Community navigation plus tablet education to boost mammogram screening for Navajo women
Community-led Navigation to Address Disparities in Mammography Among Native American Women
The study will try a tablet-based, culturally tailored education program called TEAM, with or without monthly one-on-one Diné peer navigation, to increase mammography screening among Navajo Nation women aged 40–74.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 200 (estimated) |
| Ages | 40 Years to 74 Years |
| Sex | Female |
| Sponsor | Johns Hopkins Bloomberg School of Public Health Academic / other |
| Locations | 1 site (Chinle, Arizona) |
| Trial ID | NCT06957535 on ClinicalTrials.gov |
What this trial studies
This randomized interventional project compares two approaches: TEAM (tablet-based, culturally tailored mammography education) versus TEAM plus monthly 1:1 support from a Diné peer navigator. TEAM content was developed through community-based participatory methods to reflect local cultural context. Eligible participants are AI/AN women aged 40–74 who are registered patients at Chinle Comprehensive HealthCare Facility and have not had a mammogram in the past 12 months. The trial is conducted at the Navajo Nation Center for Indigenous Health in Chinle, Arizona and uses random assignment to measure differences in screening uptake.
Who should consider this trial
Good fit: Ideal participants are American Indian or Alaska Native women aged 40–74 who are registered patients at Chinle Comprehensive HealthCare Facility, live within 80 miles of the clinic, have not had a mammogram in the prior 12 months, have no personal history of breast cancer, and are willing to be randomized.
Not a fit: Women who are not AI/AN, are outside the 40–74 age range, have had a mammogram in the past 12 months, have a personal history of breast cancer, are not registered at CCHCF, live more than 80 miles away, or are unwilling to be randomized are unlikely to benefit from joining this program.
Why it matters
Potential benefit: If successful, the intervention could raise mammography screening rates and help detect breast cancer earlier among Navajo women.
How similar studies have performed: Previous navigation and culturally tailored education programs have improved cancer screening in underserved populations, but this specific TEAM plus Diné peer-navigation approach on the Navajo Nation is novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Self-identify as American Indian or Alaska Native (AIAN) * Identify as Female * Are 40-74 years of age * Are a registered patient at Chinle Comprehensive HealthCare Facility (CCHFC) * Live within 80 miles of CCHFC * Have not received a mammogram within the prior 12 months * Do not have a personal history of breast cancer * Are not planning to move in the next 6 months * Willing to be randomized Exclusion Criteria: * Do not self-identify as American Indian or Alaska Native (AIAN) * Do not identify as Female * Are not 40-74 years of age * Are not a registered patient at CCHCF * Do not live within 80 miles of CCHCF * Have received a mammogram within the prior 12 months * Have a personal history of breast cancer * Are planning to move in the next 6 months * Unwilling to be randomized
Where this trial is running
Chinle, Arizona
- Navajo Nation Center for Indigenous Health — Chinle, Arizona, United States (Recruiting)
Study contacts
- Principal investigator: Katie Nelson, PhD — Johns Hopkins University
- Study coordinator: Katie Nelson, PhD
- Email: knelso46@jhmi.edu
- Phone: 410-955-6931
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.