This competitive revision application supports the development of Comparative Effectiveness Research for Eliminating Disparities (CERED), which includes four CERED cores: Research, Training, Data Infrastructure, and Dissemination. The research project objective is to evaluate the effectiveness of a hospital-based patient navigation intervention strategy in mammography centers located in Medically Underserved areas (MUAs) on the adequacy of diagnostic and treatment services for breast cancer care among underserved women in Chicago. Our primary research outcome will be treatment adequacy and adherence to follow-up care in women with abnormal mammograms, as defined by The National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines. This work will extend that of the ongoing comparative effectiveness research evaluating patient navigation in breast cancer care in a randomized clinical trial, in which the primary outcome is time to diagnostic resolution and treatment (Warnecke/Calhoun, P50CA106743-05;Project #1, PI: Calhoun;end date: 6/15/15). In conjunction with the existing patient navigation research project, the proposed research effort will examine comparative effectiveness of patient navigation intervention on two primary outcomes among women with abnormal mammograms (with and without breast cancer): 1) adequacy and quality of follow-up care;and 2) patient's adherence to follow-up care and treatment. The two primary hypotheses are: H 1) Navigated patients with abnormal screening results will be more likely to receive adequate diagnostic evaluations and treatment as compared to usual standard of care. H 2) Navigated patients diagnosed with breast cancer will be more likely to complete appropriate follow-up care and treatment as compared to usual standard of care. In carrying out the research project, training, data, and dissemination core activities aim to enhance scientific capital, data infrastructure, and dissemination of research findings to eliminate breast disparities.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Comprehensive Center (P60)
Project #
3P60MD003424-02S1
Application #
8059107
Study Section
Special Emphasis Panel (ZMD1-PA (12))
Program Officer
Castille, Dorothy M
Project Start
2010-07-31
Project End
2013-07-30
Budget Start
2010-07-31
Budget End
2013-07-30
Support Year
2
Fiscal Year
2010
Total Cost
$1,399,955
Indirect Cost
Name
University of Illinois at Chicago
Department
Administration
Type
Schools of Public Health
DUNS #
098987217
City
Chicago
State
IL
Country
United States
Zip Code
60612
Glassgow, Anne Elizabeth; Molina, Yamile; Kim, Sage et al. (2018) A Comparison of Different Intensities of Patient Navigation After Abnormal Mammography. Health Promot Pract :1524839918782168
Molina, Yamile; Kim, Sage J; Berrios, Nerida et al. (2018) Patient Navigation Improves Subsequent Breast Cancer Screening After a Noncancerous Result: Evidence from the Patient Navigation in Medically Underserved Areas Study. J Womens Health (Larchmt) 27:317-323
Molina, Yamile; Glassgow, Anne E; Kim, Sage J et al. (2017) Patient Navigation in Medically Underserved Areas study design: A trial with implications for efficacy, effect modification, and full continuum assessment. Contemp Clin Trials 53:29-35
Jones, Lindsey A; Ferrans, Carol Estwing; Polite, Blase N et al. (2017) Examining racial disparities in colon cancer clinical delay in the Colon Cancer Patterns of Care in Chicago study. Ann Epidemiol 27:731-738.e1
Brewer, Katherine C; Peterson, Caryn E; Davis, Faith G et al. (2015) The influence of neighborhood socioeconomic status and race on survival from ovarian cancer: a population-based analysis of Cook County, Illinois. Ann Epidemiol 25:556-63
Molina, Yamile; Kim, Sage; Berrios, Nerida et al. (2015) Medical mistrust and patient satisfaction with mammography: the mediating effects of perceived self-efficacy among navigated African American women. Health Expect 18:2941-50
Peterson, Caryn E; Rauscher, Garth H; Johnson, Timothy P et al. (2015) The effect of neighborhood disadvantage on the racial disparity in ovarian cancer-specific survival in a large hospital-based study in cook county, illinois. Front Public Health 3:8
Anderson, Emily E (2015) CIRTification: Training in Human Research Protections for Community-Engaged Research Partners. Prog Community Health Partnersh 9:283-8
Kim, Sage; Molina, Yamile; Glassgow, Anne Elizabeth et al. (2015) The effects of navigation and types of neighborhoods on timely follow-up of abnormal mammogram among black women. Med Res Arch 2015:
Kong, A; Tussing-Humphreys, L M; Odoms-Young, A M et al. (2014) Systematic review of behavioural interventions with culturally adapted strategies to improve diet and weight outcomes in African American women. Obes Rev 15 Suppl 4:62-92

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