Peer navigation improves diagnostic follow-up after breast cancer screening among Korean American women: results of a randomized trial
Peer navigation improves diagnostic follow-up after breast cancer screening among Korean American women: results of a randomized trial
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DOI：
10.1007/s10552-010-9621-7
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发表时间：
2010-11-01
影响因子：
2.3
通讯作者：
Bastani, Roshan
中科院分区：
文献类型：
--
作者：
Maxwell, Annette E.;Jo, Angela M.;Bastani, Roshan
为了测试一项干预措施，以增加亚裔美国妇女对诊断性随访检查的依从性，被转诊接受诊断性随访检查（主要是诊断性乳房X线检查）且错过随访预约的韩裔美国妇女有资格参加本研究。来自两个诊所的妇女（n = 176）被随机分配到常规护理对照组或同伴导航干预组。在两个研究组的妇女被确定为评估人口统计学和社会经济特征以及主要结局后6个月，对她们进行20分钟的电话调查。自我报告完成了推荐的随访检查。在6个月随访时完成调查的女性中，自我报告的随访程序完成率在干预组为97%，在对照组为67%（p < 0.001）。基于对所有随机分配的女性的意向治疗分析，以及对结果数据缺失的女性未完成随访检查的假设，自我报告的随访完成率在干预组为61%，在常规护理对照组为46（p < 0.069）。我们的研究结果表明，同伴导航干预，以帮助韩裔美国妇女获得以下-在乳腺癌筛查试验异常后进行诊断试验是有效的。
To test an intervention to increase adherence to diagnostic follow-up tests among Asian American women.Korean American women who were referred for a diagnostic follow-up test (mainly diagnostic mammograms) and who had missed their follow-up appointment were eligible to participate in the study. Women from two clinics (n = 176) were randomly allocated to a usual care control arm or a peer navigator intervention arm. A 20-min telephone survey was administered to women in both study arms six months after they were identified to assess demographic and socio-economic characteristics and the primary outcome, self-reported completion of the recommended follow-up exam.Among women who completed the survey at six-month follow-up, self-reported completion of follow-up procedures was 97% in the intervention arm and 67% in the control arm (p < 0.001). Based on an intent-to-treat analysis of all women who were randomized and an assumption of no completion of follow-up exam for women with missing outcome data, self-reported completion of follow-up was 61% in the intervention arm and 46% in the usual care control arm (p < 0.069).Our results suggest that a peer navigator intervention to assist Korean American women to obtain follow-up diagnostic tests after an abnormal breast cancer screening test is efficacious.