Interventional Program Educates, Identifies + Overcomes Barriers to Complete Screening Mammography

Study Overview
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Brief Summary
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The purpose of this study is to identify interventions that are designed to better serve women who are homeless, with a speciﬁc focus on increasing screening rates and decreasing late stage breast cancer diagnosis among this high-risk understudied community of women. As a result, the study team hopes to influence the broader homeless healthcare initiative

Detailed Description
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The goal of this program will be to bring 6-8 mobile on site mammography clinics to homeless shelters that house women across the greater Cleveland and surrounding communities over a two-year period. Prior to arrival, clinic staff will recruit women to participate in a survey to elucidate beliefs and barriers around breast health and mammography. After the survey, clinic staff will conduct the outreach program, consisting of a brief educational session about breast health and mammography for any participating women. Education will be tailored to be culturally appropriate, and delivered by a female public health educator with experience in the underserved community. The educational session will explain screening options and address common barriers. After education, eligible women who wish to receive a mammogram may receive one from the on-site mobile mammography clinic free of charge. Throughout the day, the community educator will also lead activities and meals will be provided in order to create a festive atmosphere and inspire a sense of community among the women. Spanish speaking staff will be available for the educational sessions.

Official Title
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A Proposed Community-Based Interventional Program That Educates, Identifies And Overcomes Barriers to Complete Screening Mammography Among Homeless Women

Conditions
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Breast Cancer

Intervention / Treatment
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* Other: Survey
* Behavioral: Education Session


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women under age 40 who present with high risk breast cancer related symptoms or a first degree relative with breast cancer Have not had mammogram in the last 12 months Resident at a homeless shelter or transitioning housing facility in the greater Cleveland area Exclusion Criteria: - Resident at a homeless shelter or transitioning housing facility in the greater Cleveland area

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: Outreach educational program<br>Participants will be given a survey to elucidate beliefs and barriers around breast health and mammography. A brief, culturally-appropriate educational session about breast health and mammography will follow and will be delivered by a female public health educator. After education, eligible women will be offered a free on-site mammogram | Other: Survey<br>* Survey questionnaire seeks to collect data relevant to mammogram completion, barriers, and facilitators<br>Behavioral: Education Session<br>* After the survey, clinic staff will conduct brief, culturally-appropriate educational session about breast health and mammography delivered by a female public health educator with experience in the underserved community. Educational session will explain screening options and address common barriers<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of women agreeing to outreach educational program | Rate of women approached who agree to enter the outreach educational program | At intervention, an average of 30 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Baseline mammogram screening rate | Baseline mammogram screening rate of target population prior to enrollment in the program. | At intervention, an average of 30 minutes | 
| Prevalence of social barriers to cancer screening | Identify the prevalence of unique social barriers (top 3 collected will be reported) to cancer screening and prevention amongst the homeless population | At intervention, an average of 30 minutes |