health records and offer it to FQHCs nationwide. The goal is to reduce the burden of colorectal cancer in these communities.
Known grants
From NIH and NSF research grants. Labs often have other funding we can't see.
Closest labs
Folasade May
University of California-Los Angeles, CA·Medicine & Clinical Research
Compare a multilevel patient, provider and health-system intervention against usual care in a six-clinic cluster randomized trial, measuring colonoscopy completion within 6 months of an abnormal fecal immunochemical test (FIT) at an FQHC.
Devin Mann
New York University, NY·Medicine & Clinical Research
Develop community health worker training modules for remote blood pressure monitoring, plus electronic health record support tools, using the Consolidated Framework for Implementation Research and user-centered design.
Rahma Mkuu
University of Florida, FL·Public Health & Epidemiology·Early-career
Determine which combinations of obesity, type 2 diabetes, poverty and rurality are associated with cervical cancer diagnosis risk, using latent class analysis of OneFlorida+ electronic health record and claims data.
The school
Icahn School of Medicine at Mount Sinai: 45 labs on PI Pages, $1.0B a year on research, 62 research doctorates a year.
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