Faith in Action! A Church-Based Navigation Model to Increase Breast Cancer Screening in Korean Women

NCT ID: NCT05298605

Last Updated: 2024-08-27

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

RECRUITING

Clinical Phase

NA

Total Enrollment

320 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-16

Study Completion Date

2025-12-01

Brief Summary

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The purpose of this research is to develop a culturally adapted "Faith in Action!" curriculum to train lay health navigators to provide breast cancer screening navigation to Korean American women within faith-based settings and evaluate whether the culturally adapted "Faith in Action!" curriculum increases adherence to breast cancer screening guidelines among Korean American women within faith-based settings in Los Angeles, California. The primary research procedures include trainings and key informant interviews with lay health navigators in faith-based settings followed by a cluster randomized trial to evaluate the intervention.

Detailed Description

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A parallel cluster randomized trial (CRT) with staggered roll-out will be conducted to evaluate the efficacy of the "Faith in Action!" intervention on breast cancer screening rates among Korean American women. This will involve two blocks of 8 churches each (total 16 churches) randomized to either the intervention or waitlist control.

A train the trainer approach will be used to educate and certify lay health navigators identified by targeted Korean church leaders from selected churches. The trained health navigators will be deployed back to the churches and community settings with tools and resources to deliver cancer education and increase motivation to participate in breast cancer screening through proven approaches such as one-on-one education, small media and workshops.

The research objectives are to:

1. Develop a culturally adapted "Faith in Action!" curriculum to train lay health navigators to provide breast cancer screening navigation to Korean American women within faith-based settings.
2. Evaluate whether the culturally adapted "Faith in Action!" curriculum increases adherence to breast cancer screening guidelines among Korean American women within faith-based settings.

It is hypothesized that the implementation of this culturally adapted cancer screening training curriculum for lay health navigators, built upon the Korean communities' frequent engagement with "expert" schools and deployed among existing networks in the faith-based Korean community, will increase adherence to breast cancer screening guidelines among underserved Korean American women.

Conditions

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Breast Cancer Female Health Knowledge, Attitudes, Practice Cancer Screening Health Disparities

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Participants

Study Groups

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Faith in Action!

A train-the-trainer approach will be used to educate lay health navigators to present the culturally adapted "Faith in Action!" curriculum and to provide breast cancer screening navigation to Korean American women within faith-based settings

Group Type EXPERIMENTAL

Faith in Action! Church-based Navigation Model

Intervention Type BEHAVIORAL

Cancer screening education and navigation by identified trained navigators in faith based settings + American Cancer Society Screening Guidelines pamphlet

Control

A presentation of lifestyle recommendations (e.g., physical activity, nutrition) will be provided to control groups.

Group Type ACTIVE_COMPARATOR

Control

Intervention Type OTHER

Presentation on healthy behaviors (physical activity, nutrition) + American Cancer Society Screening Guidelines pamphlet

Interventions

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Faith in Action! Church-based Navigation Model

Cancer screening education and navigation by identified trained navigators in faith based settings + American Cancer Society Screening Guidelines pamphlet

Intervention Type BEHAVIORAL

Control

Presentation on healthy behaviors (physical activity, nutrition) + American Cancer Society Screening Guidelines pamphlet

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Korean woman who is 45 years or older
* Does not currently have a breast cancer diagnosis
* Non-adherent to cancer screening (did not receive mammogram in last 2 years based on self-report)
* Prospective or current member of participating Korean Churches
* Willing to participate in study
Minimum Eligible Age

45 Years

Maximum Eligible Age

80 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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California Breast Cancer Research Program

OTHER

Sponsor Role collaborator

Cedars-Sinai Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Robert Haile

Director, Cancer Research Center for Health Equity, Professor, Department of Medicine, Associate Director for Population Health

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status RECRUITING

UCLA Kaiser Permanente Center for Health Equity

Los Angeles, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Robert Haile, DrPH

Role: CONTACT

310-423-5167

Hayden Hutchison

Role: CONTACT

310-423-2361

Facility Contacts

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Robert Haile, DrPH

Role: primary

Allison Herrmann, PhD

Role: primary

Other Identifiers

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STUDY00001641

Identifier Type: -

Identifier Source: org_study_id

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