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Increasing African Immigrant Women's Participation in Breast Cancer Screening
NA trial testing African Immigrant Breast Cancer Education Program in Breast Cancer in 155 participants. Completed in 29 June 2023.
| Lead sponsor | Icahn School of Medicine at Mount Sinai |
|---|---|
| Phase | NA |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | na |
| Design | single group |
| Masking | none |
| Primary purpose | screening |
| Enrollment | 155 |
| Start date | 5 February 2020 |
| Primary completion | 29 June 2023 |
| Estimated completion | 29 June 2023 |
| Sites | 1 location across United States |
Icahn School of Medicine at Mount Sinai
Adults 18 to 74, any sex, with Breast Cancer. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Participants' intentions to complete breast cancer screening by responding to How likely or unlikely is it that you will have a mammogram in the next 12 months? 1. Very unlikely 2. Unlikely 3. Likely d 4. Very Likely
| Group | Value | 95% CI |
|---|---|---|
| Breast Cancer Education Program | 1.90 | ± 0.30 |
Participants' intentions to complete breast cancer screening: Have you thought about making an appointment and where you will have your next mammogram? a. Yes b. No
| Group | Value | 95% CI |
|---|---|---|
| Breast Cancer Education Program | 55 |
| Group | Value | 95% CI |
|---|---|---|
| Breast Cancer Education Program | 6 |
Participants' perceived risk of developing breast cancer: What do you think are the chances that you will have breast cancer at some point in your life? 1. Very low 2. Somewhat low 3. Moderate 4. Somewhat high 5. Very high
| Group | Value | 95% CI |
|---|---|---|
| Breast Cancer Education Program | 32 |
| Group | Value | 95% CI |
|---|---|---|
| Breast Cancer Education Program | 9 |
| Group | Value | 95% CI |
|---|---|---|
| Breast Cancer Education Program | 15 |
| Group | Value | 95% CI |
|---|---|---|
| Breast Cancer Education Program | 4 |
| Group | Value | 95% CI |
|---|---|---|
| Breast Cancer Education Program | 2 |
Participants' perceived risk of developing breast cancer: Compared to the average person your age and gender, would you say that you are... 1. Less likely to get breast cancer 2. About as likely to get breast cancer 3. More likely to get breast cancer
| Group | Value | 95% CI |
|---|---|---|
| Breast Cancer Education Program | 38 |
| Group | Value | 95% CI |
|---|---|---|
| Breast Cancer Education Program | 17 |
| Group | Value | 95% CI |
|---|---|---|
| Breast Cancer Education Program | 6 |
Ten items will be used to examine participants' self-efficacy for undergoing mammography using a 5-point Likert-type scale. Full scale from 10 to 50, with higher score indicating greater self-efficacy
| Group | Value | 95% CI |
|---|---|---|
| Breast Cancer Education Program | 40.83 | ± 8.24 |
New York City (NYC) is home to a large and diverse immigrant population. Many of these groups face significant barriers to preventive health care, including lack of insurance, poor health care access and language difficulties. Most African immigrant women are likely to live below the poverty line and have low health literacy, are less likely to have health insurance and visit a doctor, particularly for primary/preventive care. Without access to primary care, many preventive services, such as breast cancer screenings go unattended. The barriers and facilitators to breast cancer screening for other minority groups from underserved populations, such as African Americans and Latina women have been studied. Less is known about these for African immigrant women and how to most effectively engage their participation in regular screening. Data of over 2,000 African-born immigrants living in NYC show that 77% report not having health insurance; 75% do not have a primary care physician; and 57% have less than a high school education. As for cancer screening, when corrected for age, 44% have never had a mammogram. Through the study team's unique collaboration with the African Services Committee and the African Advisory Council of the Bronx, two non-governmental community-based service organizations, the study team is poised to have a significant impact on these immigrant women, who have emigrated from more than 20 countries in Africa. This is a population with great need for increased breast cancer knowledge, access to breast cancer screening, and basic medical care. The Health Belief Model (HBM) provides a framework for addressing cultural health barriers by positing that making a decision to engage in a health behavior is determined by weighing perceived threats versus benefits. The long term goal of the proposed project is to conduct a randomized clinical trial that tests the adapted intervention to increase breast cancer screening rates for African-born immigrants. In the short term, the study team plans to pursue the following specific aims: (1) Identify barriers and facilitators to breast cancer screening among African-born immigrants and (2) Culturally adapt and pilot test the Witness Project breast cancer education program for African-born women. Thus, the study team will culturally adapt an effective, innovative intervention to address this significant health disparity in African-born immigrant communities.
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
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