Increasing Breast Cancer Screening in Chinese Immigrants

NCT05089292 | Completed Results

• 2 other identifiers: STUDY-20-01174R21CA249261
• Study Type: interventional
• Target: 99
• Locations: 1 country
• Sites: 1

Brief Summary

The long-term goal of this research is to increase breast cancer screening rates in NYC Chinese immigrants. The researchers plan to accomplish this objective by developing and testing a culturally- and linguistically-adapted Witness Project program for Chinese immigrants. To inform the intervention development, the study team will identify barriers and facilitators to breast cancer screening in Chinese immigrants through individual qualitative interviews. A total of 156 participants will be recruited during the entire study. In Aim 1 which started in July 2021, 60 women were recruited for in-depth interviews to assess their breast cancer knowledge, perceived barriers and benefits/risks to completing mammography, perceived susceptibility to breast cancer, fatalism, screening intention, acculturation, language preference, and health literacy. In Aim 2, 96 women will be recruited to participate in the pilot testing of the intervention. Recruitment will take place at community sites that serve Chinese immigrants in New York City. Enrollment for Aim 2 is anticipated to start in March of 2022.

Conditions

Screening Mammogram

Keywords

Breast cancer screening; Health education; Chinese immigrant; Health disparities

Outcome Measures

Primary Outcomes (3)

• Number of Participants That Scored Above 80% in the Feasibility and Acceptability Questionnaire

  Post-program survey to access acceptability of adapted narrative education program. Full-scale from 0% to 100%, with a higher percent indicating greater acceptability. An arbitrary cutoff value of 80% acceptance will determine the interventions' acceptability for the study.

  immediately post presentation (presentation approximately 1 hour)

• Number of Participants Who Were Engaged in Program

  Percent of participants who showed up to the Chinese-community-based organizations and would like to participate in the program to assess engagement rate of participants

  Baseline

• Percentage of Community Organizations Willing to Host Program

  Percentage of Chinese Community-based organizations who were willing to host the program to assess feasibility. Engagement rate of Chinese-community-based organizations was used to access feasibility

  7 months

Secondary Outcomes (1)

• Change in Breast Cancer Knowledge

  baseline and 6 months post intervention

Study Arms (1)

Chinese Immigrants

EXPERIMENTAL

NYC Chinese immigrants provided with narrative breast health education

Behavioral: Narrative breast health education

Interventions

Narrative breast health education BEHAVIORAL

Health education program utilizing narrative messages to promote breast cancer screening in Chinese immigrant women will be delivered in a group format in the community

Chinese Immigrants

Eligibility Criteria

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

You may qualify if:

• ≥ 40 years of age
• female
• born in China
• read and speak Cantonese, Mandarin, or English

You may not qualify if:

• \- none

Sponsors & Collaborators

• Icahn School of Medicine at Mount Sinai: lead
• National Cancer Institute (NCI): collaborator

Study Sites (1)

Icahn School of Medicine at Mount Sinai

New York, New York, 10029, United States

Location

MeSH Terms

Conditions

Health Education

Condition Hierarchy (Ancestors)

Adherence Interventions; Medication Adherence; Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Limitations and Caveats

The study utilized a convenience sample recruited from Chinese community-based organizations located in New York City, which may have contributed to the high percentage of insurance involvement (100%), primary care physician access (100%), and participants living in the United States for more than 20 years. Thus, the generalizability of the findings may be limited, particularly for populations with inadequate insurance coverage.

Results Point of Contact

• Title: Lina Jandorf
• Organization: Icahn School of Medicine at Mount Sinai

lina.jandorf@mssm.edu

(212) 659-5506

Study Officials

• Lina Jandorf

  Icahn School of Medicine at Mount Sinai

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor, Director

Model Details: Pre/Post-test design

Study Record Dates

• First Submitted: October 15, 2021
• First Posted: October 22, 2021
• Study Start: July 1, 2021
• Primary Completion: December 13, 2022
• Study Completion: December 13, 2022
• Last Updated: June 10, 2024
• Results First Posted: June 10, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: Beginning 9 months and ending 36 months following article publication.
• Access Criteria: Investigators whose proposed use of the data has been approved by an independent review committee ('learned intermediary') identified for this purpose. For individual participant data meta-analysis. Proposals may be submitted up to 36 months following article publication. After 36 months the data will be available in our University's data warehouse but without investigator support other than deposited metadata.

Locations

US (1)