Protocol for a cluster randomized trial to evaluate a faith-based breast cancer screening navigation model.
Gillian Gresham, Dong Hee Kim, Min Jung Sung...
https://pubmed.ncbi.nlm.nih.gov/41612469/Actively Recruiting
Led by Cedars-Sinai Medical Center · Updated on 2024-08-27
320
Participants Needed
2
Research Sites
21 weeks
Total Duration
Researchers are evaluating a culturally adapted Faith in Action curriculum designed to train lay health navigators to support breast cancer screening among Korean American women in faith-based settings in Los Angeles. This study aims to see if this program can improve adherence to breast cancer screening guidelines within this community. The study uses a cluster randomized trial design involving Korean churches and focuses on underserved Korean American women aged 45 to 80 years. The intervention involves a train-the-trainer approach where lay health navigators are educated and certified to provide cancer education and navigation services within selected Korean churches. These trained navigators use tools and resources to encourage breast cancer screening through one-on-one education, small media, and workshops. The study compares this approach to a control group that receives a presentation on healthy lifestyle habits along with breast cancer screening guidelines. Participants will be involved in their churches where trained navigators deliver the program. Researchers will assess screening adherence up to six months after the program ends, along with participants knowledge, attitudes, and beliefs about breast cancer screening. Data collection includes qualitative interviews and surveys measuring changes in screening knowledge and perceptions. The total study duration spans from July 2022 to December 2025, with safety monitoring and follow-up conducted throughout.
CONDITIONS
Faith in Action! A Church-Based Navigation Model to Increase Breast Cancer Screening in Korean Women
R
Robert Haile, DrPH
H
Hayden Hutchison
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here
Cedars-Sinai Medical Center
Lead Sponsor
California Breast Cancer Research Program
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Faith in Action! navigation program | Control education condition |
|---|---|---|
| What it is | A culturally tailored, church‑based intervention delivered by trained lay navigators providing cancer screening education and assistance in faith‑based settings. | An education session on healthy behaviors plus the American Cancer Society screening guidelines pamphlet. |
| Role in trial | This arm receives the investigational navigation model. | This arm serves as the active comparator within the trial. |
| Primary use | To increase adherence to breast cancer screening guidelines among eligible women. | To provide general health education and ACS guidelines pamphlet without navigation support. |
| How it is given or performed | Delivered through trained church members providing education and navigation support in faith‑based settings. | Delivered as a presentation on healthy behaviors plus distribution of ACS screening pamphlet. |
| Evidence status | Efficacy under evaluation; peer navigation models have improved diagnostic follow‑up in prior trials among Korean American women. | Standard health education without navigation; expected to be less supportive of screening adherence based on lack of navigation. |
| Important risks | Educational navigation interventions are low risk and no adverse events are expected. | Standard educational approach without known risks. |
| Important limitations | Single cultural community (Korean American church members); may not generalize beyond faith‑based or cultural context. | Lacks navigation support; may underperform in promoting screening adherence compared to models offering assistance. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person or remote)
Duration - Up to 6 months
Participants receive either the culturally adapted Faith in Action! navigation education or a presentation on healthy behaviors, both provided in faith-based settings to encourage breast cancer screening adherence.
Visits may occur during educational sessions and navigation activities within the community
Duration - Up to 6 months after treatment
Participants' adherence to breast cancer screening guidelines and changes in knowledge, attitudes, and beliefs towards screening are monitored up to 6 months after the program ends.
Follow-up assessments may include 1 to 2 visits depending on participant availability
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
2
Have more questions? Get in touch with our team for quick support
Gillian Gresham, Dong Hee Kim, Min Jung Sung...
https://pubmed.ncbi.nlm.nih.gov/41612469/Cedars-Sinai Medical Center
Lead Sponsor
California Breast Cancer Research Program
Collaborating Sponsor