Increasing Adherence to Follow-up of Breast Abnormalities in Low-Income Korean American Women

Study Overview
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Brief Summary
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Develop and evaluate a peer navigator intervention to assist Korean women with a potential breast abnormality, who have missed their first follow-up appointment, to complete all diagnostic follow-up tests.

Detailed Description
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The purpose of this study is to design an intervention to assist Korean American women who have been identified with a potential breast abnormality through the Breast Cancer Early Detection Program and who have missed their first follow-up appointment (at risk women). Intervention activities will include reminder phone calls or home visits by a trained peer navigator to explain the importance of follow-up procedures, emotional support, help with transportation to follow-up appointments, translations, organizing care for children or grandchildren during medical appointments, and other assistance to overcome barriers to follow-up identified during the initial phase of the study. The investigators will collect extensive process measures including number and type of intervention activities requested and delivered in order to estimate the feasibility for institutionalizing intervention activities. The investigators will conduct chart reviews and a follow-up survey to evaluate the effectiveness of the intervention in increasing adherence to follow-up procedures.

Official Title
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Increasing Adherence to Follow-up of Breast Abnormalities in Low-Income Korean American Women

Conditions
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Breast Cancer

Intervention / Treatment
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* Behavioral: Prospective intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being: a Korean American woman Screened through the Breast Cancer Early Detection Program With a potential breast abnormality Having missed a first diagnostic follow-up appointment Exclusion Criteria: Not a Korean American woman Not screened through the Breast Cancer Early Detection Program No potential breast abnormality Not having missed a first diagnostic follow-up appointment

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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No

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
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Prospective Intervention<br>Peer navigator intervention | Behavioral: Prospective intervention<br>* Prospective Intervention: Peer navigator who assists with appointment making, transportation, translations, completing forms, etc.<br>* Other names: Intervention group;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Completion of all recommended follow-up tests |  | 6 months post-intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time to completion |  | 6 months post-intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Follow-up of breast abnormalities, Korean American immigrants