Increasing Adherence to Follow-up of Breast Abnormalities in Low-Income Korean American Women: A Randomized Controlled Trial

Abstract

The purpose of this study is to design and test an intervention to assist Korean American women who have been identified with a potential breast abnormality through the Breast Cancer Early Detection Program (BCEDP) and who have missed their first follow-up appointment (at-risk women). The intervention takes place in the form of peer navigation which includes reminder phone calls or home visits by a trained peer counselor to explain the importance of follow-up procedures, emotional support, help with transportation to follow-up appointments, translations, organizing care for children or grandchildren during medical appointments, and other assistance to overcome barriers to follow-up identified during the initial phase of the study. Major Findings: A total of 137 eligible Korean American women have consented to participate in the study. Preliminary analyses of the follow-up surveys suggest that our intervention is effective in increasing adherence to follow-up of breast abnormalities in low-income Korean American who are screened through BCEDP. Complete follow-up is reported by 68% of the women in the control group and 93% of the women in the intervention group. This difference is statistically significant (Fisher's exact test, p<.0007). We will have to assess if chart reviews confirm these self-report findings.

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Document Details

Document Type
Technical Report
Publication Date
Sep 01, 2008
Accession Number
ADA490261

Entities

People

  • Annette Maxwell

Organizations

  • University of California, Los Angeles

Tags

DTIC Thesaurus Topics

  • Abnormalities
  • Adhesion
  • Breast Cancer
  • California
  • Cancer Screening
  • Data Analysis
  • Data Management
  • Department Of Defense
  • Detection
  • Health
  • Health Services
  • Intervention
  • Medical Personnel
  • Navigation
  • Neoplasms
  • Public Health
  • Translations

Fields of Study

  • Medicine

Readers

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