Navigated African American breast cancer patients as incidental change agents in their family/friend networks

Molina, Yamilé; Strayhorn, Shaila M.; Bergeron, Nyahne Q.; Strahan, Desmona; Villines, Dana; Fitzpatrick, Veronica; Calhoun, Elizabeth A.; Fitzgibbon, Marian L.; Kim, Sage J.; Watson, Karriem S.; Khanna, Aditya

doi:10.1007/s00520-021-06674-z

Cited by 6 publications

(10 citation statements)

References 38 publications

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“…Multicomponent patient navigation interventions (navigation combined with education and media) proved to be effective in promoting screening in both general and underserved populations, with higher screening uptakes 103,105,107,109,110 . Evidence from the studies suggests that culturally tailored or community‐based programs with a focus on education, assistance with payments, transportation, and social networks with underserved populations (e.g., high‐poverty rural counties in Texas, low‐income Latina women, African American patients) were equally effective in improving screening rates 104,106,108,111–113 . Furthermore, the collaboration with a local health system through the inclusion of a community health worker navigator led to better screening knowledge and attitudes toward screening along with a reduction in cancer stigma 114 .…”

Section: Resultsmentioning

confidence: 99%

Patient navigation across the cancer care continuum: An overview of systematic reviews and emerging literature

Chan,

Milch,

Crawford‐Williams

et al. 2023

CA A Cancer J Clinicians

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Patient navigation is a strategy for overcoming barriers to reduce disparities and to improve access and outcomes. The aim of this umbrella review was to identify, critically appraise, synthesize, and present the best available evidence to inform policy and planning regarding patient navigation across the cancer continuum. Systematic reviews examining navigation in cancer care were identified in the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, Cumulative Index of Nursing and Allied Health (CINAHL), Epistemonikos, and Prospective Register of Systematic Reviews (PROSPERO) databases and in the gray literature from January 1, 2012, to April 19, 2022. Data were screened, extracted, and appraised independently by two authors. The JBI Critical Appraisal Checklist for Systematic Review and Research Syntheses was used for quality appraisal. Emerging literature up to May 25, 2022, was also explored to capture primary research published beyond the coverage of included systematic reviews. Of the 2062 unique records identified, 61 systematic reviews were included. Fifty‐four reviews were quantitative or mixed‐methods reviews, reporting on the effectiveness of cancer patient navigation, including 12 reviews reporting costs or cost‐effectiveness outcomes. Seven qualitative reviews explored navigation needs, barriers, and experiences. In addition, 53 primary studies published since 2021 were included. Patient navigation is effective in improving participation in cancer screening and reducing the time from screening to diagnosis and from diagnosis to treatment initiation. Emerging evidence suggests that patient navigation improves quality of life and patient satisfaction with care in the survivorship phase and reduces hospital readmission in the active treatment and survivorship care phases. Palliative care data were extremely limited. Economic evaluations from the United States suggest the potential cost‐effectiveness of navigation in screening programs.

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Section: Resultsmentioning

confidence: 99%

Patient navigation across the cancer care continuum: An overview of systematic reviews and emerging literature

Chan,

Milch,

Crawford‐Williams

et al. 2023

CA A Cancer J Clinicians

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“…Interventions that intentionally train patients to be change agents may lead to greater information dissemination overall. 37 Among the 25 participants who disseminated information about hereditary risk, 5 had not discussed GCT with a provider and we did not collect data on the source prior GCT knowledge among these participants. Although medical mistrust may impact dissemination behaviors, it was not a primary outcome or focus for the larger study and data regarding medical mistrust was not collected.…”

Section: Discussionmentioning

confidence: 99%

“…Data collection procedures for this study were described in detail previously. 36,37 In brief, hospital staff were trained to review medical records to identify patients who were eligible to participate in this study. Eligibility criteria included: (1) breast cancer patient at least 18 years of age or older, (2) selfidentified as African American female and a breast cancer patient at 1 of the 3 hospitals involved in this study, (3) and participated in the Patient Navigation in Medically Underserved Areas Study, a randomized controlled trial of patient navigation.…”

