Utilizing Social Contacts to Facilitate Mammogram Screening Among African American Women

Breast Cancer Clinical Trial

Official title:

Pilot Study Utilizing Social Contacts to Facilitate Mammogram Screening Among African American Women

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05275361
• Other study ID #: 202110124
• Status: Completed
• Phase: N/A
• Start date: March 18, 2022
• Est. completion date: June 30, 2022

Study information

• Verified date: July 2022
• Source: Washington University School of Medicine
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Eliminating racial disparities in breast cancer is a top public health priority. African American (AA) women often present with more advanced and aggressive disease at the time of diagnosis and are more likely to die from breast cancer than any other racial/ethnic group in the United States. Mammogram screening significantly reduces breast cancer mortality by diagnosing cancer at an earlier stage where treatments are more effective. While some AA women do not schedule screening mammograms as recommended by current guidelines, others do not show up for their exams after scheduling them (no-shows). No-shows to cancer screening appointments impose an enormous strain on our limited healthcare resources with negative impact on other patients who could have secured earlier appointments, loss of revenue for hospitals or clinics serving underserved populations and delays in diagnoses and treatment for those who do not have screening. The investigators identified a high no-show rate for screening mammograms at our hospital. AA women were almost three times more likely to no-show for their mammograms compared to White women. Patient's social networks plan an important role in health promotion. In this study, we will pilot an intervention involving patient's social contacts (family, friends, neighbors, etc.) as healthcare facilitators to improve appointment attendance. The investigators seek to determine whether this intervention is feasible and acceptable to patients and whether this intervention will improve attendance rates for screening mammograms among AA women at our institution. If effective, the use of a patient's social contact person as a healthcare facilitator (similar to a patient navigator) would be a readily available and inexpensive resource for other institutions to implement.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 156
• Est. completion date: June 30, 2022
• Est. primary completion date: June 30, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 40 Years and older

Eligibility

Inclusion Criteria for Patients:

• Female

• African American

• At least 40 years old

• Scheduled for a screening mammogram within 3 months following initiation of the study

• Willing and able to provide contact information for two adult social contacts (friends or family members)

Exclusion Criteria for Patients:

-Prior history of breast cancer

Inclusion Criteria for Social Contacts:

• At least 18 years old

• Selected by the patient as someone (family member or friend) who would be able to support her in keeping her mammogram appointment

Exclusion Criteria for Social Contacts:

-Less than 18 years of age

Related Conditions & MeSH terms

• Breast Cancer
• Breast Neoplasms

Intervention

Behavioral:
• Social Contact Reminder
-The social contact will remind patient about screening mammogram appointment

Locations

Country	Name	City	State
United States	Washington University School of Medicine	Saint Louis	Missouri

Sponsors (2)

Lead Sponsor	Collaborator
Washington University School of Medicine	American Society of Clinical Oncology

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Feasibility of recruiting patients' social contacts to serve as healthcare facilitators as measured by number of participants enrolled to the study with a social contact that agrees to participate	-The study is deemed feasible if 80 participants are enrolled to the study and further, if at least 65% of the 80 participants will have a social contact agreeing to participate	Through completion of enrollment (estimated to be 3 months)
Secondary	Describe demographic characteristics of the social contacts and any associations with patient appointment attendance	-Use descriptive statistics to present the characteristics of social contacts and regression analysis to determine in association with social contact characteristics and appointment attendance.	Through mammogram appointment (estimated to be 6 months)
Secondary	Rate of mammography attendance		Through mammogram appointment (estimated to be 6 months)
Secondary	Using a structured survey interview, determine the percentage of patients and their social contacts who respond positively (agree or strongly agree) that the intervention helped them keep their scheduled screening mammogram appointment	-Use descriptive statistics to present response to structured interview questions.	Through mammogram appointment (estimated to be 6 months)

External Links

•   Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine