Assessing the Impact of a Patient Navigator Intervention Program for Vietnamese-American Women with Abnormal Mammograms
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Assessing the Impact of a Patient Navigator Intervention Program for Vietnamese-American Women with Abnormal Mammograms Chan L. Thai 1
&
Giannina Ong 2 & TrangKhanh Tran 3 & Yen Le 3
# American Association for Cancer Education 2020
Abstract Breast cancer incidence among Asian Americans increased at a rate of 1.8% per year from 2014 to 2018, while the general population’s incidence rate remained stable. Vietnamese-American women have been found to have the longest follow-up time after an abnormal mammogram. This study assesses the impact of a patient navigator program for Vietnamese-American women who received abnormal mammograms. Ninety-six Vietnamese-American participants with abnormal mammograms were assigned a Vietnamese patient navigator to provide emotional support, education, translation, and assistance with medical bills and doctor’s appointments. Data collected from pre-test, post-test (1 year after initial enrollment in program), and 3-month follow-up surveys measured psychosocial outcomes and participant satisfaction. All 96 participants attended follow-up appointments for their abnormal mammograms. Psychosocial outcomes worsened from pre- to post-test, though these results were not statistically significant. Feeling in control of situations in one’s life improved and was significant for participants who did not receive a breast cancer diagnosis (4.31, 5.04, p = .039). A majority of the participants reported satisfaction with their patient navigators. Vietnamese-American women have been found to be the least adherent to appropriate follow-up after an abnormal mammogram; in this study, all 96 participants attended a follow-up appointment within 90 days. Findings did not show improvements in psychosocial outcomes. Past research suggests that sociocultural factors may be at play: the initial abnormal mammogram may have triggered fatalistic thoughts affecting the reactions of the participants, even though the abnormal mammogram did not result in a breast cancer diagnosis. Keywords Breast cancer . Patient navigation . Vietnamese-American women . Abnormal mammogram
Background Mortality rates for breast cancer among women in the USA have declined significantly in the last several decades [1]. * Chan L. Thai [email protected] Giannina Ong [email protected] TrangKhanh Tran [email protected] Yen Le [email protected] 1
Department of Communication, Santa Clara University, 500 El Camino Real, Santa Clara, CA 95053, USA
2
Women and Gender Studies Institute, University of Toronto, Toronto, ON, Canada
3
Boat People SOS, Inc., Falls Church, VA, USA
However, this decline is disproportionate between different ethnic subgroups: while breast cancer incidence in nonHispanic white populations has remained stable, among Asian Americans, incidence rates have increased by 1.8% per year from 2005 to 2014 in comparison with the 0.3% and 0.4% increase experienced by the population of Black and Hispanic women [2]. This statistic is notable because overall cancer incidence and mortality are generally the lowest in Asian Amer
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