Interventions to Increase Screening by Breast Cancer Survivors and Their High Risk Female Relatives
| Status: | Completed |
|---|---|
| Conditions: | Breast Cancer, Cancer |
| Therapuetic Areas: | Oncology |
| Healthy: | No |
| Age Range: | 20 - 64 |
| Updated: | 4/21/2016 |
| Start Date: | July 2012 |
| End Date: | September 2014 |
Interventions to Increase Screening Utilization by Breast Cancer Survivors and Their High Risk Female Relatives: Using Cancer Surveillance and the Michigan Genomics Academic-Practice Partnership
The University of Michigan (UM) Schools of Nursing, Public Health, and Medicine, the
Michigan Department of Community Health (MDCH) and the Michigan Cancer Consortium (MCC) are
conducting a multidisciplinary academic/practice three-year project to increase appropriate
breast cancer screening for young breast cancer survivors and their cancer-free, female
relatives at greatest risk for breast cancer. The aims of this project are to: 1) identify
and survey 3000 breast cancer survivors reported to the Michigan Cancer Surveillance Program
who were diagnosed between the ages of 20-45 years regarding their breast cancer screening
utilization; 2) identify and survey the survivors' female relatives regarding their breast
cancer screening utilization; and 3) implement two versions (targeted vs. enhanced tailored)
of an evidence-based intervention recommended by the Guide to Community Preventive Services
to increase breast cancer screening. A follow-up survey will assess the effectiveness of
each intervention on a) breast cancer screening utilization; b) perceived barriers and
facilitators to screening; c) self-efficacy in utilizing screening services; d) family
support related to screening; e) knowledge of the genetics of breast cancer and personal
risk factors; and f) satisfaction with the intervention.
Michigan Department of Community Health (MDCH) and the Michigan Cancer Consortium (MCC) are
conducting a multidisciplinary academic/practice three-year project to increase appropriate
breast cancer screening for young breast cancer survivors and their cancer-free, female
relatives at greatest risk for breast cancer. The aims of this project are to: 1) identify
and survey 3000 breast cancer survivors reported to the Michigan Cancer Surveillance Program
who were diagnosed between the ages of 20-45 years regarding their breast cancer screening
utilization; 2) identify and survey the survivors' female relatives regarding their breast
cancer screening utilization; and 3) implement two versions (targeted vs. enhanced tailored)
of an evidence-based intervention recommended by the Guide to Community Preventive Services
to increase breast cancer screening. A follow-up survey will assess the effectiveness of
each intervention on a) breast cancer screening utilization; b) perceived barriers and
facilitators to screening; c) self-efficacy in utilizing screening services; d) family
support related to screening; e) knowledge of the genetics of breast cancer and personal
risk factors; and f) satisfaction with the intervention.
The University of Michigan (UM) Schools of Nursing, Public Health, and Medicine, the
Michigan Department of Community Health (MDCH) and the Michigan Cancer Consortium (MCC)
propose a multidisciplinary academic/practice three-year project to increase appropriate
breast cancer screening utilization for young breast cancer survivors (YBCS), and their
cancer-free, female relatives at greatest risk for breast cancer (high-risk relatives). The
aims of this project are to: 1) identify and survey 3000 breast cancer survivors reported to
the Michigan Cancer Surveillance Program who were diagnosed between the ages of 25-45 years
regarding their breast cancer screening utilization; 2) identify and survey YBCS' high-risk
relatives regarding their breast cancer screening utilization; and 3) implement two versions
(targeted vs. enhanced tailored) of an evidence-based intervention recommended by the Guide
to Community Preventive Services to increase breast cancer screening. Aim 1, will be
accomplished in year 1 by MDCH, UM and MCSP. Following approval by appropriate review boards
(MDCH, UM, and MCSP), reporting facilities and physicians of record, 3000 YBCS will be
mailed a request to participate in the project and a baseline survey. The baseline survey
will obtain information on the YBCS's: a) willingness to participate; b) current breast
cancer screening utilization; c) perceived barriers and facilitators to screening and other
outcomes related to breast cancer screening; d) identification of high-risk relatives to
participate in the study and interest in serving as an advocate for their high-risk
relatives to participate. Aim 2, will be accomplished in year 2 by the UM and MDCH. Based on
the information provided by YBCS, the MDCH will identify up to two high-risk relatives per
YBCS. UM and MDCH will mail YBCS who agree to participate in the study baseline surveys to
distribute to their selected high-risk relatives. The baseline survey to high-risk relatives
will obtain information on their: a) willingness to participate in the project; b) current
breast cancer screening utilization; and c) perceived barriers and facilitators to screening
and other outcomes related to breast cancer screening. Aim 3, will be accomplished by UM and
MDCH. YBCS and their high-risk relatives will be randomized (as a family unit) to receive
two versions of a small media, evidence-based intervention aiming to increase appropriate
utilization of breast cancer screening services and other outcomes. In year 2-3, 9 months
after YBCS and high-risk female relatives receive the intervention, UM will mail a follow-up
survey to YBCS and their high-risk relatives to evaluate the effectiveness of each
intervention version on: a) breast cancer screening utilization; b) perceived barriers and
facilitators to screening; c) self-efficacy in utilizing screening services; d) family
support related to screening; e) knowledge of the genetics of breast cancer and personal
risk factors; and f) satisfaction with the intervention. The State of Michigan is considered
a national leader in cancer prevention, control, and public health genomics. Key partners
have significant prior experience in conducting studies with cancer survivors and their
high-risk relatives. This project would greatly enhance state efforts in cancer prevention
and control.
