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Trial Title: Empowering Latinas to Obtain Guideline Concordant Screenings

NCT ID: NCT05841355

Condition: Breast Cancer Screening

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: Compare intervention effects on BC screening among 400 non-adherent Latinas in a 1:1 empower/educate ratio (n=200 per group)

Primary purpose: Screening

Masking: Triple (Care Provider, Investigator, Outcomes Assessor)

Intervention:

Intervention type: Other
Intervention name: Educate
Description: Education sessions
Arm group label: Educate (Education + Navigation) Sessions

Intervention type: Other
Intervention name: Empower
Description: Empowerment sessions
Arm group label: Empower (Empowerment + Navigation) Sessions

Summary: The design builds on past studies by integrating social network analysis (SNA) and implementation science (IS) into a longitudinal randomized clinical trial (RCT). The investigator will compare the long-term effects of interventions by examining guideline-concordant initial and repeat Brease Cancer (BC) screening.

Detailed description: To further test the added benefits of the empower approach relative to traditional educate approaches. Past community research among Latinas has primarily focused on one-time BC screening among intervention participants. The design builds on past studies by integrating social network analysis (SNA) and implementation science (IS) into a longitudinal randomized clinical trial (RCT). The investigator will compare the long-term effects of interventions by examining guideline-concordant initial and repeat BC screening. The investigator will estimate the widespread effects of interventions by prospectively collecting data from network members not involved in the RCT. The investigator will also explore "active ingredients" that underlie intervention effects, including psychosocial, IS and network mechanisms. Overall, the investigator will demonstrate whether and how non-adherent Latinas may "boost" intervention effects throughout their networks. The investigator's goal is to further test the added benefits of the empower approach relative to traditional educate approaches. Past community research among Latinas has primarily focused on one-time BC screening among intervention participants. The investigator's novel design builds on past studies by integrating social network analysis (SNA) and implementation science (IS) into a longitudinal randomized clinical trial (RCT). The investigator will compare the long-term effects of interventions by examining guideline-concordant initial and repeat BC screening. The investigator will estimate the widespread effects of interventions by prospectively collecting data from network members not involved in the RCT. The investigator will also explore "active ingredients" that underlie intervention effects, including psychosocial, IS and network mechanisms. Overall, the investigator will demonstrate whether and how non-adherent Latinas may "boost" intervention effects throughout their networks. Aim 1: Among 400 non-adherent Latinas, the investigator will compare intervention effects on BC screening, using an individual RCT in a federally qualified health center (FQHC). The investigator will use the US Preventative Services Task Force (USPSTF) guidelines - i.e., 50-74 year-olds should obtain mammograms every 2 years. Aim 2: Among 200 network members of non-adherent Latinas, the investigator will compare intervention effects on BC screening, based on the USPSTF guidelines. Aim 3: The investigator will explore mechanisms of change underlying intervention effects on BC screening using IS measures, descriptive SNA, and structural equation models. If study arms are comparable, the investigator will examine which mechanisms may predict multilevel intervention effects across approaches.

Criteria for eligibility:
Criteria:
Inclusion Criteria: Aim 1. (1) female biological sex; (2) identification as Latinas; (3) non-adherence to USPSTF guidelines (52-74 years old, no mammogram in past 2 years, no previous BC diagnosis); (4) no previous history of health volunteerism; and (5) not a network member enrolled in Aim 2. Aim 2. (1) female biological sex; (2) eligibility to obtain BC screenings by USPSTF guidelines (i.e., 50-74 years old, no personal BC history); (3) referral from non-adherent Latinas; (4) no previous history of health volunteerism; and (5) no participation in the RCT (not an Aim 1 participant, no Session #3 attendance). Exclusion Criteria: Aim 1: (1) Not meeting at least one of the aforementioned Aim 1 inclusion criteria. Aim 2: (1) Not meeting at least one of the aforementioned Aim 1 inclusion criteria.

Gender: Female

Gender based: Yes

Minimum age: 50 Years

Maximum age: 74 Years

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: Mile Square Health Center

Address:
City: Chicago
Zip: 60612
Country: United States

Status: Recruiting

Contact:
Last name: Jocelyn Perez

Phone: 312-996-6337
Email: jocelynp@uic.edu

Facility:
Name: University of Illinois Health

Address:
City: Chicago
Zip: 60612
Country: United States

Status: Recruiting

Contact:
Last name: Jocelyn Perez

Phone: 312-996-6337
Email: jocelynp@uic.edu

Start date: March 14, 2023

Completion date: August 31, 2027

Lead sponsor:
Agency: University of Illinois at Chicago
Agency class: Other

Source: University of Illinois at Chicago

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05841355

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