Clinical trial NCT04348123: Interventional Program Educates, Identifies + Overcomes Barriers to Complete Screening Mammography
Official title: A Proposed Community-Based Interventional Program That Educates, Identifies And Overcomes Barriers to Complete Screening Mammography Among Homeless Women
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Breast Cancer
Lead sponsor: Case Comprehensive Cancer Center
Sponsor class: OTHER
First posted: 2020-04-15
Enrollment: 100
Sex: FEMALE
Minimum age (years): 40
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SCREENING

Brief summary: 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: The goal of this program will be to bring 6-8 mobile on site mammography clinics to homeless shelters that house women 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.

Eligibility criteria: 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.

Exclusion Criteria:

- Participant experiencing homelessness under age 40 who DO NOT present with high risk breast cancer related symptoms or a first degree relative with breast cancer.

Primary outcomes:
measure: Proportion of women agreeing to outreach educational program
timeFrame: At intervention, an average of 30 minutes
Secondary outcomes:
measure: Baseline mammogram screening rate
timeFrame: At intervention, an average of 30 minutes
measure: Prevalence of social barriers to cancer screening
timeFrame: At intervention, an average of 30 minutes
Other outcomes:
Locations:
city: Cleveland
country: United States
facility: Cleveland Clinic, Case Comprehensive Cancer Center
state: Ohio
Study officials:
affiliation: Cleveland Clinic, Case Comprehensive Cancer Center
name: Heather Hurwitz, PhD
role: PRINCIPAL_INVESTIGATOR
References: