Community-led Navigation to Address Disparities in Mammography Among Native American Women

Johns Hopkins Bloomberg School of Public Health

Status: Enrolling

Conditions: Breast Cancer

Treatments: Behavioral: TEAM; Behavioral: Navigation

Study type: Interventional

Funder types: Other

Identifiers

NCT06957535

IRB00031873

Details and patient eligibility

About

The goal of this study is to evaluate the effectiveness of an intervention to promote breast cancer screening mammography among women in one community on the Navajo Nation. The intervention is Tablet-based Education to improve the Acceptance of Mammography (TEAM). TEAM encompasses culturally-tailored mammography education modules that were developed using a community-based participatory research process. Women will be randomized to receive TEAM or TEAM + Navigation. Navigation involves monthly 1:1 support from a Diné peer-navigator.

Enrollment: 200 estimated patients

Sex: Female

Ages: 40 to 74 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Self-identify as American Indian or Alaska Native (AIAN)
• Identify as Female
• Are 40-74 years of age
• Are a registered patient at Chinle Comprehensive HealthCare Facility (CCHFC)
• Live within 80 miles of CCHFC
• Have not received a mammogram within the prior 12 months
• Do not have a personal history of breast cancer
• Are not planning to move in the next 6 months
• Willing to be randomized

Exclusion criteria

• Do not self-identify as American Indian or Alaska Native (AIAN)
• Do not identify as Female
• Are not 40-74 years of age
• Are not a registered patient at CCHCF
• Do not live within 80 miles of CCHCF
• Have received a mammogram within the prior 12 months
• Have a personal history of breast cancer
• Are planning to move in the next 6 months
• Unwilling to be randomized

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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200 participants in 2 patient groups

TEAM

Active Comparator group

Description:

TEAM (Tablet-based Education to improve the Acceptance of Mammography)

Treatment:

Behavioral: TEAM

TEAM + Navigation

Experimental group

Description:

TEAM (Tablet-based Education to improve the Acceptance of Mammography) and Navigation (provision of 1:1 support from a Diné peer-navigator)

Treatment:

Behavioral: Navigation

Behavioral: TEAM