Screening Mammogram
Conditions
Keywords
Breast cancer screening, Health education, Chinese immigrant, Health disparities
Brief summary
The long-term goal of this research is to increase breast cancer screening rates in NYC Chinese immigrants. The researchers plan to accomplish this objective by developing and testing a culturally- and linguistically-adapted Witness Project program for Chinese immigrants. To inform the intervention development, the study team will identify barriers and facilitators to breast cancer screening in Chinese immigrants through individual qualitative interviews. A total of 156 participants will be recruited during the entire study. In Aim 1 which started in July 2021, 60 women were recruited for in-depth interviews to assess their breast cancer knowledge, perceived barriers and benefits/risks to completing mammography, perceived susceptibility to breast cancer, fatalism, screening intention, acculturation, language preference, and health literacy. In Aim 2, 96 women will be recruited to participate in the pilot testing of the intervention. Recruitment will take place at community sites that serve Chinese immigrants in New York City. Enrollment for Aim 2 is anticipated to start in March of 2022.
Interventions
BEHAVIORALNarrative breast health education
Health education program utilizing narrative messages to promote breast cancer screening in Chinese immigrant women will be delivered in a group format in the community
Sponsors
National Cancer Institute (NCI)
Icahn School of Medicine at Mount Sinai
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE
Intervention model description
Pre/Post-test design
Eligibility
Sex/Gender
FEMALE
Age
40 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* ≥ 40 years of age * female * born in China * read and speak Cantonese, Mandarin, or English
Exclusion criteria
\- none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants That Scored Above 80% in the Feasibility and Acceptability Questionnaire | immediately post presentation (presentation approximately 1 hour) | Post-program survey to access acceptability of adapted narrative education program. Full-scale from 0% to 100%, with a higher percent indicating greater acceptability. An arbitrary cutoff value of 80% acceptance will determine the interventions' acceptability for the study. |
| Number of Participants Who Were Engaged in Program | Baseline | Percent of participants who showed up to the Chinese-community-based organizations and would like to participate in the program to assess engagement rate of participants |
| Percentage of Community Organizations Willing to Host Program | 7 months | Percentage of Chinese Community-based organizations who were willing to host the program to assess feasibility. Engagement rate of Chinese-community-based organizations was used to access feasibility |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Breast Cancer Knowledge | baseline and 6 months post intervention | Pre- and post-program survey to access change in breast cancer knowledge. Each correct answer counted as 1 point, each incorrect one as 0, and skipped questions as 0. Full scale from 0-6, with a higher score indicates more knowledge. |
Countries
United States
Participant flow
Recruitment details
Results for Aim 2 of study provided. Gatekeepers and stakeholders were not enrolled.
Participants by arm
| Arm | Count |
|---|---|
| Chinese Immigrants NYC Chinese immigrants provided with narrative breast health education
Narrative breast health education: Health education program utilizing narrative messages to promote breast cancer screening in Chinese immigrant women will be delivered in a group format in the community | 99 |
| Total | 99 |
Baseline characteristics
| Characteristic | Chinese Immigrants |
|---|---|
| Age, Continuous | 71.2 years STANDARD_DEVIATION 9.162 |
| Last Mammogram 1-2 years | 21 Participants |
| Last Mammogram Less than 1 year | 43 Participants |
| Last Mammogram More than 2 years | 35 Participants |
| Race/Ethnicity, Customized Asian | 99 Participants |
| Sex: Female, Male Female | 97 Participants |
| Sex: Female, Male Male | 2 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 99 |
| other Total, other adverse events | 0 / 99 |
| serious Total, serious adverse events | 0 / 99 |
Outcome results
Primary
Number of Participants That Scored Above 80% in the Feasibility and Acceptability Questionnaire
Post-program survey to access acceptability of adapted narrative education program. Full-scale from 0% to 100%, with a higher percent indicating greater acceptability. An arbitrary cutoff value of 80% acceptance will determine the interventions' acceptability for the study.
Time frame: immediately post presentation (presentation approximately 1 hour)
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Chinese Immigrants | Number of Participants That Scored Above 80% in the Feasibility and Acceptability Questionnaire | 99 Participants |
Primary
Number of Participants Who Were Engaged in Program
Percent of participants who showed up to the Chinese-community-based organizations and would like to participate in the program to assess engagement rate of participants
Time frame: Baseline
Population: 107 is the number of people in the participating Chinese-community-based organizations.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Chinese Immigrants | Number of Participants Who Were Engaged in Program | 99 Participants |
Primary
Percentage of Community Organizations Willing to Host Program
Percentage of Chinese Community-based organizations who were willing to host the program to assess feasibility. Engagement rate of Chinese-community-based organizations was used to access feasibility
Time frame: 7 months
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Chinese Immigrants | Percentage of Community Organizations Willing to Host Program | 22 percentage of organizations |
Secondary
Change in Breast Cancer Knowledge
Pre- and post-program survey to access change in breast cancer knowledge. Each correct answer counted as 1 point, each incorrect one as 0, and skipped questions as 0. Full scale from 0-6, with a higher score indicates more knowledge.
Time frame: baseline and 6 months post intervention
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Chinese Immigrants | Change in Breast Cancer Knowledge | baseline | 4.33 score on a scale | Standard Deviation 1.229 |
| Chinese Immigrants | Change in Breast Cancer Knowledge | 6 months post intervention | 4.89 score on a scale | Standard Deviation 1.108 |