Increasing Adherence to Follow-Up of Breast Abnormalities in Low-Income Korean American Women: A Randomized Controlled Trial
Annual rept. 1 Sep 2004-31 Aug 2005
CALIFORNIA UNIV LOS ANGELES
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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. 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. 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.
- Medicine and Medical Research