title: Abnormal mammogram follow-up: do community lay health advocates make a difference?
abstract: This pilot study evaluates a community lay health advocate (CLHA) intervention in promoting follow-up for abnormal mammograms among African American women. A controlled trial was implemented at an urban hospital in Atlanta, with 48 women in a CLHA intervention group and 35 in a usual care group. Participants were 25 or older and had an abnormal mammogram between March 25, 2002, and May 2, 2003. Intervention group women received CLHA support including encouragement of timely abnormal mammogram follow-up, reminders of follow-up appointments, identification and removal of barriers to follow-up, and accompaniment to follow-up appointments. Women in the intervention group were significantly more likely to keep their first abnormal mammogram follow-up appointment, all of their scheduled follow-up appointments, and their biopsy or fine needle aspiration appointment. CLHAs are effective in promoting abnormal mammogram followup among African American women and may be an important resource in reducing racial disparities in breast cancer mortality.
authors.affiliation: Morehouse Scdhool of Medicine in Atlanta, Georgia, USA.
authors.forename: Sherry R
authors.initials: SR
authors.lastname: Crump
authors.forename: Michèle P-L
authors.initials: MP
authors.lastname: Shipp
authors.forename: Gail G
authors.initials: GG
authors.lastname: McCray
authors.forename: Selma J
authors.initials: SJ
authors.lastname: Morris
authors.forename: Joel A
authors.initials: JA
authors.lastname: Okoli
authors.forename: Lee S
authors.initials: LS
authors.lastname: Caplan
authors.forename: Stacy L
authors.initials: SL
authors.lastname: Thorne
authors.forename: Daniel S
authors.initials: DS
authors.lastname: Blumenthal
mesh_terms: D000328:Adult; D001741:Black or African American; D000368:Aged; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000208:ethnology / Q000517:prevention & control; D003150:Community Health Workers; D003266:Continuity of Patient Care; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D008327:Mammography / Q000379:methods* / Q000523:psychology; D008875:Middle Aged; D010344:Patient Advocacy; D010349:Patient Compliance; D010865:Pilot Projects; D012944:Social Support; D012959:Socioeconomic Factors