Better Breast and Cervical Cancer Control for Korean American Women
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 560
- 试验地点
- 2
- 主要终点
- Number of participants who adhere to mammography and Papanicolaou(Pap) test screening guidelines
研究概览
简要总结
The long-term goal of this study is to build a sustainable,community-based outreach program using Korean American community health workers (CHWs) to promote breast and cervical screening among Korean American women, thereby reducing related morbidity and mortality. The study is designed to determine the effectiveness of a health literacy-focused tailored breast and cervical cancer control intervention delivered by CHWs.
The investigators hypothesized that, compared to KA women in the delayed intervention group, KA women who receive a health literacy-focused CHW intervention will demonstrate: (1) higher levels of adherence to screening for breast and cervical cancer, (2) greater levels of health literacy, (3) higher levels of breast and cervical cancer knowledge, and (4) improve decisional balance.
详细描述
Despite considerable progress in U.S. cancer control over the past 20 years, certain ethnic minority groups continue to experience significant health disparities. Recent immigrants including Korean Americans (KA), face an unequal cancer burden related to the significant language and cultural barriers they face in attempting to navigate the U.S. healthcare system. KA women have the second highest incidence of cervical cancer nationally and are experiencing rapid increases in breast cancer incidence. Not only are their breast and cervical cancers diagnosed at significantly later stages than those of whites, but they are also the least likely racial/ethnic group to receive early breast and cervical cancer screening.
This community-based behavioral intervention is designed 1) to evaluate, in a randomized controlled trial, the effects of our health literacy-focused cancer control intervention, delivered by trained CHWs, on the primary outcomes: mammography and Papanicolaou(Pap)test screening adherence, in a sample of 360 KA women, 2)to test the effects of the proposed intervention on the secondary outcomes: level of health literacy, breast and cervical knowledge, and decisional balance, in the KA sample.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 21 Years 至 65 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •age 21-65 years
- •self-identified as a KA woman
- •no mammogram and Pap test within the last 18 months
- •able to read and write Korean or English
- •willing to provide written study consent
- •willingness to provide written consent to allow the researchers to audit medical records for mammography and Pap test use.
排除标准
- •Potential participants with a cancer diagnosis, an acute and/or terminal condition
- •Psychiatric diagnosis (e.g., schizophrenia or cognitive impairment), or other conditions
- •Women who have undergone hysterectomy
结局指标
主要结局
Number of participants who adhere to mammography and Papanicolaou(Pap) test screening guidelines
时间窗: 6 months
The primary outcome variables are self-reported receipt of, or intention to obtain mammography and/or Pap test. Self-reported intention as an outcome variable has been a common practice in the screening literature, since it has been found to be the best predictor of actual screening behavior.Number of participants who adhere to mammography and Pap test during 6 months period will be the primary outcomes.
次要结局
- Health belief score about breast & cervical cancer(6 months)
- Satisfaction score with community health worker-led intervention activities(6 month follow-up)
- Knowledge score about breast & cervical cancer(6 months)
研究者
Hae-Ra Han
Associate professor
Johns Hopkins University