abstract: 'Breast cancer screening combined with follow-up and treatment reduces

  breast cancer mortality. However, in the study clinic, only 12 \% of

  eligible women >= 40 years received a mammogram in the previous year.

  The objective of this project was to implement patient navigation, in

  our partner health clinic to (1) identify women overdue for a mammogram;

  and (2) increase mammography utilization in this population over a

  2-year period. Women overdue for a mammogram were identified. One

  patient navigator made navigation attempts over a 2-year period

  (2009-2011). Navigation included working around systems- and

  individual-level barriers to receive a mammogram as well as the

  appropriate follow-up post screening. Women were contacted up to three

  times to initiate navigation. The proportion of women navigated and who

  received a mammogram during the study period were compared to women who

  did not receive a mammogram using Chi square tests for categorical

  variables and t tests for continuous variables with an alpha = 0.05.

  Barriers to previous mammography were also assessed. With 94.8 \% of

  eligible women navigated and 94 \% of these women completing

  mammography, the implementation project reached 89 \% of the target

  population. This project was a successful implementation of an

  evidence-based patient navigation program that continues to provide

  significant impact in a high-need area. Cost was the most commonly cite

  barrier to mammography. Increasing awareness of resources in the

  community for mammography and follow-up care remains a necessary adjunct

  to removing structural and financial barriers to accessing preventive

  services.'
affiliation: 'Drake, BF (Corresponding Author), Washington Univ, Sch Med, Dept Surg,
  Div Publ Hlth Sci, 600 S Taylor Ave,Campus Box 8100, St Louis, MO 63110 USA.

  Drake, Bettina F.; Tappenden, Jennifer; Goodman, Melody S.; Colditz, Graham A.,
  Washington Univ, Sch Med, Dept Surg, Div Publ Hlth Sci, St Louis, MO 63110 USA.

  Drake, Bettina F.; Goodman, Melody S.; Colditz, Graham A., Alvin J Siteman Canc
  Ctr, St Louis, MO USA.

  Drake, Bettina F.; Anwuri, Victoria V.; Colditz, Graham A., Washington Univ, Inst
  Publ Hlth, St Louis, MO 63110 USA.

  Tannan, Shivon; Jackson, Sherrill; Sanford, Mark, Betty Jean Kerr Peoples Hlth Ctr,
  St Louis, MO USA.'
author: Drake, Bettina F. and Tannan, Shivon and Anwuri, Victoria V. and Jackson,
  Sherrill and Sanford, Mark and Tappenden, Jennifer and Goodman, Melody S. and Colditz,
  Graham A.
author-email: drakeb@wustl.edu
author_list:
- family: Drake
  given: Bettina F.
- family: Tannan
  given: Shivon
- family: Anwuri
  given: Victoria V.
- family: Jackson
  given: Sherrill
- family: Sanford
  given: Mark
- family: Tappenden
  given: Jennifer
- family: Goodman
  given: Melody S.
- family: Colditz
  given: Graham A.
da: '2023-09-28'
doi: 10.1007/s10900-015-0051-z
eissn: 1573-3610
files: []
issn: 0094-5145
journal: JOURNAL OF COMMUNITY HEALTH
keywords: Breast cancer; Mammography; Screening; Patient navigation; Disparities
keywords-plus: 'LOW-INCOME WOMEN; PATIENT NAVIGATION; FOLLOW-UP; CANCER; MAMMOGRAPHY;

  BARRIERS; STAGE; DISPARITIES; POPULATION; DIAGNOSIS'
language: English
month: DEC
number: '6'
number-of-cited-references: '33'
orcid-numbers: 'Goodman, Melody S./0000-0001-8932-624X

  Drake, Bettina/0000-0001-9340-5848

  Colditz, Graham/0000-0002-7307-0291'
pages: 1216-1223
papis_id: edeffd607f77f46ba42edec0b4763c97
ref: Drake2015communitybasedpartne
researcherid-numbers: 'Goodman, Melody S./H-2887-2019

  Drake, Bettina/O-2072-2019

  Colditz, Graham/A-3963-2009'
times-cited: '18'
title: A Community-Based Partnership to Successfully Implement and Maintain a Breast
  Health Navigation Program
type: article
unique-id: WOS:000363978000022
usage-count-last-180-days: '0'
usage-count-since-2013: '5'
volume: '40'
web-of-science-categories: Health Policy \& Services; Public, Environmental \& Occupational
  Health
year: '2015'