Developing and Evaluating Culturally Relevant Interventions to Improve Breast Cancer Screening

Study Overview
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Brief Summary
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The goal of this study is to evaluate the relative benefits of an intervention to promote breast cancer screening among women in the White Mountain Apache (WMA) community. Women will be randomized to receive CARE, a culturally tailored mammography education module, or CARE+COACH, which is the CARE education module plus access to an Apache paraprofessional women's health coach (i.e., patient navigator). The CARE intervention was developed through a community-based participatory research process. The primary outcome is mammography uptake within 2 months of a referral.

Official Title
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Developing and Evaluating Scalable and Culturally Relevant Interventions to Improve Breast Cancer Screening Among White Mountain Apache Women

Conditions
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Breast Cancer

Intervention / Treatment
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* Behavioral: CARE
* Behavioral: CARE + COACH


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Referral for screening mammography from a Whiteriver Indian Health Service provider Self-identify as American Indian or Alaska Native (AIAN) Female Live on within 60 miles of the Fort Apache Indian Reservation Exclusion Criteria: Women who have received a mammogram within the prior 12 months Women with a personal history of breast cancer Unable to participate in full intervention or evaluation due to an anticipated event (e.g., planned move) Unwilling to be randomized
Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Allocation: Randomized
Intervention Model: Crossover Assignment
Interventional Model Description: Women randomized to receive CARE who have not received a mammography at 3 months will be offered CARE+COACH to facilitate completion of their screening and contacted at 4 months.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CARE - Intervention arm for mammography education<br>CARE is a culturally tailored mammography education module. | Behavioral: CARE<br>* CARE is a culturally tailored mammography education module.<br>|
| Experimental: CARE + COACH - Intervention arm for mammography education + a patient navigator<br>CARE + COACH is the CARE education module in addition to a COACH, which is access to an Apache paraprofessional women's health coach. The Coach functions like a patient navigator. | Behavioral: CARE + COACH<br>* CARE + COACH is a culturally tailored mammography education module + access to an Apache paraprofessional women's health coach who functions as a patient navigator<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mammography uptake | Mammography uptake within 2 months of referral | 2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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mammography, cancer screening