Latinas Learning About Density
Study Details
Study Description
Brief Summary
This study will examine behavioral and psychological outcomes of breast density notification using a 3-group randomized design comparing usual written notification to two educationally enhanced approaches.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
This is a 3-group randomized clinical trial to compare usual care to two educationally enhanced approaches to breast density notification. Usual care involves sending written notification along with the mammogram report; all women will receive usual care. In addition, some women will receive written educational materials about breast density, with or without interaction with a promotora (culturally congruent health educator). Study outcomes include short and long term assessments of psychological (anxiety, knowledge) and behavioral (continued mammography screening, discussion with primary care provider) outcomes. The study also includes qualitative inquiry and a cost analysis.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
No Intervention: Usual Care Breast density notification using standard language reporting for dense and non-dense breasts within the mammogram results notification letter |
|
Active Comparator: Enhanced Usual Care plus a written educational brochure |
Behavioral: Written educational brochure
Written educational brochure about breast density
|
Active Comparator: Interpersonal Usual Care plus Enhanced plus interaction with a promotora (lay health educator) |
Behavioral: Written educational brochure
Written educational brochure about breast density
Behavioral: Promotora interaction
Promotora education about breast density
|
Outcome Measures
Primary Outcome Measures
- Anxiety Short Term [Change from baseline anxiety at 1 month]
Percent change in State-Trait Anxiety Inventory - State (STAI-S) scores
- Breast density knowledge [Total knowledge scores at 1 month]
Number of items answered correctly on investigator-derived measure
- Anxiety Longer Term [Change from baseline anxiety at 1 year]
Percent change in STAI-S scores
Secondary Outcome Measures
- Adherence to mammography screening [1 year post density notification]
Attendance at next recommended mammogram interval
Other Outcome Measures
- Intervention cost [1 year post density notification]
Total costs associated with promotora intervention in USD
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Female
-
Attending screening mammography at Mountain Park Health Center
-
Speak English or Spanish
Exclusion Criteria:
-
Male
-
Current diagnosis of breast cancer
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Mountain Park Health Center | Phoenix | Arizona | United States | 85004 |
2 | Mayo Clinic in Arizona | Scottsdale | Arizona | United States | 85259 |
3 | Mayo Clinic in Rochester | Rochester | Minnesota | United States | 55905 |
Sponsors and Collaborators
- Mayo Clinic
- Mountain Park Health Center
Investigators
- Principal Investigator: Celine Vachon, Mayo Clinic
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- 16-003707