Michigan Department of Community Health (MDCH) and the Michigan Cancer Consortium (MCC)
propose a multidisciplinary academic/practice three-year project to increase appropriate
breast cancer screening utilization for young breast cancer survivors (YBCS), and their
cancer-free, female relatives at greatest risk for breast cancer (high-risk relatives). The
aims of this project are to: 1) identify and survey 3000 breast cancer survivors reported to
the Michigan Cancer Surveillance Program who were diagnosed between the ages of 25-45 years
regarding their breast cancer screening utilization; 2) identify and survey YBCS' high-risk
relatives regarding their breast cancer screening utilization; and 3) implement two versions
(targeted vs. enhanced tailored) of an evidence-based intervention recommended by the Guide
to Community Preventive Services to increase breast cancer screening. Aim 1, will be
accomplished in year 1 by MDCH, UM and MCSP. Following approval by appropriate review boards
(MDCH, UM, and MCSP), reporting facilities and physicians of record, 3000 YBCS will be
mailed a request to participate in the project and a baseline survey. The baseline survey
will obtain information on the YBCS's: a) willingness to participate; b) current breast
cancer screening utilization; c) perceived barriers and facilitators to screening and other
outcomes related to breast cancer screening; d) identification of high-risk relatives to
participate in the study and interest in serving as an advocate for their high-risk
relatives to participate. Aim 2, will be accomplished in year 2 by the UM and MDCH. Based on
the information provided by YBCS, the MDCH will identify up to two high-risk relatives per
YBCS. UM and MDCH will mail YBCS who agree to participate in the study baseline surveys to
distribute to their selected high-risk relatives. The baseline survey to high-risk relatives
will obtain information on their: a) willingness to participate in the project; b) current
breast cancer screening utilization; and c) perceived barriers and facilitators to screening
and other outcomes related to breast cancer screening. Aim 3, will be accomplished by UM and
MDCH. YBCS and their high-risk relatives will be randomized (as a family unit) to receive
two versions of a small media, evidence-based intervention aiming to increase appropriate
utilization of breast cancer screening services and other outcomes. In year 2-3, 9 months
after YBCS and high-risk female relatives receive the intervention, UM will mail a follow-up
survey to YBCS and their high-risk relatives to evaluate the effectiveness of each
intervention version on: a) breast cancer screening utilization; b) perceived barriers and
facilitators to screening; c) self-efficacy in utilizing screening services; d) family
support related to screening; e) knowledge of the genetics of breast cancer and personal
risk factors; and f) satisfaction with the intervention. The State of Michigan is considered
a national leader in cancer prevention, control, and public health genomics. Key partners
have significant prior experience in conducting studies with cancer survivors and their
high-risk relatives. This project would greatly enhance state efforts in cancer prevention
and control.
Inclusion Criteria:
- For breast cancer survivors
- Female
- 20-64 years of age
- Being diagnosed with invasive breast cancer between 20 and 45 years of age
- Being diagnosed with DCIS between 20 and 45 years of age
- Michigan resident at time of diagnosis
- able to read and understand English
- not currently pregnant, incarcerated, or institutionalized
- For high risk relatives
- Female
- First- or second- degree relatives of survivor
- 25-64 years of age
- US resident
- Able to read and understand English
- Unaffected with any type of cancer
- Not currently pregnant, incarcerated, or institutionalized
- Survivor is willing to contact
Exclusion Criteria:
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