An interventional study of Faith in Action! Church-based Navigation Model and Control in Breast Cancer Female, Health Knowledge, Attitudes, Practice and Cancer Screening, sponsored by Cedars-Sinai Medical Center. Status unknown at 2 sites in United States. Open to female participants aged 45 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-08-27.
Sponsored by Cedars-Sinai Medical Center · Not applicable, Interventional, and Health services research
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.
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:
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.
406 studies on the registry are indexed under Behavior; 167 are open to participants now.
This study's planned enrollment of 320 is above the median of 120 across 316 interventional studies indexed under Behavior.
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Exclusion Criteria:
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
Behavioral: Faith in Action! Church-based Navigation Model
A presentation of lifestyle recommendations (e.g., physical activity, nutrition) will be provided to control groups.
Other: Control
Cancer screening education and navigation by identified trained navigators in faith based settings + American Cancer Society Screening Guidelines pamphlet
Presentation on healthy behaviors (physical activity, nutrition) + American Cancer Society Screening Guidelines pamphlet
Screening adherence
Percent change in adherence to breast cancer screening guidelines within 6 months from end of program
Time frame: up to 6 months from end of program
Breast Cancer Screening Beliefs (Knowledge, Perception, and perceived risk)
Assessed in validated, Breast Cancer Screening Beliefs Questionnaire (Kwok et al) including Likert-type questions (13 items and 3 sub scales, items range 1-5, strongly agree to strongly disagree)
Time frame: up to 6 months
Participant knowledge, attitudes, and beliefs towards screening (Qualitative)
Assessed in qualitative interviews
Time frame: up to 6 months
Change in Knowledge of Breast Cancer Screening
Knowledge of breast cancer screening based on pre-post knowledge assessments adapted Cancer 101 assessments (3 knowledge assessments (5 items each), response categories: Agree, Disagree, or Unsure).
Time frame: up to 6 months
Change in NIH PROMIS Global Health
Change in continuous NIH PROMIS converted T-Scores (mean 50, SD:10) at 6 months. Questionnaire includes physical and mental health domains (4 items total, likert 5-point scale, converted to continuous T scores)
Time frame: Up to 6 months
Plan to share: Yes — Aggregated data at cluster level will be available upon reasonable request.
Supporting information: Study protocol, Informed consent form
Time frame: Within one year from end of study
Access criteria: Published protocol and uploaded to ClinicalTrials.Gov.
This study is status unknown, as verified in Aug 2024. You cannot join it, but the record below documents what was studied.
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