Increasing Access to Breast Cancer Screening Among Immigrants

Study Overview
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Brief Summary
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The investigators aim to test whether inviting immigrants to breast cancer screening with a letter in their mother tongue in addition to the standard letter in Norwegian changes screening uptake in these immigrant groups, compared with a comparable group who receive the invitation in Norwegian only,

Detailed Description
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Women in selected immigrant groups according to birth country will be invited to screening and randomized in a 1:1 ratio to receive the screening invitation and information material 1) in the major official native language in the country the invitee is born in addition to Norwegian (intervention group), or 2) only Norwegian (control). The 13 selected countries of origin are Poland, the Philippines, Pakistan, Somalia and Arabic speaking countries (Iraq, Syria, Morocco, Lebanon, Algeria, Egypt, Palestine, Sudan and Tunisia). The five intervention languages will thus be Polish, English, Urdu, Somali and Arabic.

Official Title
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A Randomized Trial to Increase Access to Breast Cancer Screening by Invitation Language Among Immigrants in Norway

Conditions
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Cancer Screening

Intervention / Treatment
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* Other: Mother tongue and Norwegian


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Invited to screening program during the study recruitment period (January 2021-June 2022) The registered country of birth of the invitee is one of the following; Poland, Pakistan, Philippines, Somalia, Iraq, Syria, Morocco, Lebanon, Algeria, Egypt, Palestine, Sudan and Tunisia Exclusion Criteria: Not reached with the screening invitation letter because of wrong address or similar

Ages Eligible for Study
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Minimum Age: 48 Years
Maximum Age: 73 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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Participants are randomized to receive the invitation in the major official native language in the country the participant is born and Norwegian, or in Norwegian only, consecutively when it is their turn to be invited to screening.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mother tongue and Norwegian<br>Written material related to screening sent to the invitee in two languages. | Other: Mother tongue and Norwegian<br>* The screening invitation letter, the information leaflet, the reminder letter and the result letter will be sent in two languages; an official language in the country where the invitee is born, and Norwegian.<br>|
| No Intervention: Norwegian<br>Written material related to screening sent to the invitee in Norwegian only. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Screening attendance | Attendance in breast cancer screening programme (yes/no) | 0-6 months after sent screening invitation letter | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cancer screening, breast cancer, non-native, immigrant, participation rate, invitation, information