Increasing Adherence to Follow-up of Breast Abnormalities in Low-Income Korean American Women: A Randomized Controlled Trial. Addendum
Final rept. 1 Sep 2008-31 Aug 2009
CALIFORNIA UNIV LOS ANGELES
Pagination or Media Count:
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 N79 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.
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