Intervention to Promote Uptake of Cancer Risk Counseling for Underserved Latinas
I. To conduct a randomized trial of a culturally-informed pre-genetic cancer risk assessment
(GCRA) telephone intervention.
II. To evaluate the effect of the pre-GCRA intervention versus a time and attention control
versus standard scheduling procedure alone (usual care) on levels of anxiety, perceived
personal control and cancer genetics knowledge.
III. To explore patients' experiences with the pre-GCRA intervention through
post-intervention telephone interviews.
I. To explore patients' perceived barriers to GCRA through no-show telephone interviews.
Patients are randomized to 1 of 3 treatment arms.
ARM I: Patients receive a culturally-informed adapted motivational interviewing telephone
ARM II: Patients participate in a controlled condition comprising a health habits
ARM III: Patients receive usual care comprising a standard scheduling phone call and proceed
with normal GCRA process. All patients are mailed standard new patient packets containing
questionnaires on demographics and personal health history, and a family history form. All
patients then undergo genetic cancer risk assessment.
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care
Effect of pre-GCRA intervention versus a time and attention control versus standard scheduling procedure alone (usual) on levels of anxiety, perceived personal control and cancer genetic knowledge
Tested using 3 x 3 repeated measures analysis of covariance (ANCOVA)s in which the within subjects variables are anxiety or perceived control, the between groups variable is group membership, and covariates include fatalism and other appropriate moderators.
One week after genetic cancer risk assessment (GCRA)
City of Hope Medical Center
United States: Federal Government
|City of Hope Medical Center||Duarte, California 91010|
|University of Southern California-Keck School of Medicine||Los Angeles, California 90033|
|Olive View-UCLA Medical Center||Sylmar, California 91342|