Breast Health in Chinese American Women

Study Overview
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Brief Summary
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This four-and-a-half-year study will test the efficacy of viewing a theoretically based and culturally sensitive video followed by group discussion (vs. single viewing) in increasing mammography use. The results of this study will lead cancer control efforts to effectively decrease breast cancer screening disparities experienced by Chinese-America women.

Detailed Description
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We will conduct a 4.5-year community-based RCT to study the impact of intervention approaches (small-group video discussion vs. single video mode) on mammography used among Chinese immigrant women. The small-group video discussion will be led by trained Chinese community health educators and trained bilingual research staff using a standardized structured protocol at all sites. In the single video mode, we will mail the intervention materials to women to view and/or read at home. We will recruit 974 Chinese women through our strong and well-established Chinese community partnerships in the metropolitan areas of Washington, DC (Lead PI: Dr. Judy Wang, Georgetown University-GU), New York (Site PI: Dr. Grace Ma at Temple University), and southern California (Site PI: Dr. Annette Maxwell, University of California, Los Angeles-UCLA). Participants' eligibility are listed under eligibility criteria. We will not enroll US-born Chinese women as they are least likely to face cultural and language barriers to mammography and less likely to engage in our small-group discussion, which will be conducted in Chinese languages. Also, we will not enroll short-term visitors as our study involves four interviews over a 2-year period.

Official Title
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A RCT to Promote Mammography Adherence Among Chinese Immigrant Women

Conditions
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Breast Cancer

Intervention / Treatment
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* Behavioral: watch DVD and small group discussion
* Behavioral: watch DVD


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: First generation Chinese women Aged 42 and older Have not had a mammogram in the past 2 years Have never had breast cancer Lived in the metropolitan DC, southern CA, and NY suburb; AND Have no mammography screening scheduled in the next 6 month from time of enrollment Exclusion Criteria: Short-term visitors US-born Chinese Americans

Ages Eligible for Study
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Minimum Age: 42 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: watch DVD and small group discussion<br>Participants will watch the video in a group and discuss the video. | Behavioral: watch DVD and small group discussion<br>* Women in the small-group discussion mode will be called by their community educators to determine possible dates, times, and places for group meetings. The small group sessions will be conducted near the participants' homes. Each small-group will consist of 5-10 participants who will first view a 20-minute video together and then discuss the content of the video as well as their barriers to screening for about 30 minutes. A community educator and an RA at the study site will facilitate the discussion in Chinese languages according to a structured guide.<br>|
| Placebo Comparator: watch video only<br>watch a 22 minutes long video at home by herself. | Behavioral: watch DVD<br>* Women in the single video mode will receive a cultural video along with an information sheet on local free and low-cost screening programs by mail.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 3rd interview about receipt of mammography screening | Measure the effect of small group video discussion on mammography screening adherence. | 6-month post-intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 4th interview about receipt of mammography screening | Measure the effect of small group video discussion on repeated mammography screening adherence. | 21-month post-intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Chinese women, Mammography, Breast Cancer