Interventional Program Educates, Identifies + Overcomes Barriers to Complete Screening Mammography
Study Details
Study Description
Brief Summary
The purpose of this study is to identify interventions that are designed to better serve women who are homeless, with a speciļ¬c 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
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
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.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Outreach educational program 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
Survey questionnaire seeks to collect data relevant to mammogram completion, barriers, and facilitators
Behavioral: Education Session
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
|
Outcome Measures
Primary Outcome Measures
- Proportion of women agreeing to outreach educational program [At intervention, an average of 30 minutes]
Rate of women approached who agree to enter the outreach educational program
Secondary Outcome Measures
- Baseline mammogram screening rate [At intervention, an average of 30 minutes]
Baseline mammogram screening rate of target population prior to enrollment in the program.
- Prevalence of social barriers to cancer screening [At intervention, an average of 30 minutes]
Identify the prevalence of unique social barriers (top 3 collected will be reported) to cancer screening and prevention amongst the homeless population
Eligibility Criteria
Criteria
Inclusion Criteria:
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Women under age 40 who present with high risk breast cancer related symptoms or a first degree relative with breast cancer
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Have not had mammogram in the last 12 months
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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
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Cleveland Clinic, Case Comprehensive Cancer Center | Cleveland | Ohio | United States | 44195 |
Sponsors and Collaborators
- Case Comprehensive Cancer Center
Investigators
- Principal Investigator: Chirag Shah, MD, Cleveland Clinic, Case Comprehensive Cancer Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CASE10119