Engaging Diverse Underserved Communities to Bridge the Mammography Divide

NCT01267110 | Completed

• 1 other identifier: 12371
• Study Type: interventional
• Target: 261
• Locations: 1 country
• Sites: 1

Brief Summary

Breast cancer is the second most common cause of cancer death in the U.S.1 in spite of being preventable, easily detectable, and curable.2-11 Breast screening continues to be underutilized by the general population and especially by traditionally underserved minority populations. Two of the least screened minority groups are American Indians/Alaska Natives (AI/AN) and Latinas. American Indian/Alaska Native women have the poorest recorded 5-year cancer survival rates of any ethnic group and the lowest (or near-lowest) screening rates for major cancers.12 Furthermore, breast cancer is the number one cause of cancer mortality among Latina women.13 While breast cancer screening rates have increased nationally, there has been an increase in the gap in breast cancer screening utilization between individuals from minority versus majority racial/ethnic groups.

Conditions

Breast Cancer Screening

Outcome Measures

Primary Outcomes (1)

• 120-day post randomization mammography screening completion

  To compare the 120-day post randomization mammography screening completion rates of individuals who receive a computerized mammography "implementation intentions" (MI2) intervention, versus a comparison computerized condition of general breast cancer prevention health education (C).

  day 120

Secondary Outcomes (2)

• To compare the screening mammography self-reported barriers after 120-days post randomization

  day 120

• To compare changes in mammography screening Precaution Adoption Process Model

  day 120

Study Arms (2)

Intervention

EXPERIMENTAL

Other: MI2 intervention arm

Control

ACTIVE COMPARATOR

Other: Control

Interventions

MI2 intervention arm OTHER

For persons who are randomized to the MI2 intervention arm, the HLK-BH program will guide participants through a series of questions to fully delineate step-by-step breast cancer screening intentions of participants the when, where and how of screening)and encourage follow through on these intentions.

Intervention

Control OTHER

Each participant in the C intervention arm will receive the same brief one-on-one breast cancer screening education information delivered in person by a CHW as MI2 participants. In additional participants will go through the Healthy Living Kansas-Breast Health computerized screening and intervention program.

Control

Eligibility Criteria

• Age: 40 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Latina or AI/AN woman residing in one of participating communities
• Aged ≥40 years of age
• Not up to date on mammography screening
• Home address \& access to a working telephone
• Responded to 120-day post randomization follow-up call

You may not qualify if:

• Receipt of mammogram within past year
• Acute medical illness, history of breast cancer, 1st
• Cognitive impairment or inappropriate affect or behavior
• Another household member enrolled in the study

Sponsors & Collaborators

• University of Kansas: lead

Study Sites (1)

University of Kansas Medical Center

Kansas City, Kansas, 66160, United States

Location

Related Publications (1)

• Engelman KK, Cupertino AP, Daley CM, Long T, Cully A, Mayo MS, Ellerbeck EF, Geana MV, Greiner A. Engaging diverse underserved communities to bridge the mammography divide. BMC Public Health. 2011 Jan 21;11:47. doi: 10.1186/1471-2458-11-47.

  PMID: 21255424 DERIVED

Study Officials

• Kimberly Engelman, PhD

  University of Kansas Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: December 21, 2010
• First Posted: December 24, 2010
• Study Start: September 1, 2010
• Primary Completion: June 1, 2015
• Study Completion: August 1, 2015
• Last Updated: September 16, 2015

Record last verified: 2015-09

Locations

US (1)