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Better Breast and Cervical Cancer Control for Korean American Women

21 Years
64 Years
Open (Enrolling)
Breast Cancer, Cervical Cancer

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Trial Information

Better Breast and Cervical Cancer Control for Korean American Women

Despite considerable progress in U.S. cancer control over the past 20 years, certain ethnic
minority groups continue to experience significant health disparities. Recent immigrants
including Korean Americans (KA), face an unequal cancer burden related to the significant
language and cultural barriers they face in attempting to navigate the U.S. healthcare
system. KA women have the second highest incidence of cervical cancer nationally and are
experiencing rapid increases in breast cancer incidence. Not only are their breast and
cervical cancers diagnosed at significantly later stages than those of whites, but they are
also the least likely racial/ethnic group to receive early breast and cervical cancer

This community-based behavioral intervention is designed 1) to evaluate, in a randomized
controlled trial, the effects of our health literacy-focused cancer control intervention,
delivered by trained CHWs, on the primary outcomes: mammography and Papanicolaou(Pap)test
screening adherence, in a sample of 360 KA women, 2)to test the effects of the proposed
intervention on the secondary outcomes: level of health literacy, breast and cervical
knowledge, and decisional balance, in the KA sample.

Inclusion Criteria:

1. age 21-64 years

2. self-identified as a KA woman

3. no mammogram and Pap test within the last 18 months

4. able to read and write Korean or English

5. willing to provide written study consent

6. willingness to provide written consent to allow the researchers to audit medical
records for mammography and Pap test use.

Exclusion Criteria:

1. Potential participants with a cancer diagnosis, an acute and/or terminal condition

2. Psychiatric diagnosis (e.g., schizophrenia or cognitive impairment), or other

3. Women who have undergone hysterectomy

Type of Study:


Study Design:

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Prevention

Outcome Measure:

Number of participants who adhere to mammography and Papanicolaou(Pap) test screening guidelines

Outcome Description:

The primary outcome variables are self-reported receipt of, or intention to obtain mammography and/or Pap test. Self-reported intention as an outcome variable has been a common practice in the screening literature, since it has been found to be the best predictor of actual screening behavior.Number of participants who adhere to mammography and Pap test during 6 months period will be the primary outcomes.

Outcome Time Frame:

6 months

Safety Issue:


Principal Investigator

Hae-Ra Han, PhD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Johns Hopkins University, School of Nursing


United States: Institutional Review Board

Study ID:




Start Date:

November 2009

Completion Date:

January 2012

Related Keywords:

  • Breast Cancer
  • Cervical Cancer
  • Ethnic minority women
  • Cancer screening
  • Health literacy
  • Behavioral intervention
  • Breast Cancer screening
  • Cervical Cancer screening
  • Breast Neoplasms
  • Uterine Cervical Neoplasms



Korean Resource CenterEllicott City, Maryland  21043