Active Mammography and Counseling to Increase Breast Cancer Screening
Monitoreo Activo de Mamografía y Orientación
This program will test whether community education, patient navigation, and provider engagement can help women aged 40–74 in selected Puerto Rican municipalities who are overdue for mammograms get screened.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 1020 (estimated) |
| Ages | 40 Years to 74 Years |
| Sex | Female |
| Sponsor | University of Puerto Rico Comprehensive Cancer Center Academic / other |
| Locations | 1 site (San Juan) |
| Trial ID | NCT07238088 on ClinicalTrials.gov |
What this trial studies
MAMO is a multi-level outreach program recruiting women aged 40–74 who live in 39 Puerto Rican municipalities with below-median screening rates and who are overdue for breast cancer screening by at least one year. Community Health Workers will identify eligible women at local venues, provide educational support, and conduct telephone follow-up. The intervention includes three tiers—educational outreach, patient navigation to help with appointments and barriers, and a provider-focused educational component to support integration. The program builds on pilot work and aims to increase screening uptake through coordinated community and healthcare system actions.
Who should consider this trial
Good fit: Women aged 40–74 who reside in one of the 39 listed Puerto Rican municipalities, are overdue for breast cancer screening by one or more years, can read Spanish, have telephone access, and pass a brief cognitive orientation check are ideal candidates.
Not a fit: Women already up to date with recommended screening, who live outside the specified municipalities, cannot read Spanish, lack telephone access, or have significant cognitive impairment are unlikely to benefit from this intervention.
Why it matters
Potential benefit: If successful, the program could raise mammography rates in underserved communities and help detect breast cancer earlier.
How similar studies have performed: Previous pilot work and other programs using community health workers and patient navigation have shown modest to moderate improvements in screening rates, so this approach builds on established strategies applied in Puerto Rico.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Women (biological sex at birth) aged 40- 74 * Residing in one of 39 municipalities across Puerto Rico whose having a low breast cancer screening rate below the median (38.6%): Aibonito, Arecibo, Barceloneta, Caguas, Camuy, Comerío, Corozal, Florida, Las Piedras, Loíza, Naguabo, Vieques, Villalba, Añasco, Carolina, Cayey, Dorado, Guayanilla, Guaynabo, Isabela, Juana Diaz, Juncos, Luquillo, Manatí, Peñuelas, Quebradillas, Cabo Rojo, Canóvanas, Ceiba, Ciales, Coamo, Culebra, Fajardo, Morovis, Ponce, Sabana Grande, San Juan, Santa Isabel, and Trujillo Alto. * Overdue for breast cancer screening by one or more years, in accordance with annual guidelines * Adequate cognitive orientation as verified by a brief version of the Mini-Mental State Examination * Access to a telephone for follow-up and communication * Ability to read and comprehend Spanish to engage with educational materials. Exclusion Criteria: * Women outside the specified age range (40-74) * Up to date in breast cancer screening according to the annual recommendations. * No cognitive orientation * Participants without access to a telephone * Unable to read and comprehend Spanish * Women undergoing active cancer treatment * History of radical mastectomy
Where this trial is running
San Juan
- UPR-Comprehensive Cancer Center — San Juan, Puerto Rico (Recruiting)
Study contacts
- Principal investigator: Vivian Colon Lopez, PhD, MPH — UPR-Comprehensive Cancer Center
- Study coordinator: Diana T Medina Laabes, MS, CRC
- Email: dmedina@cccupr.org
- Phone: 787-772-8300
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.