Breast Screening Navigator Programs within Three Settings that Assist Underserved Women

Burhansstipanov, Linda; Dignan, Mark; Schumacher, Ann; Krebs, Linda U.; Alfonsi, Grace A.; Apodaca, Cecilia

doi:10.1007/s13187-010-0071-4

Cited by 45 publications

(94 citation statements)

References 6 publications

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“…However, in epidemiological studies the process that has been used more effectively is community engagement (CE) where the community’s input is sought in identifying critical areas for research, for recruitment and retention and in sharing data periodically over the course of the study. The intent of using CE is to bridge the gap between science and practice to increase health equity (69–74). Evidence from these studies can be used to design new interventions and maintain community engagement and build a more robust CBPR process in the conception, design, conduct, analysis and communication of results.…”

Section: Discussionmentioning

confidence: 99%

Recommendations for Cancer Epidemiologic Research in Understudied Populations and Implications for Future Needs

Martin

Lam

Brignole

et al. 2016

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Medically underserved populations in the US continue to experience higher cancer burdens of incidence, mortality and other cancer-related outcomes. It is imperative to understand how health inequities experienced by diverse population groups may contribute to our increasing unequal cancer burdens and disparate outcomes. The National Cancer Institute convened a diverse group of scientists to discuss research challenges and opportunities for cancer epidemiology in medically underserved and understudied populations. This report summarizes salient issues and discuss five recommendations from the group, including the next steps required to better examine and address cancer burden in US among our rapidly increasing diverse and understudied populations.

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Section: Discussionmentioning

confidence: 99%

Recommendations for Cancer Epidemiologic Research in Understudied Populations and Implications for Future Needs

Martin

Lam

Brignole

et al. 2016

Cancer Epidemiology, Biomarkers &Amp; Prevention

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“…Unlike the approach used for cancer-related education of urban NAs in Denver and Los Angeles (Burhansstipanov et al, 1998, 2000, 2010), the approach for the Comanche Nation requires cultural tailoring. Comanche people want to acknowledge and honor their distinct cultural beliefs and practices in the slide presentations as a way to show that traditional ways of knowing are valued and respected.…”

Section: Discussionmentioning

confidence: 99%

“…In the Native Women's Wellness Through Awareness project, NA women who received breast cancer education in Denver showed increased recruitment to mammography screening, compared to prior to the start of the program (Burhansstipanov, Dignan, Wound, Tenney, & Vigil, 2000). Burhansstipanov et al (2010) noted that NAs in Los Angeles, CA, who received an intervention for breast cancer education face-to-face or by telephone reported more rescreening mammograms in all racial groups.…”

Section: Background and Significancementioning

confidence: 99%

Developing Cancer-Related Educational Content and Goals Tailored to the Comanche Nation

Eschiti

Lauderdale

Burhansstipanov

et al. 2014

Clinical Journal of Oncology Nursing

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Cancer-related educational content and goals should be modified to the needs of Native Americans to ensure adherence to healthy lifestyles. The current article describes the development of cancer-related educational modules that include creating behavioral goals specific to the people of the Comanche Nation. A community-based participatory research approach was used to conduct focus groups in the Comanche Nation and obtain feedback related to cancer-related educational modules and behavioral goals. Content analysis, verbatim transcriptions, field notes, and observations were used to analyze data and create five major themes. Comanche people need cancer educational modules and goals tailored to their culture to become engaged and maintain interest, thereby improving the likelihood of increasing cancer-related knowledge. Oncology nurses should respect guidance provided by Comanche community members to adapt cancer-related education materials and processes, as well as goal development, to address cultural concepts. When Comanche community members become knowledgeable and work toward healthy behavioral change, cancer health disparities may decrease.

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“…3,4 Patient navigation programmes have also been tested in medically underserved populations such as American Indian, African-American, Latinos and poor white women with improved rescreening rate for women in this population. 5 Despite the consistent positive effects of breast navigation programmes, there are no studies conducted to show its effect in Africa where the needs are enormous. In Kenya as a case in point, breast cancer has a considerable burden being the commonest cancer in women with an incidence of 34 per 100 000.…”

Section: Introductionmentioning

confidence: 99%

Effect of a breast navigation programme in a teaching hospital in Africa

Riogi

Wasike²,

Saidi

2017

S. Afr. j. oncol.

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Background: Breast cancer screening programmes have been developed in few developing countries to aid curb the increasing burden. However, breast cancer is still being detected in late stage, attributed to barriers in health care. Patient navigation programmes have been implemented in developed countries to help patients overcome these barriers, and they have been associated with early detection and timely diagnosis. Despite the consistent positive effects of breast navigation programmes, there are no studies conducted to show its effect in Africa where the needs are enormous. Aim: To evaluate the effect of patient navigation programme on patient return after an abnormal clinical breast cancer screening examination finding at Aga Khan University Hospital, Nairobi(AKUH-N). Setting: Women presenting for breast screening. Methods: This was a before-and-after study conducted on 76 patients before and after the implementation of the navigation programme. They were followed up for 30 days. Measures included proportion of patient return and time to return. Results: The proportion of return of patients in the navigated and non-navigated group was 57.9% and 23.7%, respectively (odds ratio [OR]: 4.43 [95% confidence interval, CI: 1.54– 12.78]; p = 0.0026).The proportion of timely return in the navigated group was 90.1% and 77.8% for the non-navigated group (OR: 2.85 [95% CI: 0.34–24.30], p = 0.34). The mean time to return in the non-navigated and navigated group was 7.33 days and 8.33 days, respectively (p = 0.67). Conclusion: There was an increase in the proportion of patients who returned for follow-up following abnormal clinical breast examination finding after implementation of the breast navigation programme at AKUH-N.

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Breast Screening Navigator Programs within Three Settings that Assist Underserved Women

Cited by 45 publications

References 6 publications

Recommendations for Cancer Epidemiologic Research in Understudied Populations and Implications for Future Needs

Recommendations for Cancer Epidemiologic Research in Understudied Populations and Implications for Future Needs

Developing Cancer-Related Educational Content and Goals Tailored to the Comanche Nation

Effect of a breast navigation programme in a teaching hospital in Africa

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