Utilizing Social Contacts to Facilitate Mammogram Screening Among African American Women
2022年7月6日 更新者:Washington University School of Medicine
Pilot Study Utilizing Social Contacts to Facilitate Mammogram Screening Among African American Women
Eliminating racial disparities in breast cancer is a top public health priority.
African American (AA) women often present with more advanced and aggressive disease at the time of diagnosis and are more likely to die from breast cancer than any other racial/ethnic group in the United States.
Mammogram screening significantly reduces breast cancer mortality by diagnosing cancer at an earlier stage where treatments are more effective.
While some AA women do not schedule screening mammograms as recommended by current guidelines, others do not show up for their exams after scheduling them (no-shows).
No-shows to cancer screening appointments impose an enormous strain on our limited healthcare resources with negative impact on other patients who could have secured earlier appointments, loss of revenue for hospitals or clinics serving underserved populations and delays in diagnoses and treatment for those who do not have screening.
The investigators identified a high no-show rate for screening mammograms at our hospital.
AA women were almost three times more likely to no-show for their mammograms compared to White women.
Patient's social networks plan an important role in health promotion.
In this study, we will pilot an intervention involving patient's social contacts (family, friends, neighbors, etc.) as healthcare facilitators to improve appointment attendance.
The investigators seek to determine whether this intervention is feasible and acceptable to patients and whether this intervention will improve attendance rates for screening mammograms among AA women at our institution.
If effective, the use of a patient's social contact person as a healthcare facilitator (similar to a patient navigator) would be a readily available and inexpensive resource for other institutions to implement.
研究概览
研究类型
介入性
注册 (实际的)
156
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。
学习地点
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Missouri
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Saint Louis、Missouri、美国、63110
- Washington University School of Medicine
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参与标准
研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
40年 及以上 (成人、年长者)
接受健康志愿者
是的
有资格学习的性别
女性
描述
Inclusion Criteria for Patients:
- Female
- African American
- At least 40 years old
- Scheduled for a screening mammogram within 3 months following initiation of the study
- Willing and able to provide contact information for two adult social contacts (friends or family members)
Exclusion Criteria for Patients:
-Prior history of breast cancer
Inclusion Criteria for Social Contacts:
- At least 18 years old
- Selected by the patient as someone (family member or friend) who would be able to support her in keeping her mammogram appointment
Exclusion Criteria for Social Contacts:
-Less than 18 years of age
学习计划
本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。
研究是如何设计的?
设计细节
- 主要用途:预防
- 分配:非随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
---|---|
实验性的:Patient: Scheduled for mammogram
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-The social contact will remind patient about screening mammogram appointment
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无干预:Social Contact of Patient
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Feasibility of recruiting patients' social contacts to serve as healthcare facilitators as measured by number of participants enrolled to the study with a social contact that agrees to participate
大体时间:Through completion of enrollment (estimated to be 3 months)
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-The study is deemed feasible if 80 participants are enrolled to the study and further, if at least 65% of the 80 participants will have a social contact agreeing to participate
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Through completion of enrollment (estimated to be 3 months)
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Describe demographic characteristics of the social contacts and any associations with patient appointment attendance
大体时间:Through mammogram appointment (estimated to be 6 months)
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-Use descriptive statistics to present the characteristics of social contacts and regression analysis to determine in association with social contact characteristics and appointment attendance.
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Through mammogram appointment (estimated to be 6 months)
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Rate of mammography attendance
大体时间:Through mammogram appointment (estimated to be 6 months)
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Through mammogram appointment (estimated to be 6 months)
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Using a structured survey interview, determine the percentage of patients and their social contacts who respond positively (agree or strongly agree) that the intervention helped them keep their scheduled screening mammogram appointment
大体时间:Through mammogram appointment (estimated to be 6 months)
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-Use descriptive statistics to present response to structured interview questions.
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Through mammogram appointment (estimated to be 6 months)
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员:Whitney Hensing, M.D., M.S.、Washington University School of Medicine
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2022年3月18日
初级完成 (实际的)
2022年6月30日
研究完成 (实际的)
2022年6月30日
研究注册日期
首次提交
2022年2月4日
首先提交符合 QC 标准的
2022年3月1日
首次发布 (实际的)
2022年3月11日
研究记录更新
最后更新发布 (实际的)
2022年7月7日
上次提交的符合 QC 标准的更新
2022年7月6日
最后验证
2022年7月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.
Social Contact Reminder的临床试验
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University of Texas Southwestern Medical CenterNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)完全的
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University of MichiganNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)招聘中