Developing and Evaluating Culturally Relevant Interventions to Improve Breast Cancer Screening

Johns Hopkins Bloomberg School of Public Health323 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SCREENING

Masking

NONE

Enrollment

323

Conditions

Breast Cancer

Interventions

CARE

CARE is a culturally tailored mammography education module.

CARE + COACHBEHAVIORAL

CARE + COACH is a culturally tailored mammography education module + access to an Apache paraprofessional women's health coach who functions as a patient navigator

Eligibility

Sex: FEMALEHealthy volunteers:

Medical Language ↔ Plain English

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

Locations (1)

Center for Indigenous Health

Whiteriver, Arizona, United States

Outcomes

Primary Outcomes

Mammography uptake

Mammography uptake within 2 months of referral

Time frame: 2 months

Data from ClinicalTrials.gov

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