Enhancing Cancer Prevention and Control Pathways-Native Health Initiative
Cancer, Breast, Cancer, Colon, Cancer, Cervix
About this trial
This is an interventional screening trial for Cancer, Breast focused on measuring breast neoplasm, colorectal neoplasm, cervical neoplasm, screening, behavioral interventions, American Indians, cost-effectiveness analysis, cluster randomization, community-based participatory research
Eligibility Criteria
Inclusion Criteria: Breast Cancer Screening Intervention
- Women age 50-75
- Average risk for breast cancer
- Never had a mammogram OR not had a mammogram within the past 2 years
- Residing in the Zuni Pueblo
Exclusion Criteria: Breast Cancer Screening Intervention. Meeting at least one of the following criteria:
- Women with breast implants, pregnant, or breast feeding
- History of breast cancer
- Have new breast complaints such as lump or nipple discharge
Inclusion Criteria: Colorectal Cancer Screening Intervention
- Men and women aged 50-75
- Average risk for colorectal cancer
- Never had a fecal occult blood test (FOBT), or fecal immunochemical test (FIT) or a colonoscopy OR not had a FOBT or FIT in the past year, OR no colonoscopy in the past 10 years
- Residing in the Zuni Pueblo
Exclusion Criteria: Colorectal Cancer Screening Intervention. Meeting at least one of the following criteria:
- History of colorectal cancer, total colectomy, adenomatous polyps, or inflammatory bowel disease
- Up-to-date with colorectal cancer screening
- Severe comorbidity
- Incarceration
- Family history of colorectal cancer
- Hospice/terminal care status
Inclusion Criteria: Cervical Cancer Screening Intervention
- Women aged 21-65
- Never had a cytology (Pap smear) OR had a Pap smear more than 3 years ago OR women aged 30-75, and never had screening with a combination of cytology and human papillomavirus testing OR no combination of testing in the past 5 years
- Residing in the Zuni Pueblo
Exclusion Criteria: Cervical Cancer Screening Intervention. Meeting at least one of the following criteria:
- History of total hysterectomy
- High risk for cervical cancer due to suppressed immune system (e.g., HIV infection, organ transplant, long-term steroid use)
- Women over age 65 who have had regular screenings with normal results
Sites / Locations
- University of New Mexico - Cancer CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Breast, Colorectal, and Cervical Cancer Screening
Control
The investigators will train Community Health Representatives (CHRs) in interactive group discussions techniques. CHRs will administer 1 session/week, lasting approximately 2 hours, and conducted among 12 men or women ages 21-75 per cluster. The CHRs will distribute the cancer-specific (i.e., breast, colorectal, and cervical) small media during the first session and refer to it during the course of the 4 sessions. During the sessions, the CHRs will function as a facilitator linking information with practical skills. At the end of the 4-week INT, participants will receive a voucher to present to a designated point-person at the health center who would schedule the screening for the age- and gender-specific cancers.
Historical control