Developing and Evaluating Culturally Relevant Interventions to Improve Breast Cancer Screening

Johns Hopkins Bloomberg School of Public Health

Status: Completed

Conditions: Breast Cancer

Treatments: Behavioral: CARE; Behavioral: CARE + COACH

Study type: Interventional

Funder types: Other

Identifiers

NCT05665660

IRB00022667

Details and patient eligibility

About

The goal of this study is to evaluate the relative benefits of an intervention to promote breast cancer screening among women in the White Mountain Apache (WMA) community. Women will be randomized to receive CARE, a culturally tailored mammography education module, or CARE+COACH, which is the CARE education module plus access to an Apache paraprofessional women's health coach (i.e., patient navigator). The CARE intervention was developed through a community-based participatory research process. The primary outcome is mammography uptake within 2 months of a referral.

Enrollment: 323 patients

Sex: Female

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Referral for screening mammography from a Whiteriver Indian Health Service provider
• Self-identify as American Indian or Alaska Native (AIAN)
• Female
• Live on within 60 miles of the Fort Apache Indian Reservation

Exclusion criteria

• Women who have received a mammogram within the prior 12 months
• Women with a personal history of breast cancer
• Unable to participate in full intervention or evaluation due to an anticipated event (e.g., planned move)
• Unwilling to be randomized

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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323 participants in 2 patient groups

CARE - Intervention arm for mammography education

Experimental group

Description:

CARE is a culturally tailored mammography education module.

Treatment:

Behavioral: CARE

CARE + COACH - Intervention arm for mammography education + a patient navigator

Experimental group

Description:

CARE + COACH is the CARE education module in addition to a COACH, which is access to an Apache paraprofessional women's health coach. The Coach functions like a patient navigator.

Treatment:

Behavioral: CARE + COACH