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Empowering Latinas to Obtain Guideline-Concordant Breast Cancer Screenings

帮助拉丁裔获得符合指南的乳腺癌筛查

基本信息

批准号：
10518742
负责人：
Yamile Molina
金额：
$ 65.56万
依托单位：
UNIVERSITY OF ILLINOIS AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-08 至 2027-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10518742
关键词：
Address Advisory Committees Breast Breast Cancer Detection Caring Chicago Clinical Collaborations Communication Communities Community Health Aides Community Health Education Data Education Enrollment Equation Family Federally Qualified Health Center Friends Fright Future Goals Guidelines Health Healthcare Individual Intervention Knowledge Latina Latina Population Latino Lead Learning Long-Term Effects Mammography Measures Mediating Mediation Modeling Motivation Pathway Analysis Pilot Projects Population Preventive service Process Quality of life Randomized Clinical Trials Randomized Controlled Trials Reporting Role Services Social Network Solid Testing Time Translations Woman arm base breast cancer diagnosis cancer care community based participatory research community engagement community intervention community organizations comparison intervention cost design diagnosis quality empowered empowerment experience implementation science improved innovation intervention effect intervention participants leadership development malignant breast neoplasm member models and simulation novel peer prospective psychosocial recruit role model screening screening guidelines skills skills training social observations volunteer

项目摘要

ABSTRACT Latinas suffer disproportionately from late stage breast cancer (BC) diagnoses and worse post-diagnosis quality of life relative to non-Latina Whites (NLWs), in part due to lower guideline-concordant screening. Education+navigation (educate) approaches have offered Latinas community education to address psychosocial barriers (e.g., fear) and navigated Latinas to free/low-cost breast cancer care. Our transdisciplinary team has developed a promising empowerment+navigation (empower) approach that may lead to greater BC screening among Latino networks. In the empower approach, Latinas who are non-adherent to US Preventive Services Task Force (USPSTF) guidelines learn about BC; are navigated to free/low cost breast cancer care; and gain communication skills to promote BC screening throughout their networks. Our premise is that empowering non-adherent Latinas as breast health agents may lead to greater BC screening among non-adherent Latinas and their networks than treating non-adherent Latinas as passive recipients of education. The current proposal tests our premise and identifies “active ingredients” of the empower approach. In Aim 1, we will conduct an individual randomized controlled trial (RCT) in a federally qualified health center (FQHC). This trial will build on our team’s current service projects to provide free/low-cost BC screening in the FQHC, including leveraging its relationship with a community organization committed to leadership development among Latinas. Among non-adherent Latinas, we will compare the effects of empower and educate approaches on initial and repeat BC screening, in line with USPSTF guidelines. In Aim 2, we conduct an observational social network study. We will recruit network members through non- adherent Latinas enrolled in our RCT. Among network members, we will compare the effects of empower and educate approaches on initial and repeat BC screening across four years. In Aim 3, we will explore theoretical mechanisms of change that could contribute to intervention differences in BC screening. For non-adherent Latinas’ BC screening, we will examine the mediating roles of greater BC knowledge and motivation to be healthy role model. For network members’ BC screening, we will examine the mediating role of non-adherent Latinas’ enhanced capacity to promote BC screening. Specifically, we will test the independent effects of volunteerism in community BC initiatives, potential to “bridge” network members with formal change agents (e.g., community health workers, navigators), acceptability to promote BC, feasibility to promote BC, and BC promotion to network members. Our innovative, robust approach has direct implications for expediting the translation of promising community interventions into practice.

摘要