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Muslim Americans Reaching for Health and Building Alliances (MARHABA): Patient Navigation Intervention to Increase Breast and Cervical Cancer Screening Among Muslim Women in New York City

Muslim Americans Reaching for Health and Building Alliances (MARHABA): Patient Navigation Intervention to Increase Breast and Cervical Cancer Screening Among Muslim Women in New York City

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03081507
Acronym
MARHABA
Enrollment
432
Registered
2017-03-16
Start date
2017-03-01
Completion date
2018-09-28
Last updated
2018-12-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Breast Cancer, Cervical Cancer

Keywords

Muslim Americans, Patient Navigation, Breast Cancer, Cervical Cancer

Brief summary

Studies have reported Muslims in the US and NYC face numerous language and healthcare access barriers. This is a randomized randomized controlled design will be used to test the efficacy of a Patient Navigation (PN) intervention to increase participation in breast and/or cervical cancer screening among Muslim women age 40 - 75 years living in NYC. Study participants will be randomized to an Lay Health Workers (LHW) led small media intervention arm (SM-LHW) or a LHW-led patient navigation plus small media intervention arm (PN-LHW). A specific aim of the study is to develop, implement and evaluate the efficacy of a two-arm, randomized control trial designed to increase receipt of breast and/or cervical cancer screening among Muslim women aged 40 -75 years in New York City (NYC).

Detailed description

The goal of this study, entitled Muslim Americans Reaching for Health and Building Alliances (MARHABA), is to evaluate the effectiveness of a culturally patient navigation (PN) intervention designed for Muslim women to increase breast and cervical cancer screening participation.

Interventions

BEHAVIORALSM-LHW

Will not receive additional follow-up from the LHW, but will be encouraged during the session to make an appointment with their provider to schedule a mammogram and Pap test, or to consult the MARHABA webpage for information on low-cost and culturally appropriate referral sources of screening. Individuals assigned to this arm who did not attend an educational seminar will be mailed a packet containing a palm card, brochure, and letter encouraging them to speak with their provider about breast and cervical cancer screening and/or going to the MARHABA webpage. LHWs will complete a follow-up survey with participants by phone or in-person at 4 months after baseline

BEHAVIORALPN-LHW

PNLHW participants will receive three planned contacts with LHWs that focus on navigation for obtaining mammogram and/or Pap testing.The initial contact will be made by phone and will focus on motivating participants to make an appointment with their primary care provider and/or obstetrician/gynecologist (OB/GYN), as well as provide information on low-cost or free care if necessary. The second contact will discuss the process of going to the appointment and the third contact will focus on the process of obtaining and interpreting. The second and third contacts will be either made by phone or in-person, depending on participant needs.

Sponsors

NYU Langone Health
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE

Intervention model description

Study participants will be randomized to an LHW-led small media intervention arm (SM-LHW) or a LHW-led patient navigation plus small media intervention arm (PN-LHW) upon determination of study eligibility and informed consent procedures.

Eligibility

Sex/Gender
FEMALE
Age
40 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* self-identify as Muslim * female * residence in a NYC borough * self-report as having received a mammogram more than two years ago and are age 40-74 years * self-report having received a Pap test more than three years ago and are age 40-65 years

Exclusion criteria

* Report a past or current diagnosis of breast or cervical cancer * Report having had a hysterectomy * Report having had breast reconstructive surgery

Design outcomes

Primary

MeasureTime frameDescription
Awareness of Pap Test5 MonthsPap test awareness is a positive response to the following question: Have you ever heard of a 'Pap test'?
Awareness of Mammogram5 MonthsAwareness is a positive response to the following question: Have you ever heard of a 'mammogram'?
Pap test receipt5 MonthsPap test receipt is defined as a positive response to Have you ever had a 'Pap test'? after describing the test. For no responses, we defined Pap test intention as a positive response to Are you planning on obtaining a 'Pap test'?
Mammogram test receipt5 MonthsMammogram test receipt is defined as a positive response to Have you ever had a 'Mammogram'? after describing the test. For no responses, we defined Mammogram test intention as a positive response to Are you planning on obtaining a 'Mammogram'?

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 18, 2026