NCT00525980

Brief Summary

This project will build upon prior, successful research on the effectiveness of an interactive computer disk with readable only memory (CD-ROM) for educating women about breast cancer and genetic risk. Prior studies found that an interactive CD-ROM for educating women about breast cancer risk and genetic testing was effective. The program was well received by lay persons and professionals. In a randomized controlled trial conducted at multiple sites, the CD-ROM intervention was highly effective in increasing knowledge, especially among women at low risk of carrying a breast cancer susceptibility gene 1/2 (BRCA1/2) mutation. Researchers now propose to expand the use of the interactive CD-ROM in two innovative ways. The overall goal of this proposal is to evaluate the program as a first-line educational approach for Hispanic women on the Texas-Mexico border, where educational resources about cancer genetics are limited. First, researchers will modify and adapt the program for a primarily Hispanic population, in order to make it culturally and linguistically appropriate to the needs of that audience. Second, researchers will evaluate the program as a first-line educational method among women with a personal or family history of breast cancer. Researchers will compare the effectiveness of the CD-ROM when implemented with and without the guidance of a trained promotora, and in comparison with standard educational materials (usual care condition). The specific aims of this study include: Aim 1: To modify the interactive CD-ROM to: a) make it culturally and linguistically appropriate for Hispanic women residing along the Texas-Mexico border; b) reflect current knowledge about breast cancer genetics; c) add a module to help women prepare to discuss their family history and cancer risk with a health care provider (n=50 participants). Aim 2: To conduct a randomized, controlled evaluation that compares the efficacy of the modified CD-ROM when used alone vs. when used with a promotora-assisted approach vs. standard written materials (n=414 participants).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
37

participants targeted

Target at below P25 for not_applicable breast-cancer

Timeline
Completed

Started Feb 2007

Longer than P75 for not_applicable breast-cancer

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2007

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

September 4, 2007

Completed
2 days until next milestone

First Posted

Study publicly available on registry

September 6, 2007

Completed
5.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2013

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2013

Completed
Last Updated

April 10, 2013

Status Verified

April 1, 2013

Enrollment Period

6.1 years

First QC Date

September 4, 2007

Last Update Submit

April 8, 2013

Conditions

Keywords

Breast CancerCancer RiskCD-ROMFocus GroupCancer Genetics

Outcome Measures

Primary Outcomes (1)

  • Data analysis of structured questionnaires

    3 Years

Secondary Outcomes (1)

  • Comparison of 3 Intervention Groups by Continuous Outcomes (knowledge, risk assessment, decisional conflict and quality of life)

    3 Years

Study Arms (3)

Group 1: Written Materials

EXPERIMENTAL

One group asked to read educational materials.

Behavioral: Focus GroupOther: Written MaterialsBehavioral: Questionnaires

Group 2: Computer Program Only

EXPERIMENTAL

Group 2 use an educational computer program to learn about breast cancer risk and genetic testing without guidance.

Behavioral: Computer ProgramBehavioral: Focus GroupBehavioral: Questionnaires

Group 3: Computer Program + Promotora

EXPERIMENTAL

Group 3 use the computer program with the guidance of a promotora.

Behavioral: Computer ProgramBehavioral: Focus GroupBehavioral: Questionnaires

Interventions

Participants will be given a program to learn about breast cancer risk and genetic testing. Arm 3 Only = Participants will use the program with the assistance of a promotora (female "promoter," community health worker, sometimes known as a lay health advisor).

Group 2: Computer Program OnlyGroup 3: Computer Program + Promotora
Focus GroupBEHAVIORAL

Focus group discussion lasting about 60 to 90 minutes.

Group 1: Written MaterialsGroup 2: Computer Program OnlyGroup 3: Computer Program + Promotora

Printed materials will be given. The CD-ROM will be offered at the end of the study.

Group 1: Written Materials
QuestionnairesBEHAVIORAL

Occasional questionnaire, written or verbal phone survey, about knowledge and attitudes toward cancer and genetic testing.

Also known as: Survey
Group 1: Written MaterialsGroup 2: Computer Program OnlyGroup 3: Computer Program + Promotora

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Residing in the El Paso metropolitan area and self-identifying as Hispanic
  • Being 18 years of age or older
  • Women who have a personal history of breast cancer or have a first-degree relative with breast cancer OR lay health workers (male or female)
  • Able to provide informed consent

You may not qualify if:

  • Having a primary language other than English or Spanish

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

The Cancer and Chronic Disease Consortium (CCDC) of El Paso

El Paso, Texas, 79905, United States

Location

UT MD Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Related Links

MeSH Terms

Conditions

Breast Neoplasms

Interventions

Focus GroupsSurveys and Questionnaires

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

Data CollectionEpidemiologic MethodsInvestigative TechniquesHealth Care Evaluation MechanismsQuality of Health CareHealth Care Quality, Access, and EvaluationPublic HealthEnvironment and Public Health

Study Officials

  • Susan Peterson, PhD

    M.D. Anderson Cancer Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 4, 2007

First Posted

September 6, 2007

Study Start

February 1, 2007

Primary Completion

March 1, 2013

Study Completion

March 1, 2013

Last Updated

April 10, 2013

Record last verified: 2013-04

Locations