Developing Screening Clinical Breast Examination Implementation Strategies in South Africa

Recruiting

• Conditions: Breast Cancer

• Registration Number: NCT06233383
• Lead Sponsor: Yale University

Brief Summary

The goal of this observational study is to engage with multilevel stakeholders to collaboratively and to systematically develop a suite of strategies for implementing breast cancer screening using clinical breast examination (CBE) in the primary health centers within the catchment area of Chris Hani Baragwanath Academic Hospital (Bara Hospital), Johannesburg, South Africa.

The main questions it aims to answer are: What barriers and facilitators exist to conducting screening CBE in Soweto's primary care setting and what implementation strategies would support CBE in primary care clinics?

Participants will:

* Allow observation of study clinic workflows

* Participate in focus group discussions regarding screening CBE implementation

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2024-01-22
• Study First Submitted QC: 2024-01-22
• Study First Posted: 2024-01-31
• Study Start: 2024-06-01
• Status Verified: 2024-07
• Last Update Submitted: 2024-07-22
• Last Update Posted: 2024-07-23
• Primary Completion: 2025-06-01
• Study Completion: 2025-06-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Implementation Strategies Suite	2 years	A collection of strategies for implementing routine screening clinical breast examination in Soweto's primary care clinics.

Secondary Outcome Measures

Name	Time	Method
Implementation Domain Characteristics	2 years	Characteristics of activities and strategies used to implement screening that are potential barriers and facilitators to screening implementation
Change Matrices	2 years	Matrices for all individuals relevant to implementation that define performance objectives and corresponding performance determinants
Intervention Domain Characteristics	2 years	Characteristics of routine clinical breast examination itself that are potential barriers and facilitators to screening implementation
Inner Setting Domain Characteristics	2 years	Characteristics of the primary care clinics that are potential barriers and facilitators to screening implementation
Outer Setting Domain Characteristics	2 years	Characteristics of both the community surrounding the clinics and the district-wide health system that are potential barriers and facilitators to screening implementation
Individuals Domain Characteristics	2 years	Characteristics of individuals involved in screening that are potential barriers and facilitators to screening implementation

Trial Locations

Locations (1)

University of Witwatersrand, Faculty of Health Sciences; 🇿🇦 Johannesburg, South Africa