Peer Navigator Education in Improving Survivorship Care in African American Breast Cancer Survivors

PRIMARY OBJECTIVES:

I. To evaluate the ability of peer navigation (PN) to improve understanding of survivorship
care planning (SCP) at 6 months.

II. To promote adherence to the SCP schedule of follow-up examinations at 12 months.

SECONDARY OBJECTIVES:

I. To evaluate the effect of PN on change from baseline in medical efficacy, preparedness for
life as new survivor, and physical and health related QOL at 6 months.

OUTLINE: PNs are trained on medical issues and resources, and SCP. Participants are then
randomized to 1 of 2 treatment arms.

ARM I: Participants receive 4 PN sessions tailored to their needs followed by a 6 month
booster session and American Cancer Society (ACS) materials.

ARM II: Participants receive ACS materials.

After completion of study treatment, patients are followed up at 6 and 12 months.

Inclusion Criteria:

- TRIAL SUBJECTS:

- Patient age 18 years or older who self-identifies as African-American

- In early survivorship phase, defined as being 1-12 months post completion of treatment
for stage 0-3 breast cancer

- Receiving health care primarily through an health maintenance organization (HMO)

- Patients with metastatic cancer or a second primary cancer, because their medical
characteristics (e.g. disease progression) are significantly different

- Breast cancer survivors (BCS) with other major disabling medical, psychiatric, or
substance abuse conditions (e.g., anxiety, depression, alcohol/tobacco problems) will
be excluded

- PEER NAVIGATORS:

- At least 25 years of age who self-identifies as African-American

- Previously participated in any type of research study

- Has at least high school education

- Has been diagnosed with breast cancer, currently in remission or eradicated

- Belongs to a breast cancer support group

- Has a valid driver's license

- Owns an operational vehicle

- Has access to a personal computer with internet access