Evaluation of Mammogram Parties as an Effective Community Navigation Method
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Women of color do not have the same level of access to mammography services as their White counterparts, and this inequity may be one of the contributing factors to the documented racial disparity in breast cancer mortality in the US. The present study sought to assess the effectiveness of the mammogram party, a promising, but under-studied approach to increasing mammography uptake, particularly among under-served populations. The program targeted mammogram-eligible women in community settings on the west and southwest sides of Chicago, gathering basic demographic information, mammography history, and interest in assistance obtaining a mammogram. Women were navigated either through traditional one-on-one navigation or to a mammogram party. Seven outcome metrics were calculated for each type of navigation. We compared navigation outcomes for those who attended to those who did not attend a mammogram party using two-tailed t tests and chi-square tests. We found that the mammography completion rate for mammogram parties was comparable to that for standard one-on-one navigation (65.8 vs. 63.7%), which is more labor-intensive as evidenced by the number of contacts needed to successfully navigate a woman to mammography (10.9 vs. 15.0). Mammogram parties offer a unique opportunity for fellowship and support for clients who are particularly fearful of mammograms or identifying breast cancer. Programmatically, mammogram parties are an efficient way to complete several mammograms in 1 day. Having the option to both navigate women to mammogram parties or one-on-one navigation allows for more flexibility for scheduling and may ensure a completed a mammogram.
KeywordsMammogram parties/events Increase mammography use/uptake Community navigation Evaluation
The program described herein was made possible by funding from the Avon Foundation for Women, Susan G. Komen Chicago, the Lynn Sage Cancer Research Foundation, Telligen Community Initiative, and The Barbara Bates Foundation. The authors wish to acknowledge Dr. Steve Whitman, Ami Shah, and Dr. Chela Sproles for their contributions to the program and its management and development.
Compliance with Ethical Standards
KLA, BH, and JK receive funds from Avon Foundation for Women to support salaries and grant activities. In addition, Lynn Sage Foundation funded portions of this program as did the Susan G. Komen for the Cure Chicago Affiliate. None of the authors’ salaries were supported through these grants. MS and JK are supported, in part, by the National Cancer Institute, grant numbers U54CA202995, U54CA202997, and U54CA203000. The authors have no additional financial disclosures.
- 5.Sabatino, Susan A., Briana Lawrence, Randy Elder, Shawna L. Mercer, Katherine M. Wilson, Barbara DeVinney, Stephanie Melillo, Michelle Carvalho, Stephen Taplin, Roshan Bastani, Barbara K. Rimer, Sally W. Vernon, Cathy Lee Melvin, Vicky Taylor, Maria Fernandez, Karen Glanz. 2012. Effectiveness of interventions to increase screening for breast, cervical, and colorectal cancers: nine updated systematic reviews for the guide to community preventive services. Am J Prev Med 43(1):97–118. EGoogle Scholar
- 6.Baron RC, Rimer BK, Coates RJ, Kerner J, Kalra GP, Melillo S, Habarta N, Wilson KM, Chattopadhyay S, Leeks K (2008a) Client-directed interventions to increase community access to breast, cervical, and colorectal cancer screening a systematic review. Am J Prev Med 35(1 Suppl):S56–S66CrossRefPubMedGoogle Scholar
- 7.Brouwers MC, De Vito C, Bahirathan L, Carol A, Carroll JC, Cotterchio M, Dobbins M, Lent B, Levitt C, Nancy L, Elizabeth McGregor S, Paszat L, Rand C, Wathen N (2011) Effective interventions to facilitate the uptake of breast, cervical and colorectal cancer screening: an implementation guideline. Implement Sci 6:112CrossRefPubMedPubMedCentralGoogle Scholar
- 8.Baron RC, Rimer BK, Breslow RA, Coates RJ, Kerner J, Melillo S, Habarta N, Kalra GP, Chattopadhyay S, Wilson KM, Lee NC, Mullen PD, Coughlin SS, Briss PA (2008b) Client-directed interventions to increase community demand for breast, cervical, and colorectal cancer screening a systematic review. Am J Prev Med 35(1 Suppl):S34–S55CrossRefPubMedGoogle Scholar
- 13.Pruthi S, Shmidt E, Sherman MM, Neal L, Wahner-Roedler D (2010) Promoting a breast cancer screening clinic for underserved women: a community collaboration. Ethnicity & Disease 20(4):463–466Google Scholar
- 22.Highfield L, Hartman MA, Mullen PD, Rodriguez SA, Fernandez ME, Kay Bartholomew L (2015) Intervention mapping to adapt evidence-based interventions for use in practice: increasing mammography among African American women. Biomed Res Int 2015:160103. doi: 10.1155/2015/160103 PubMedPubMedCentralGoogle Scholar
- 26.Oeffinger KC, Fontham ETH, Etzioni R, Herzig A, Michaelson JS, Shih Y-CT, Walter LC, Church TR, Flowers CR, LaMonte SJ, Wolf AMD, DeSantis C, Lortet-Tieulent J, Andrews K, Manassaram-Baptiste D, Saslow D, Smith RA, Brawley OW, Wender R (2015) Breast cancer screening for women at average risk: 2015 guideline update from the American Cancer Society. Journal of the Aamerican Medical Association 314(15):1599–1614CrossRefGoogle Scholar