A Personalized Approach to Promote Health Equity by Overcoming Racial Disparities in Screening Mammography
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Enrollment
- 176
- Locations
- 1
- Primary Endpoint
- No-show rate
Study Overview
Brief Summary
The purpose of this study is to increase screening mammography among Black women by implementing and evaluating a culturally tailored patient-centric program designed to address barriers to screening. By performing a randomized clinical trial, this study aims to develop effective strategies to improve adherence to screening mammography and contribute to reducing health disparities in breast cancer outcomes.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 40 Years to — (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •At least 40 years old
- •Self-identify as Black
- •English-speaking
- •Scheduled for a screening mammogram within 8 weeks of study entry
- •Able to understand and willing to sign an IRB approved written informed consent document.
Exclusion Criteria
- •A previous history of breast cancer
- •Scheduled for a diagnostic mammogram
- •Has a documented or uncorrectable cognitive, hearing, or visual impairment.
- •Too ill to participate (diagnosed with or suffering from a condition that, in the judgment of the investigator, may limit participation in the study).
Arms & Interventions
Arm 1: Usual Care
Patients will receive the institution's usual care for screening mammogram, which consists of an automated reminder phone call from the breast health center 1-3 days prior to a scheduled appointment.
Intervention: Automated phone call (Other)
Arm 2: Culturally Tailored Patient Centric Program Methods
Patients will receive mail reminders at 7-10 days prior to appointment, tailored telephone counseling to both serve as an appointment reminder and to identify and troubleshoot salient barriers to mammography completion, and a digital navigation video explaining the rationale for and the actual mammography procedure. All study procedures are carried out remotely with no additional research visits for participants.
Intervention: Appointment mail reminder (Other)
Arm 2: Culturally Tailored Patient Centric Program Methods
Patients will receive mail reminders at 7-10 days prior to appointment, tailored telephone counseling to both serve as an appointment reminder and to identify and troubleshoot salient barriers to mammography completion, and a digital navigation video explaining the rationale for and the actual mammography procedure. All study procedures are carried out remotely with no additional research visits for participants.
Intervention: Telephone counseling (Other)
Arm 2: Culturally Tailored Patient Centric Program Methods
Patients will receive mail reminders at 7-10 days prior to appointment, tailored telephone counseling to both serve as an appointment reminder and to identify and troubleshoot salient barriers to mammography completion, and a digital navigation video explaining the rationale for and the actual mammography procedure. All study procedures are carried out remotely with no additional research visits for participants.
Intervention: Digital navigation video (Other)
Outcomes
Primary Outcomes
No-show rate
Time Frame: 6 months after randomization
Defined as the proportion of participants who do not complete (or do not reschedule) their screening mammogram appointment within 6 months of randomization.
Secondary Outcomes
No secondary outcomes reported