Overcoming Racial Disparities in Screening Mammography

The Washington University

Status: Begins enrollment this month

Conditions: Breast Cancer; Cancer of the Breast

Treatments: Other: Automated phone call; Other: Digital navigation video; Other: Telephone counseling; Other: Appointment mail reminder

Study type: Interventional

Funder types: Other; NETWORK; Industry

Identifiers

NCT07549139

202604048

Details and patient eligibility

About

The purpose of this study is to increase screening mammography among Black women by implementing and evaluating a culturally tailored patient-centric program designed to address barriers to screening. By performing a randomized clinical trial, this study aims to develop effective strategies to improve adherence to screening mammography and contribute to reducing health disparities in breast cancer outcomes.

Enrollment: 176 estimated patients

Sex: Female

Ages: 40+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Woman
• At least 40 years old
• Self-identify as Black
• English-speaking
• Scheduled for a screening mammogram within 8 weeks of study entry
• Able to understand and willing to sign an IRB approved written informed consent document.

Exclusion criteria

• A previous history of breast cancer
• Scheduled for a diagnostic mammogram
• Has a documented or uncorrectable cognitive, hearing, or visual impairment.
• Too ill to participate (diagnosed with or suffering from a condition that, in the judgment of the investigator, may limit participation in the study).

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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176 participants in 2 patient groups

Arm 1: Usual Care

Active Comparator group

Description:

Patients will receive the institution's usual care for screening mammogram, which consists of an automated reminder phone call from the breast health center 1-3 days prior to a scheduled appointment.

Treatment:

Other: Automated phone call

Arm 2: Culturally Tailored Patient Centric Program Methods

Experimental group

Description:

Patients will receive mail reminders at 7-10 days prior to appointment, tailored telephone counseling to both serve as an appointment reminder and to identify and troubleshoot salient barriers to mammography completion, and a digital navigation video explaining the rationale for and the actual mammography procedure. All study procedures are carried out remotely with no additional research visits for participants.

Treatment:

Other: Appointment mail reminder

Other: Telephone counseling

Other: Digital navigation video