Section: Data Collection Proceduresmentioning

confidence: 99%

“…[36][37][38][39][40][41][42][43] This pilot study had a target sample size of 100 patients, given our sampling frame (i.e., PNMUA patients who were AA and diagnosed with BC (n = 173), response rates from past research with Chicago-based AA BC survivors (56%), and a priori power analyses regarding the effect of navigation on patient-driven dissemination of breast health information at large. 36,37 Invitation letters and flyers were given to participants who met the eligibility criteria. Institutional Review Boards at each participating institution approved the study, which took place between March 2019 and June 2020.…”

Section: Data Collection Proceduresmentioning

confidence: 99%

“…Eligibility criteria included: (1) breast cancer patient at least 18 years of age or older, (2) selfidentified as African American female and a breast cancer patient at 1 of the 3 hospitals involved in this study, (3) and participated in the Patient Navigation in Medically Underserved Areas Study, a randomized controlled trial of patient navigation. [36][37][38][39][40][41][42][43] This pilot study had a target sample size of 100 patients, given our sampling frame (i.e., PNMUA patients who were AA and diagnosed with BC (n = 173), response rates from past research with Chicago-based AA BC survivors (56%), and a priori power analyses regarding the effect of navigation on patient-driven dissemination of breast health information at large. 36,37 Invitation letters and flyers were given to participants who met the eligibility criteria.…”

Section: Data Collection Proceduresmentioning

confidence: 99%

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Healthcare Predictors of Information Dissemination About Genetic Risks

Henderson

Strayhorn

Bergeron³

et al. 2022

Cancer Control

Self Cite

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Objectives Despite the benefits of genetic counseling and testing (GCT), utilization is particularly low among African American (AA) women who exhibit breast cancer features that are common in BRCA-associated cancer. Underutilization is especially problematic for AA women who are more likely to die from breast cancer than women from any other race or ethnicity. Due to medical mistrust, fear, and stigma that can be associated with genetic services among racial/ethnic minorities, reliance on trusted social networks may be an impactful strategy to increase dissemination of knowledge about hereditary cancer risk. Informed by the social cognitive theory, the purpose of this study is to determine: 1) which AA patients diagnosed with breast cancer and with identified hereditary risk are sharing information about hereditary risk with their networks; 2) the nature of the information dissemination; and 3) if personal GCT experiences is associated with dissemination of information about hereditary risk. Methods Among consented participants (n = 100) that completed an interview administered using a 202-item questionnaire consisting of open- and closed-ended questions, 62 patients were identified to be at higher risk for breast cancer. Descriptive statistics, bivariable chi-square, Pearson’s exact tests, and regression analyses were conducted to examine differences in characteristics between high-risk participants who disseminated hereditary risk information and participants who did not. Results Among high-risk participants, 25 (40%) indicated they had disseminated information about hereditary risk to at least one member in their family/friend network and 37 (60%) had not. Receipt of both provider recommendations and receipt of GCT services was associated with greater odds of disseminating information about hereditary risk with networks, OR = 4.53, 95%CI [1.33, 15.50], p = .02. Conclusion Interventions that increase self-efficacy gained through additional personalized knowledge and experience gained through provider recommendations and by undergoing GCT may facilitate information dissemination among social/familial networks.

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The Integration of Value Assessment and Social Network Methods for Breast Health Navigation Among African Americans

Molina,

Kao,

Bergeron

et al. 2023

Value in Health

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Navigated African American breast cancer patients as incidental change agents in their family/friend networks

Cited by 6 publications

References 38 publications

Patient navigation across the cancer care continuum: An overview of systematic reviews and emerging literature

Patient navigation across the cancer care continuum: An overview of systematic reviews and emerging literature

Healthcare Predictors of Information Dissemination About Genetic Risks

The Integration of Value Assessment and Social Network Methods for Breast Health Navigation Among African Americans

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