Increasing Breast Cancer Screening in Chinese Immigrants

Study Overview
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Brief Summary
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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.

Official Title
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Increasing Breast Cancer Screening in Chinese Immigrants

Conditions
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Screening Mammogram

Intervention / Treatment
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* Behavioral: Narrative breast health education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ≥ 40 years of age female born in China read and speak Cantonese, Mandarin, or English Exclusion Criteria: - none

Ages Eligible for Study
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Minimum Age: 40 Years

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
Intervention Model: Single Group Assignment
Interventional Model Description: Pre/Post-test design
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Chinese Immigrants<br>NYC Chinese immigrants provided with narrative breast health education | Behavioral: Narrative breast health education<br>* 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<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Screening mammogram completion | Self-report completion of screening mammogram (Yes/No) | 6 months post intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Screening mammogram intention | Question: How likely are you to undergo a screening mammogram in the next 6 months? (Very likely, Somewhat likely, Not sure, Somewhat not likely, Not at all likely) | 6 months post intervention | 
| Change in Feasibility and Acceptability Questionnaire | Pre- and post-program survey to access feasibility and acceptability of adapted narrative education program. Full scale from 5 - 25, with a higher score indicating greater acceptability. | Baseline and 6 months post intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Breast cancer screening, Health education, Chinese immigrant, Health disparities