Leveraging an Implementation Science Framework to Adapt and Scale a Patient Navigator Intervention to Improve Mammography Screening Outreach in a New Community.

Helping Her Live (HHL) is a community health worker-led outreach model that navigates women from vulnerable communities to mammography screening and diagnostic follow-up. The objective of this study was to evaluate HHL implementation on the southwest side of Chicago. HHL has been implemented on the...

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Publicado en:Journal of Cancer Education Vol. 35; no. 3; pp. 530 - 538
Autores principales: Simon, Melissa A., O'Brian, Catherine A., Kanoon, Jacqueline M., Venegas, Alnierys, Ignoffo, Stacy, Picard, Charlotte, Allgood, Kristi L., Tom, Laura, Margellos-Anast, Helen
Formato: research Journal Article
Publicado: Springer Nature Jun2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2020
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      pub: Springer Nature
      place: New York, New York
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        atl: Leveraging an Implementation Science Framework to Adapt and Scale a Patient Navigator Intervention to Improve Mammography Screening Outreach in a New Community.
      aug:
        au:
          Simon, Melissa A.
          O'Brian, Catherine A.
          Kanoon, Jacqueline M.
          Venegas, Alnierys
          Ignoffo, Stacy
          Picard, Charlotte
          Allgood, Kristi L.
          Tom, Laura
          Margellos-Anast, Helen
        affil: Department of Obstetrics and Gynecology, Preventive Medicine and Medical Social Sciences, Northwestern University Feinberg School of Medicine, 633 N St Clair, Suite 1800, 60611, Chicago, IL, USA
      sug:
        subj:
          Breast Neoplasms Diagnosis
          Patient Navigation Methods
          Early Detection of Cancer Psychosocial Factors
          Ethnic Groups Psychosocial Factors
          Community Health Workers Statistics and Numerical Data
          Health Promotion Methods
          Female
          Breast Neoplasms Psychosocial Factors
          Human
          Patient Education
          Adult
          Mammography Statistics and Numerical Data
          Health Promotion Administration
          Mammography Psychosocial Factors
          Illinois
          Early Detection of Cancer Methods
          Breast Neoplasms Epidemiology
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Adult: 19-44 years
          Female
      ab: Helping Her Live (HHL) is a community health worker-led outreach model that navigates women from vulnerable communities to mammography screening and diagnostic follow-up. The objective of this study was to evaluate HHL implementation on the southwest side of Chicago. HHL has been implemented on the west side of Chicago since 2008, where it has increased mammogram completion and diagnostic follow-up rates among Black and Hispanic women from resource poor communities. In 2014, HHL was translated to the southwest side of Chicago; implementation success was evaluated by comparing outreach, navigation request, and mammogram completion metrics with the west side. During January 2014-December 2015, outreach was less extensive in the southwest setting (SW) compared to the benchmark west setting (W); however, the proportion of women who completed mammograms in SW was 50%, which compared favorably to the proportion observed in the benchmark setting W (42%). The distribution of insurance status and the racial and ethnic makeup of individuals met on outreach in the W and SW were significantly different (p < 0.0005). This successful expansion of HHL in terms of both geographic and demographic reach justifies further studies leveraging these results and tailoring HHL to additional underserved communities.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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