A comparison of two Native American Navigator formats: face-to-face and telephone.
The study was designed to test the relative effectiveness of a Navigator intervention delivered face-to-face or by telephone to urban Native American women. The effectiveness of the intervention was evaluated using a design that included a pretest, random assignment to face-to-face or telephone group, and posttest. The Social Cognitive Theory-based intervention was a tailored education program developed to address individual risk factors for breast cancer. At posttest, self-reported mammograms in the past year increased from 29% to 41.3% in the telephone group and from 34.4% to 45.2% in the face-to-face group. There was no difference in change from pretest to posttest between the telephone and face-to-face groups. Navigators can be effective in increasing adherence to recommendations for screening mammography among urban American Indian women.
Dignan
Mark B
MB
University of Kentucky Prevention Research Center, Lexington, KY 40504-3381, USA. mdignan@prc.uky.edu
Burhansstipanov
Linda
L
Hariton
Judy
J
Harjo
Lisa
L
Rattler
Terri
T
Lee
Rose
R
Mason
Mondi
M
D000368:Aged; D001943:Breast Neoplasms / Q000208:ethnology* / Q000517:prevention & control*; D003120:Colorado; D003466:Cultural Characteristics; D005260:Female; D006266:Health Education / Q000379:methods; D006297:Health Services Accessibility; D006801:Humans; D007198:Indians, North American; D007407:Interviews as Topic / Q000379:methods*; D008327:Mammography / Q000706:statistics & numerical data*; D008875:Middle Aged; D015203:Reproducibility of Results; D012307:Risk Factors; D014505:Urban Population