The purpose of this research is to develop a culturally adapted "Faith in Action!" curriculum to train lay health navigators to provide breast cancer screening navigation to Korean American women within faith-based settings and evaluate whether the culturally adapted "Faith in Action!" curriculum increases adherence to breast cancer screening guidelines among Korean American women within faith-based settings in Los Angeles, California. The primary research procedures include trainings and key informant interviews with lay health navigators in faith-based settings followed by a cluster randomized trial to evaluate the intervention.
Korean woman who is 45 years or older
Does not currently have a breast cancer diagnosis
Non-adherent to cancer screening (did not receive mammogram in last 2 years based on self-report)
Prospective or current member of participating Korean Churches
Does not meet inclusion criteria as described above
Parallel
Faith in Action! Church-based Navigation Model
BehavioralCancer screening education and navigation by identified trained navigators in faith based settings + American Cancer Society Screening Guidelines pamphlet
Control
Other interventionPresentation on healthy behaviors (physical activity, nutrition) + American Cancer Society Screening Guidelines pamphlet
Screening adherence
Percent change in adherence to breast cancer screening guidelines within 6 months from end of program
Breast Cancer Screening Beliefs (Knowledge, Perception, and perceived risk)
Assessed in validated, Breast Cancer Screening Beliefs Questionnaire (Kwok et al) including Likert-type questions (13 items and 3 sub scales, items range 1-5, strongly agree to strongly disagree)
Participant knowledge, attitudes, and beliefs towards screening (Qualitative)
Assessed in qualitative interviews
Change in Knowledge of Breast Cancer Screening
Knowledge of breast cancer screening based on pre-post knowledge assessments adapted Cancer 101 assessments (3 knowledge assessments (5 items each), response categories: Agree, Disagree, or Unsure).
Change in NIH PROMIS Global Health
Change in continuous NIH PROMIS converted T-Scores (mean 50, SD:10) at 6 months. Questionnaire includes physical and mental health domains (4 items total, likert 5-point scale, converted to continuous T scores)
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Cedars-Sinai Medical Center
Lead sponsor
California Breast Cancer Research Program
Collaborator
