A Community Engagement Approach to Increasing Breast Cancer Screening and Clinical Trial Participation in Low Income and Rural Populations ('WE-CARE')
Summary
This clinical trial tests how well the Women's Engagement for Cancer Awareness, Resources, and Education (WE-CARE) community health forums work to increase breast cancer screening and clinical trial participation for rural and low income women. Despite advances in breast cancer diagnosis and treatment in the past decade, rural-dwelling and underserved women, and Black, Indigenous, and people of color continue to experience low rates of breast cancer screening. Since the survival rate for breast cancer is largely dependent on stage at which it is diagnosed, later stage breast cancer is correlated to a poorer prognosis and higher mortality rate. The WE-CARE community health forms address structural barriers through culturally tailored educational sessions on breast cancer risk, screening and clinical trials, survivor storytelling to humanize cancer and research and patient navigation to facilitate mammogram screening and address barriers. The WE-CARE community health forums may be an effective way to increase breast cancer screening and clinical trial participation for rural and low income women.
Arms & interventions
- OtherEducational Intervention
Attend education sessions at WE-CARE forum
- BehavioralPatient Navigation
Receive navigation support
- OtherSupportive Care
Attend storytelling sessions at WE-CARE forum
Outcome measures
Primary
Recruitment yield
Assessed via the number enrolled divided by the number of eligible participants approached.
Time frame: At time of forum
Exposure reach (community level reach)
Assessed by the number of attendees divided by the estimated number of population indirectly exposed (e.g., via flyers, social media, community announcements).
Time frame: At time of forum
Retention
Assessed by the number of participants who complete 3-month follow-up.
Time frame: From baseline to 3 months
Perceived participant satisfaction
Success is defined as ≥ 75% of participants rating the experience ≥ 4 on a 5-point scale rated on a 5-point scale where 1=strongly disagree and 5=strongly agree. Higher scores indicate greater perceived satisfaction.
Time frame: Immediately following completion of forum
Perceived barriers to engagement and community impact
Assessed by post-intervention focus groups and brief qualitative interviews. Results will be analyzed descriptively.
Time frame: Immediately following completion of forum
Perceived facilitators to engagement and community impact
Assessed by post-intervention focus groups and brief qualitative interviews. Results will be analyzed descriptively.
Time frame: Immediately following completion of forum
Perceived acceptability - AIM
Assessed using the Acceptability of Intervention Measure (AIM), which consists of 4 items (e.g., meets my approval, is appealing to me) each rated on a 5-point scale where 1=strongly disagree and 5=strongly agree. Higher scores indicate greater perceived acceptability.
Time frame: Immediately following completion of forum
Perceived appropriateness - IAM
Assessed using the Intervention Appropriateness Measure (IAM), which consists of 4 items (e.g., seems fitting, seems like a good match) each rated on a 5-point scale where 1=strongly disagree and 5=strongly agree.
Time frame: Immediately following completion of forum
Perceived feasibility - FIM
Assessed using the Feasibility of Intervention Measure (FIM), which consists of 4 items (e.g., seems implementable, seems easy to use) each rated on a 5-point scale where 1=strongly disagree and 5=strongly agree. Higher scores indicate greater perceived acceptability.
Time frame: Immediately following completion of forum
Eligibility criteria
Study locations (1)
Mayo Clinic Health System-Eau Claire Clinic
Eau Claire, Wisconsin, 54701