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

Johns Hopkins Bloomberg School of Public Health200 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

200

Conditions

Breast Cancer

Interventions

Navigation

Eligibility

Sex: FEMALEMin age: 40 YearsMax age: 74 Years

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

Number of participants with mammography

Mammography uptake within 3 months of referral

Time frame: 3 months post baseline