Utilizing Social Contacts to Facilitate Mammogram Screening Among African American Women

NCT05275361 | Completed

• 1 other identifier: 202110124
• Study Type: interventional
• Target: 156
• Locations: 1 country
• Sites: 1

Brief Summary

Eliminating racial disparities in breast cancer is a top public health priority. African American (AA) women often present with more advanced and aggressive disease at the time of diagnosis and are more likely to die from breast cancer than any other racial/ethnic group in the United States. Mammogram screening significantly reduces breast cancer mortality by diagnosing cancer at an earlier stage where treatments are more effective. While some AA women do not schedule screening mammograms as recommended by current guidelines, others do not show up for their exams after scheduling them (no-shows). No-shows to cancer screening appointments impose an enormous strain on our limited healthcare resources with negative impact on other patients who could have secured earlier appointments, loss of revenue for hospitals or clinics serving underserved populations and delays in diagnoses and treatment for those who do not have screening. The investigators identified a high no-show rate for screening mammograms at our hospital. AA women were almost three times more likely to no-show for their mammograms compared to White women. Patient's social networks plan an important role in health promotion. In this study, we will pilot an intervention involving patient's social contacts (family, friends, neighbors, etc.) as healthcare facilitators to improve appointment attendance. The investigators seek to determine whether this intervention is feasible and acceptable to patients and whether this intervention will improve attendance rates for screening mammograms among AA women at our institution. If effective, the use of a patient's social contact person as a healthcare facilitator (similar to a patient navigator) would be a readily available and inexpensive resource for other institutions to implement.

Conditions

Breast Cancer

Keywords

Mammogram; Breast Cancer Screening; African American women

Outcome Measures

Primary Outcomes (1)

• Feasibility of recruiting patients' social contacts to serve as healthcare facilitators as measured by number of participants enrolled to the study with a social contact that agrees to participate

  -The study is deemed feasible if 80 participants are enrolled to the study and further, if at least 65% of the 80 participants will have a social contact agreeing to participate

  Through completion of enrollment (estimated to be 3 months)

Secondary Outcomes (3)

• Describe demographic characteristics of the social contacts and any associations with patient appointment attendance

  Through mammogram appointment (estimated to be 6 months)

• Rate of mammography attendance

  Through mammogram appointment (estimated to be 6 months)

• Using a structured survey interview, determine the percentage of patients and their social contacts who respond positively (agree or strongly agree) that the intervention helped them keep their scheduled screening mammogram appointment

  Through mammogram appointment (estimated to be 6 months)

Study Arms (2)

Patient: Scheduled for mammogram

EXPERIMENTAL

* Will be asked to choose 2 social contacts (adult family member or friend identified by the participant as someone who could be engaged by the research team to encourage the participant to attend her mammogram appointment) * Will receive reminder(s) from social contact about the screening mammogram appointment * Will receive reminder from Breast Health Center about screening mammogram appointment * Will be contacted to provide experience with the study

Behavioral: Social Contact Reminder

Social Contact of Patient

NO INTERVENTION

* Facilitate enrolled patient to complete the screening mammogram. * Will receive information about screening mammograms and resources available at the Breast Imaging Center. * Will be contacted approximately 3 days prior to the patient's mammogram appointment. * Will be contacted to provide experience with the study

Interventions

Social Contact Reminder BEHAVIORAL

-The social contact will remind patient about screening mammogram appointment

Patient: Scheduled for mammogram

Eligibility Criteria

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

You may qualify if:

• Female
• African American
• At least 40 years old
• Scheduled for a screening mammogram within 3 months following initiation of the study
• Willing and able to provide contact information for two adult social contacts (friends or family members)

You may not qualify if:

• Prior history of breast cancer
• At least 18 years old
• Selected by the patient as someone (family member or friend) who would be able to support her in keeping her mammogram appointment
• Less than 18 years of age

Sponsors & Collaborators

• Washington University School of Medicine: lead
• American Society of Clinical Oncology: collaborator

Study Sites (1)

Washington University School of Medicine

St Louis, Missouri, 63110, United States

Location

Related Links

• Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine

MeSH Terms

Conditions

Breast Neoplasms

Condition Hierarchy (Ancestors)

Neoplasms by Site; Neoplasms; Breast Diseases; Skin Diseases; Skin and Connective Tissue Diseases

Study Officials

• Whitney Hensing, M.D., M.S.

  Washington University School of Medicine

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 4, 2022
• First Posted: March 11, 2022
• Study Start: March 18, 2022
• Primary Completion: June 30, 2022
• Study Completion: June 30, 2022
• Last Updated: July 7, 2022

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)