Breast Cancer Clinical Trial
Official title:
Better Breast and Cervical Cancer Control for Korean American Women
The long-term goal of this study is to build a sustainable,community-based outreach program
using Korean American community health workers (CHWs) to promote breast and cervical
screening among Korean American women, thereby reducing related morbidity and mortality. The
study is designed to determine the effectiveness of a health literacy-focused tailored
breast and cervical cancer control intervention delivered by CHWs.
The investigators hypothesized that, compared to KA women in the delayed intervention group,
KA women who receive a health literacy-focused CHW intervention will demonstrate: (1) higher
levels of adherence to screening for breast and cervical cancer, (2) greater levels of
health literacy, (3) higher levels of breast and cervical cancer knowledge, and (4) improve
decisional balance.
Despite considerable progress in U.S. cancer control over the past 20 years, certain ethnic
minority groups continue to experience significant health disparities. Recent immigrants
including Korean Americans (KA), face an unequal cancer burden related to the significant
language and cultural barriers they face in attempting to navigate the U.S. healthcare
system. KA women have the second highest incidence of cervical cancer nationally and are
experiencing rapid increases in breast cancer incidence. Not only are their breast and
cervical cancers diagnosed at significantly later stages than those of whites, but they are
also the least likely racial/ethnic group to receive early breast and cervical cancer
screening.
This community-based behavioral intervention is designed 1) to evaluate, in a randomized
controlled trial, the effects of our health literacy-focused cancer control intervention,
delivered by trained CHWs, on the primary outcomes: mammography and Papanicolaou(Pap)test
screening adherence, in a sample of 360 KA women, 2)to test the effects of the proposed
intervention on the secondary outcomes: level of health literacy, breast and cervical
knowledge, and decisional balance, in the KA sample.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Prevention
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