Increasing Adherence to Follow-Up of Breast Abnormalities in Low-Income Korean American Women: A Randomized Controlled Trial
Abstract
Purpose: The purpose of this study is to design an intervention to assist Korean American (KA) women who require follow-up diagnostics after routine breast cancer screening who have missed their first follow-up appointment (at-risk women). Scope: We have conducted exploratory one-to-one interviews with health care providers who serve KA women with abnormal mammograms and with KA women who have been referred for follow-up diagnostics. We have designed an intervention that will utilize a peer navigator model and plan to test the intervention in a randomized trial among KA at risk women. Major Findings: We have identified a number of barriers that KA women who need a follow-up procedure encounter, including lack of provider interest, lack of time and resources on the part of providers and case managers, language barrier, lack of transportation, lack of understanding of the importance of follow-up, and fear of getting lost and being helpless at an unfamiliar and large health care facility. We found that the peer navigator should assist women by providing transportation and translation; providing support by answering questions and directing them to other available resources when appropriate; and serving as an advocate in the community to raise awareness and adherence.
Document Details
- Document Type
- Technical Report
- Publication Date
- Sep 01, 2006
- Accession Number
- ADA460476
Entities
People
- Annette Maxwell
Organizations
- University of California, Los Angeles