Accession Number : ADA526086


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


Descriptive Note : Final rept. 1 Sep 2008-31 Aug 2009


Corporate Author : CALIFORNIA UNIV LOS ANGELES


Personal Author(s) : Maxwell, Annette


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a526086.pdf


Report Date : Sep 2009


Pagination or Media Count : 19


Abstract : Purpose: The purpose of this study was 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 and who have missed their first follow-up appointment (at-risk women). The intervention took place in the form of peer navigation which included reminder phone calls, emotional support, help with transportation to follow-up appointments, translations, and other assistance to overcome barriers to completing follow-up diagnostic procedures. Methods: Between August 2005 and December 2007, we identified 176 eligible women from the BCEDP logs at the two participating clinics. We allocated 92 women to the prospective intervention arm and 84 women to the retrospective usual care control arm of the study. Each woman in the intervention arm who consented to participate (N=79) was contacted through telephone or in-person by our peer navigator for an initial needs assessment and 72 women received the peer navigator intervention. Result: Based on intent-to-treat analysis of all women who were randomized with imputation of no completion of follow-up exam for women who refused participation, could never be contacted or dropped out, self-reported completion of follow-up was 61% in the intervention arm and 46% in the control arm (p.055). Less conservative analyses suggest that the intervention was efficacious.


Descriptors :   *KOREA , *BREAST CANCER , *WOMEN , ABNORMALITIES , INCOME , MAMMARY GLANDS , PEER GROUPS , DIAGNOSIS(GENERAL) , CLINICAL MEDICINE , RANDOM VARIABLES , INTERVENTION


Subject Categories : Anatomy and Physiology
      Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE