Active Mammography and Counseling to Increase Breast Cancer Screening
Official title: Monitoreo Activo de Mamografía y Orientación
Run by University of Puerto Rico Comprehensive Cancer Center · NCT07238088 · Data updated 2026-11-12
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
| Study type | Interventional |
|---|---|
| Ages | 40 Years to 74 Years |
| Sex | Women only |
| Enrollment | 1020 (estimated) |
| Sponsor | University of Puerto Rico Comprehensive Cancer Center Academic / other |
| Locations | 1 site (San Juan) |
| Status | Recruiting |
| Started | January 14, 2026 |
| Main results expected | March 30, 2027 |
| Study ends | February 28, 2028 |
| Registry record updated | April 22, 2026 |
| Trial ID | NCT07238088 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a 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.
✕Probably 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.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
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.
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 gone: 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.
Who can join: the full rules
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 it's running
-
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
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.