Breast Health in Chinese American Women

NCT ID: NCT01292200

Last Updated: 2017-07-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

954 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-07-31

Study Completion Date

2016-12-21

Brief Summary

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This four-and-a-half-year study will test the efficacy of viewing a theoretically based and culturally sensitive video followed by group discussion (vs. single viewing) in increasing mammography use. The results of this study will lead cancer control efforts to effectively decrease breast cancer screening disparities experienced by Chinese-America women.

Detailed Description

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We will conduct a 4.5-year community-based RCT to study the impact of intervention approaches (small-group video discussion vs. single video mode) on mammography used among Chinese immigrant women. The small-group video discussion will be led by trained Chinese community health educators and trained bilingual research staff using a standardized structured protocol at all sites. In the single video mode, we will mail the intervention materials to women to view and/or read at home. We will recruit 974 Chinese women through our strong and well-established Chinese community partnerships in the metropolitan areas of Washington, DC (Lead PI: Dr. Judy Wang, Georgetown University-GU), New York (Site PI: Dr. Grace Ma at Temple University), and southern California (Site PI: Dr. Annette Maxwell, University of California, Los Angeles-UCLA). Participants' eligibility are listed under "eligibility criteria". We will not enroll US-born Chinese women as they are least likely to face cultural and language barriers to mammography and less likely to engage in our small-group discussion, which will be conducted in Chinese languages. Also, we will not enroll short-term visitors as our study involves four interviews over a 2-year period.

Conditions

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Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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watch DVD and small group discussion

Participants will watch the video in a group and discuss the video.

Group Type EXPERIMENTAL

watch DVD and small group discussion

Intervention Type BEHAVIORAL

Women in the small-group discussion mode will be called by their community educators to determine possible dates, times, and places for group meetings. The small group sessions will be conducted near the participants' homes. Each small-group will consist of 5-10 participants who will first view a 20-minute video together and then discuss the content of the video as well as their barriers to screening for about 30 minutes. A community educator and an RA at the study site will facilitate the discussion in Chinese languages according to a structured guide.

watch video only

watch a 22 minutes long video at home by herself.

Group Type PLACEBO_COMPARATOR

watch DVD

Intervention Type BEHAVIORAL

Women in the single video mode will receive a cultural video along with an information sheet on local free and low-cost screening programs by mail.

Interventions

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watch DVD and small group discussion

Women in the small-group discussion mode will be called by their community educators to determine possible dates, times, and places for group meetings. The small group sessions will be conducted near the participants' homes. Each small-group will consist of 5-10 participants who will first view a 20-minute video together and then discuss the content of the video as well as their barriers to screening for about 30 minutes. A community educator and an RA at the study site will facilitate the discussion in Chinese languages according to a structured guide.

Intervention Type BEHAVIORAL

watch DVD

Women in the single video mode will receive a cultural video along with an information sheet on local free and low-cost screening programs by mail.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. First generation Chinese women
2. Aged 42 and older
3. Have not had a mammogram in the past 2 years
4. Have never had breast cancer
5. Lived in the metropolitan DC, southern CA, and NY suburb; AND
6. Have no mammography screening scheduled in the next 6 month from time of enrollment

Exclusion Criteria

1. Short-term visitors
2. US-born Chinese Americans
Minimum Eligible Age

42 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Temple University

OTHER

Sponsor Role collaborator

University of California, Los Angeles

OTHER

Sponsor Role collaborator

National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Georgetown University

OTHER

Sponsor Role lead

Responsible Party

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Judy Wang

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Judy (Huei-Yu) Wang, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Georgetown University

Locations

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UCLA

Los Angeles, California, United States

Site Status

Georgetown University

Washington D.C., District of Columbia, United States

Site Status

Temple University

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

References

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Wang JH, Mandelblatt JS, Liang W, Yi B, Ma IJ, Schwartz MD. Knowledge, cultural, and attitudinal barriers to mammography screening among nonadherent immigrant Chinese women: ever versus never screened status. Cancer. 2009 Oct 15;115(20):4828-38. doi: 10.1002/cncr.24517.

Reference Type BACKGROUND
PMID: 19645031 (View on PubMed)

Wang JH, Liang W, Schwartz MD, Lee MM, Kreling B, Mandelblatt JS. Development and evaluation of a culturally tailored educational video: changing breast cancer-related behaviors in Chinese women. Health Educ Behav. 2008 Dec;35(6):806-20. doi: 10.1177/1090198106296768. Epub 2007 Jun 29.

Reference Type BACKGROUND
PMID: 17602099 (View on PubMed)

Tan NQP, Ma GX, Maxwell AE, Brown RL, Zhou K, Loh A, Young L, Volk RJ, Lu Q, Wang JH. The impact of a small-group mammography video discussion on promoting screening uptake among nonadherent Chinese American immigrant women: A randomized controlled trial. Cancer. 2025 Jan 1;131(1):e35524. doi: 10.1002/cncr.35524. Epub 2024 Sep 10.

Reference Type DERIVED
PMID: 39257218 (View on PubMed)

Other Identifiers

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R01CA142941-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2010-185

Identifier Type: -

Identifier Source: org_study_id

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