Developing and Evaluating Culturally Relevant Interventions to Improve Breast Cancer Screening

Developing and Evaluating Scalable and Culturally Relevant Interventions to Improve Breast Cancer Screening Among White Mountain Apache Women

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT05665660

Enrollment

323

Registered

2022-12-27

Start date

2023-06-06

Completion date

2025-10-20

Last updated

2025-12-24

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

Conditions

Breast Cancer

Keywords

mammography, cancer screening

Brief summary

The goal of this study is to evaluate the relative benefits of an intervention to promote breast cancer screening among women in the White Mountain Apache (WMA) community. Women will be randomized to receive CARE, a culturally tailored mammography education module, or CARE+COACH, which is the CARE education module plus access to an Apache paraprofessional women's health coach (i.e., patient navigator). The CARE intervention was developed through a community-based participatory research process. The primary outcome is mammography uptake within 2 months of a referral.

Interventions

BEHAVIORALCARE

CARE is a culturally tailored mammography education module.

BEHAVIORALCARE + COACH

CARE + COACH is a culturally tailored mammography education module + access to an Apache paraprofessional women's health coach who functions as a patient navigator

Study design

Allocation

RANDOMIZED

Intervention model

CROSSOVER

Primary purpose

SCREENING

Masking

NONE

Intervention model description

Women randomized to receive CARE who have not received a mammography at 3 months will be offered CARE+COACH to facilitate completion of their screening and contacted at 4 months.

Eligibility

Sex/Gender

FEMALE

Healthy volunteers

Yes

Inclusion criteria

* Referral for screening mammography from a Whiteriver Indian Health Service provider * Self-identify as American Indian or Alaska Native (AIAN) * Female * Live on within 60 miles of the Fort Apache Indian Reservation

Exclusion criteria

* Women who have received a mammogram within the prior 12 months * Women with a personal history of breast cancer * Unable to participate in full intervention or evaluation due to an anticipated event (e.g., planned move) * Unwilling to be randomized

Design outcomes

Primary

Measure	Time frame	Description
Mammography uptake	2 months	Mammography uptake within 2 months of referral

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026