Community Gateway to Health Study

NCT07592793 — Not applicable, Enrolling by invitation, 100 participants, Harvard School of Public Health (HSPH)

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Registry	NCT07592793
Status	Enrolling by invitation
Phase	Not applicable
Study type	Interventional; randomized, sequential, masking: none, prevention
Enrollment	100 (Estimated)
Sponsor	Harvard School of Public Health (HSPH) (Other); collaborators: National Cancer Institute (NCI), Caring Health Center, Massachusetts League of Community Health Centers
Conditions	Breast Cancer Screening, Cervical Cancer Screening, Colon Cancer Screening, Tobacco Cessation
Interventions	Tools and Training for Cancer Control, Enhancing Social Capital and Civic Engagement (Behavioral)
Dates	start 2026-06-02, primary completion 2028-06-01 (estimated), completion 2029-07-01 (estimated), first posted 2026-05-18, last updated 2026-07-06
Locations	2 sites in United States

-Summary

The goal of this study is to evaluate the impact of a multi-level intervention on cancer prevention and social determinants of health outcomes. This partnership between academic and community-based researchers aims to link community health centers and communities in ways that maximize both civic engagement and participation in cancer control care. The system-level intervention consists of two components: (1) provision of community health center systems-level tools for cancer screening (breast, cervical, colorectal) and tobacco cessation treatment gaps; and (2) digital access screening and navigation. These interventions will be delivered via usual care.

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+Arms and interventions

Arm	Type	Interventions	Description
Multilevel Intervention	Experimental	Behavioral: Tools and Training for Cancer Control; Behavioral: Enhancing Social Capital and Civic Engagement
Usual Care	No intervention		In this stepped wedge design, all sites have a period of being in usual care. Six sites then have periods of providing the intervention and six sites remain comparison sites (i.e. usual care).

Tools and Training for Cancer Control (Behavioral): This system level intervention consists of two components: (1) provision of community health center systems-level tools for cancer screening (breast, cervical, colorectal) and tobacco cessation treatment gaps; and (2) digital access screening and navigation.
Enhancing Social Capital and Civic Engagement (Behavioral): This community level intervention consists of a patient referral from a community health center to a community organization focused on building social capital and civic engagement to test the impact of connecting clinical and community resources explicitly for patients.

+Outcome measures

Primary outcomes

Patients Screened for Colorectal Cancer [change from baseline to end of intervention period, an average of 1 year]: % patients who are up to date on colorectal cancer screening from EMR
Patients Screened for Breast Cancer [change from baseline to end of intervention period, an average of 1 year]: % patients who are up to date on breast cancer screening from EMR
Patients Screened for Cervical Cancer [change from baseline to end of intervention period, an average of 1 year]: % patients who are up to date on cervical cancer screening from EMR
Patients Offered Pharmacotherapy for Smoking Cessation [change from baseline to end of intervention period, an average of 1 year]: % patients offered pharmacotherapy from EMR

Secondary outcomes

Acceptability of the intervention [Post intervention, 1 year follow up]: Self reported via staff survey
Feasibility of the intervention [Post intervention, 1 year follow up]: Self-reported via staff survey

+Eligibility

Sex: All, ages: 18 Years to any, accepts healthy volunteers

Study participants include community health center and community partner staff participating in surveys and interviews about the implementation of the intervention.

Inclusion Criteria:

* Community health center staff or community partners
* Age 18 or older

Exclusion Criteria:

* Under 18

Patients will not be individually recruited for the study because the intervention is being offered as part of routine care.

+Locations (2)

Facility	City	Country	Status
Harvard TH Chan School of Public Health	Boston, Massachusetts	United States
Caring Health Center	Springfield, Massachusetts	United States

+Funding

NIH grants: U19CA291431