2023-09-28 14:46:10 +00:00
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abstract: 'Breast cancer screening combined with follow-up and treatment reduces
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breast cancer mortality. However, in the study clinic, only 12 \% of
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eligible women >= 40 years received a mammogram in the previous year.
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The objective of this project was to implement patient navigation, in
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our partner health clinic to (1) identify women overdue for a mammogram;
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and (2) increase mammography utilization in this population over a
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2-year period. Women overdue for a mammogram were identified. One
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patient navigator made navigation attempts over a 2-year period
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(2009-2011). Navigation included working around systems- and
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individual-level barriers to receive a mammogram as well as the
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appropriate follow-up post screening. Women were contacted up to three
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times to initiate navigation. The proportion of women navigated and who
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received a mammogram during the study period were compared to women who
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did not receive a mammogram using Chi square tests for categorical
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variables and t tests for continuous variables with an alpha = 0.05.
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Barriers to previous mammography were also assessed. With 94.8 \% of
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eligible women navigated and 94 \% of these women completing
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mammography, the implementation project reached 89 \% of the target
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population. This project was a successful implementation of an
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evidence-based patient navigation program that continues to provide
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significant impact in a high-need area. Cost was the most commonly cite
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barrier to mammography. Increasing awareness of resources in the
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community for mammography and follow-up care remains a necessary adjunct
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to removing structural and financial barriers to accessing preventive
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services.'
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affiliation: 'Drake, BF (Corresponding Author), Washington Univ, Sch Med, Dept Surg,
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Div Publ Hlth Sci, 600 S Taylor Ave,Campus Box 8100, St Louis, MO 63110 USA.
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Drake, Bettina F.; Tappenden, Jennifer; Goodman, Melody S.; Colditz, Graham A.,
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Washington Univ, Sch Med, Dept Surg, Div Publ Hlth Sci, St Louis, MO 63110 USA.
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Drake, Bettina F.; Goodman, Melody S.; Colditz, Graham A., Alvin J Siteman Canc
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Ctr, St Louis, MO USA.
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Drake, Bettina F.; Anwuri, Victoria V.; Colditz, Graham A., Washington Univ, Inst
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Publ Hlth, St Louis, MO 63110 USA.
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Tannan, Shivon; Jackson, Sherrill; Sanford, Mark, Betty Jean Kerr Peoples Hlth Ctr,
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St Louis, MO USA.'
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author: Drake, Bettina F. and Tannan, Shivon and Anwuri, Victoria V. and Jackson,
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Sherrill and Sanford, Mark and Tappenden, Jennifer and Goodman, Melody S. and Colditz,
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Graham A.
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author-email: drakeb@wustl.edu
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author_list:
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- family: Drake
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given: Bettina F.
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- family: Tannan
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given: Shivon
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- family: Anwuri
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given: Victoria V.
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- family: Jackson
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given: Sherrill
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- family: Sanford
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given: Mark
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- family: Tappenden
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given: Jennifer
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- family: Goodman
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given: Melody S.
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- family: Colditz
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given: Graham A.
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da: '2023-09-28'
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doi: 10.1007/s10900-015-0051-z
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eissn: 1573-3610
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files: []
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issn: 0094-5145
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journal: JOURNAL OF COMMUNITY HEALTH
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keywords: Breast cancer; Mammography; Screening; Patient navigation; Disparities
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keywords-plus: 'LOW-INCOME WOMEN; PATIENT NAVIGATION; FOLLOW-UP; CANCER; MAMMOGRAPHY;
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BARRIERS; STAGE; DISPARITIES; POPULATION; DIAGNOSIS'
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language: English
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month: DEC
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number: '6'
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number-of-cited-references: '33'
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orcid-numbers: 'Goodman, Melody S./0000-0001-8932-624X
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Drake, Bettina/0000-0001-9340-5848
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Colditz, Graham/0000-0002-7307-0291'
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pages: 1216-1223
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papis_id: edeffd607f77f46ba42edec0b4763c97
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ref: Drake2015communitybasedpartne
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researcherid-numbers: 'Goodman, Melody S./H-2887-2019
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Drake, Bettina/O-2072-2019
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Colditz, Graham/A-3963-2009'
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times-cited: '18'
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title: A Community-Based Partnership to Successfully Implement and Maintain a Breast
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Health Navigation Program
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000363978000022
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usage-count-last-180-days: '0'
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usage-count-since-2013: '5'
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volume: '40'
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web-of-science-categories: Health Policy \& Services; Public, Environmental \& Occupational
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Health
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year: '2015'
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