Promotora Navigator - Culturally Appropriate Patient Navigator
Condition: Breast Cancer; Screening Mammography; Community Health Worker
Study type: Interventional

Summary: 
      Although there has been interval improvement in reducing disparity in mammography utilization
      in medically underserved communities since the 1990s, significant disparities persist and
      should be addressed. In the 40-65 year old age range, there is significant disparity in
      screening mammography utilization in Hispanic women compared to their white counterparts.

      Culturally adapted patient-targeted healthcare interventions can help reduce ethnic
      inequalities in access to cancer screening programs. Promotoras, culturally appropriate
      patient navigators for the Hispanic community, have been shown to increase screening
      mammography rates in the Hispanic/Latino population.

      However, there is little research exploring the interaction between these lay community
      health workers and community members. This proposal aims to assess this interaction by
      measuring the impact of a Promotora working with community members in either a group setting
      or individual setting. Understanding this interaction can lead to more effectively designed
      future community interventions. Primary outcomes in this study will include women's reported
      measures of interpersonal processes of care (communication and interpersonal style) during
      screening mammography care, trust in the healthcare system, and satisfaction with cancer
      screening care when compared to those receiving standard of care.
    


Intervention name(s): Mammography with Community Health Worker (individual); Mammography with Community Health Worker (group); Standard of Care Mammography
Intervention type(s): Behavioral; Behavioral; Other
Intervention description(s): Immediately following consent and completion of the baseline assessment, alone with the community health worker. Well woman screening will follow the educational session. The community health worker will be available to assist with questions and language interpretation as necessary. After standard delivery of screening results, the community health worker will contact these participants to answer any questions about their screening results and to assist with scheduling any additional tests necessary.; Immediately following consent and completion of the baseline assessment, women in the intervention arm will participate in a 20-30 minute group educational session from the community health worker. Well woman screening will follow the educational session. The community health worker will be available to assist with questions and language interpretation as necessary. After standard delivery of screening results, the community health worker will contact these participants to answer any questions about their screening results and to assist with scheduling any additional tests necessary.; Immediately following consent and completion of the baseline assessment, women in the control arm will receive standard of care well woman screening. The control arm will receive screening results per standard protocol.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Screening