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Evaluating educational interventions to increase breast density awareness among Latinas: A randomized trial in a Federally Qualified Health Center.
Ridgeway, Jennifer L; Jenkins, Sarah M; Borah, Bijan J; Suman, Vera J; Patel, Bhavika K; Ghosh, Karthik; Rhodes, Deborah J; Norman, Aaron; Ramos, Edna P; Jewett, Matt; Gonzalez, Crystal R; Hernandez, Valentina; Singh, Davinder; Sosa, Miranda; Radecki Breitkopf, Carmen; Vachon, Celine M.
Afiliación
  • Ridgeway JL; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota.
  • Jenkins SM; Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota.
  • Borah BJ; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota.
  • Suman VJ; Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota.
  • Patel BK; Department of Radiology, Mayo Clinic, Phoenix, Arizona.
  • Ghosh K; Department of Medicine, Mayo Clinic, Rochester, Minnesota.
  • Rhodes DJ; Department of Medicine, Mayo Clinic, Rochester, Minnesota.
  • Norman A; Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota.
  • Ramos EP; Department of Surgery, Mayo Clinic, Phoenix, Arizona.
  • Jewett M; Department of Administration, Mountain Park Health Center, Phoenix, Arizona.
  • Gonzalez CR; Department of Integrated Nutrition Services and Collaborative Research, Mountain Park Health Center, Phoenix, Arizona.
  • Hernandez V; Department of Integrated Nutrition Services and Collaborative Research, Mountain Park Health Center, Phoenix, Arizona.
  • Singh D; Department of Administration, Mountain Park Health Center, Phoenix, Arizona.
  • Sosa M; University of Texas Rio Grande Valley, Edinburg and Brownsville, Texas.
  • Radecki Breitkopf C; Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota.
  • Vachon CM; Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota.
Cancer ; 128(5): 1038-1047, 2022 03 01.
Article en En | MEDLINE | ID: mdl-34855208
BACKGROUND: The objective of this randomized trial was to evaluate the short-term effect of bilingual written and interpersonal education regarding mammographic breast density (MBD). METHODS: Latinas aged 40 to 74 years who were presenting for screening mammography were recruited and randomized 1:1:1 to receive a letter with their mammogram and MBD results (usual care [UC]), a letter plus a brochure (enhanced care [ENH]), or a letter plus a brochure and telephonic promotora education (interpersonal care [INT]). Surveys were administered at enrollment (T0 ) and 2 weeks to 6 months after intervention delivery (T1 ). Differences were assessed with χ2 , Kruskal-Wallis, and McNemar tests and pairwise comparisons as appropriate. INT metrics and audio recordings were analyzed with descriptive statistics and qualitative content analysis. RESULTS: Between October 2016 and October 2019, 943 of 1108 Latina participants (85%) completed both surveys. At T1 , INT participants were more likely (P < .001) to report seeing their MBD results in the letter (70.2%) than UC (53.1%) or ENH participants (55.1%). The percentage of INT women who reported speaking with a provider about MBD (29.0%) was significantly greater (P < .001) than the percentage of UC (14.7%) or ENH participants (15.6%). All groups saw significant (P < .001) but nondifferential improvements in their knowledge of MBD as a masking and risk factor. In the INT group, the promotora delivered education to 77.1% of the 446 participants randomized to INT and answered questions at 28.3% of the encounters for an average of $4.70 per participant. CONCLUSIONS: Among Latinas in a low-resource setting, MBD knowledge may increase with written or interpersonal education, but with modest investment, interpersonal education may better improve MBD awareness and prompt patient-provider discussions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Densidad de la Mama Tipo de estudio: Clinical_trials / Diagnostic_studies / Qualitative_research / Risk_factors_studies / Screening_studies Límite: Adult / Aged / Female / Humans / Middle aged Idioma: En Revista: Cancer Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Densidad de la Mama Tipo de estudio: Clinical_trials / Diagnostic_studies / Qualitative_research / Risk_factors_studies / Screening_studies Límite: Adult / Aged / Female / Humans / Middle aged Idioma: En Revista: Cancer Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos