Our goal is to further test the added benefits of the empower approach relative to traditional educate approaches. Past community research among Latinas has primarily focused on one-time BC screening among intervention participants. Our novel design builds on past studies by integrating social network analysis (SNA) and implementation science (IS) into a longitudinal randomized clinical trial (RCT). We will compare the long-term effects of interventions by examining guideline-concordant initial and repeat BC screening. We will estimate the widespread effects of interventions by prospectively collecting data from network members not involved in the RCT. We will also explore “active ingredients” that underlie intervention effects, including psychosocial, IS and network mechanisms. Overall, we will demonstrate whether and how non-adherent Latinas may “boost” intervention effects throughout their networks.
Our goal is to further test the added benefits of the empower approach relative to traditional educate approaches. Past community research among Latinas has primarily focused on one-time BC screening among intervention participants. Our novel design builds on past studies by integrating social network analysis (SNA) and implementation science (IS) into a longitudinal randomized clinical trial (RCT). We will compare the long-term effects of interventions by examining guideline-concordant initial and repeat BC screening. We will estimate the widespread effects of interventions by prospectively collecting data from network members not involved in the RCT. We will also explore “active ingredients” that underlie intervention effects, including psychosocial, IS and network mechanisms. Overall, we will demonstrate whether and how non-adherent Latinas may “boost” intervention effects throughout their networks.
Aim 1: Among 400 non-adherent Latinas, we will compare intervention effects on BC screening, using an individual RCT in a federally qualified health center (FQHC). We use the US Preventative Services Task Force (USPSTF) guidelines – i.e., 50-74 year-olds should obtain mammograms every 2 years.1
Aim 2: Among 200 network members of non-adherent Latinas, we will compare intervention effects on BC screening, based on the USPSTF guidelines.
Aim 3: We will explore mechanisms of change underlying intervention effects on BC screening using IS measures, descriptive SNA, and structural equation models. If study arms are comparable, we will examine which mechanisms may predict multilevel intervention effects across approaches.
Source: View full study details on ClinicalTrials.gov
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