Community Services Navigation to Advance Health Equity in Breast Cancer Screening
University of Utah
Summary
The goal of this study is to evaluate if adding community services navigation to the standard referral process for social needs is an effective and scalable strategy for addressing disparities in follow-up to abnormal breast cancer screening results. The investigators will determine the effectiveness of social needs referrals combined with a community services navigation intervention in the screening mammography setting to improving breast screening outcomes in underserved women.
Description
Disparities in breast cancer outcomes are persistent. In the United States, breast cancer is the most common, and second most deadly, cancer in women, with an estimated 281,550 new invasive breast cancer diagnoses and 43,600 breast cancer deaths in 2021. Underserved women, those who do not have adequate access to medical care, are represented disproportionately in those deaths, having lower incidence rates but higher mortality rates. While U.S. breast cancer mortality rates have decreased approximately 2% per year since 1990, socially and economically disadvantaged women have experienced incre…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * English and Spanish speakers * Received an abnormal result of a screening mammogram * Self-reports at least one social need on the B-SINCERE Screener Exclusion Criteria: * Patients who are currently in treatment for breast cancer * Patients with a normal screening result. * Patients who do not exhibit at least 1 social need according to their SINCERE screening result. * Patients who don't speak English or Spanish * Cognitive limitations that impede informed consent * Patients living outside of Utah
Interventions
- BehavioralCommunity Service Navigation
Patients randomized to the intervention will be directly referred to the United Way of Salt Lake's 211 community referral service for additional outreach.
- OtherUsual Care
Standard referral to community resources.
Location
- University of Utah Health Hospitals/Huntsman Cancer Institute Population SciencesSalt Lake City, Utah