Screening Mammography and Latinas: A Multilevel Intervention
| Status: | Completed |
|---|---|
| Conditions: | Breast Cancer, Cancer |
| Therapuetic Areas: | Oncology |
| Healthy: | No |
| Age Range: | 40 - 74 |
| Updated: | 4/21/2016 |
| Start Date: | May 2010 |
| End Date: | April 2015 |
Understanding and Preventing Breast Cancer Disparities in Latinas: Screening Mammography and Latinas: A Multilevel Intervention
¡Fortaleza Latina! is a multi-level randomized trial to increase participation in
mammography screening among Latinas who seek care at a community health center in Western
Washington.
In partnership with the partnering community health center, we have obtained lists of women
patients aged 42 to 74 years old who had not had a mammogram in the last two years and
resided within defined radii of the four clinics. Baseline and one year follow-up surveys
will be obtained by in person home interview. Participants are randomized within clinic to
intervention or comparison group. The intervention consist of two motivational interviewing
sessions, one in person in the home, and one telephone follow-up. The study hypothesis is
that a higher proportion of participants in the motivational interviewing arm will obtain a
screening mammogram within the study period than those in the comparison arm.
mammography screening among Latinas who seek care at a community health center in Western
Washington.
In partnership with the partnering community health center, we have obtained lists of women
patients aged 42 to 74 years old who had not had a mammogram in the last two years and
resided within defined radii of the four clinics. Baseline and one year follow-up surveys
will be obtained by in person home interview. Participants are randomized within clinic to
intervention or comparison group. The intervention consist of two motivational interviewing
sessions, one in person in the home, and one telephone follow-up. The study hypothesis is
that a higher proportion of participants in the motivational interviewing arm will obtain a
screening mammogram within the study period than those in the comparison arm.
Breast cancer is the most common cancer among Hispanic women in the United States (US) and
five-year survival from breast cancer is lower in Hispanic than in non-Hispanic White women.
This reduced survival has a number of potential causes, but differential screening rates may
be a partial explanation, since Hispanic women have lower breast cancer screening rates than
non-Hispanic White women. The overall purpose of the study is to develop and evaluate a
culturally-appropriate intervention aimed at increasing screening mammography rates in a
clinic-based sample of predominantly Mexican American women in Western Washington.
The recruitment goal of the Fortaleza Latina study is approximately 500 Latina women aged
40-74 who have had a clinic visit within the past 5 years, but no recent mammogram, from the
four selected Community Health Center clinics. After providing informed consent and
completing a baseline assessment, eligible women are randomly assigned to intervention or
comparison group, within clinic. The individual-level intervention implements motivational
interviewing (MI) in two participant encounters. MI is a direct counseling style, led by a
promotora (lay health advisor), that elicits behavior change by helping participants explore
and resolve ambivalence.
Of the 2194 women contacted by field interviewers, a total of 710 surveys have been
completed; of these, 542 were eligible and have been randomized and enrolled into the
Fortaleza Latina study (279 intervention, 263 usual care).
five-year survival from breast cancer is lower in Hispanic than in non-Hispanic White women.
This reduced survival has a number of potential causes, but differential screening rates may
be a partial explanation, since Hispanic women have lower breast cancer screening rates than
non-Hispanic White women. The overall purpose of the study is to develop and evaluate a
culturally-appropriate intervention aimed at increasing screening mammography rates in a
clinic-based sample of predominantly Mexican American women in Western Washington.
The recruitment goal of the Fortaleza Latina study is approximately 500 Latina women aged
40-74 who have had a clinic visit within the past 5 years, but no recent mammogram, from the
four selected Community Health Center clinics. After providing informed consent and
completing a baseline assessment, eligible women are randomly assigned to intervention or
comparison group, within clinic. The individual-level intervention implements motivational
interviewing (MI) in two participant encounters. MI is a direct counseling style, led by a
promotora (lay health advisor), that elicits behavior change by helping participants explore
and resolve ambivalence.
Of the 2194 women contacted by field interviewers, a total of 710 surveys have been
completed; of these, 542 were eligible and have been randomized and enrolled into the
Fortaleza Latina study (279 intervention, 263 usual care).
Inclusion Criteria:
- Hispanic/Latina ethnicity
- Have been seen in one of the 4 community clinics in the past 5 years
- have NOT had a mammogram within the past two years
- Residing within 20 miles of one of the participating clinics
Exclusion Criteria:
- Participants who do not match the Eligibility Criteria listed above
- Medical record verified recent mammogram
We found this trial at
1
site
1100 Fairview Avenue North
Seattle, Washington 98109
Seattle, Washington 98109
(206) 667-5000
Fred Hutchinson Cancer Research Center At Fred Hutchinson Cancer Research Center, our interdisciplinary teams of...
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