Promotora Navigator - Culturally Appropriate Patient Navigator

Although there has been interval improvement in reducing disparity in mammography utilization
in medically underserved communities since the 1990s, significant disparities persist and
should be addressed. In the 40-65 year old age range, there is significant disparity in
screening mammography utilization in Hispanic women compared to their white counterparts.

Culturally adapted patient-targeted healthcare interventions can help reduce ethnic
inequalities in access to cancer screening programs. Promotoras, culturally appropriate
patient navigators for the Hispanic community, have been shown to increase screening
mammography rates in the Hispanic/Latino population.

However, there is little research exploring the interaction between these lay community
health workers and community members. This proposal aims to assess this interaction by
measuring the impact of a Promotora working with community members in either a group setting
or individual setting. Understanding this interaction can lead to more effectively designed
future community interventions. Primary outcomes in this study will include women's reported
measures of interpersonal processes of care (communication and interpersonal style) during
screening mammography care, trust in the healthcare system, and satisfaction with cancer
screening care when compared to those receiving standard of care.