Developing and Evaluating Culturally Relevant Interventions to Improve Breast Cancer Screening

Not Applicable

Recruiting

• Conditions: Breast Cancer
• Interventions: Behavioral: CARE; Behavioral: CARE + COACH

• Registration Number: NCT05665660
• Lead Sponsor: Johns Hopkins Bloomberg School of Public Health

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-12-19
• Study First Submitted QC: 2022-12-19
• Study First Posted: 2022-12-27
• Study Start: 2023-06-06
• Status Verified: 2024-07
• Last Update Submitted: 2024-07-16
• Last Update Posted: 2024-07-18
• Primary Completion: 2025-12
• Study Completion: 2025-12

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Female
• Target Recruitment: 350

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
CARE - Intervention arm for mammography education	CARE	CARE is a culturally tailored mammography education module.
CARE + COACH - Intervention arm for mammography education + a patient navigator	CARE + COACH	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.

Primary Outcome Measures

Name	Time	Method
Mammography uptake	2 months	Mammography uptake within 2 months of referral

Trial Locations

Locations (1)

Center for Indigenous Health; 🇺🇸 Whiteriver, Arizona, United States