Evidence map›Paper›PMID 23793252›Full record

ArticleProgress in community health partnerships : research, education, and action2013

Building a navigation system to reduce cancer disparities among urban Black older adults.

Lee R Bone, Kristen Edington, Jessica Rosenberg, Jennifer Wenzel, Mary A Garza, Catherine Klein, Lisa Schmitt, Jean G Ford

Abstract read
In one paragraph

Article in Progress in community health partnerships : research, education, and action, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  15. Disparities in Breast Cancer Stage at Diagnosis: Importance of Race, Poverty, and Age.Journal of health disparities research and practice · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lee R BoneDepartment of Health, Behavior and Society, John Hopkins Bloomberg School of Public Health.
Kristen Edington
Jessica Rosenberg
Jennifer Wenzel
Mary A Garza
Catherine Klein
Lisa Schmitt
Jean G Ford

Funding

Uncovering and Addressing Cultural Beliefs Behind Vaccine Racial Disparities P20MD006737 · NIMHD · UNIV OF MARYLAND, COLLEGE PARK · PI QUINN, SANDRA CROUSE, THOMAS, STEPHEN B. · 2012 to 2016
$5.9M
Training ProgramU54CA153710 · NCI · JOHNS HOPKINS UNIVERSITY · PI DOBS, ADRIAN S. · 2010 to 2015
$4.8M
African Americans and Colorectal Cancer: A Multilevel Model to Assess Factors forK01CA140358 · NCI · UNIV OF MARYLAND, COLLEGE PARK · PI GARZA, MARY A · 2010 to 2012
$392k
NCI NIH HHS K01 CA140358NCI NIH HHS K01CA140358NCI NIH HHS U54 CA153710NIMHD NIH HHS P20 MD006737
6 · The paper itself

Abstract

backgroundAlthough cancer outcomes have improved in recent decades, substantial disparities by race, ethnicity, income, and education persist. Increasingly, patient navigation services are demonstrating success in improving cancer detection, treatment, and care and in reducing cancer health disparities. To advance progress in developing patient navigation programs, extensive descriptions of each component of the program must be made available to researchers and health service providers.

objectiveWe sought to describe the components of a patient navigation program designed to improve cancer screening based on informed decision making on cancer screening and cancer treatment services among predominantly Black older adults in Baltimore City.

methodsA community-academic participatory approach was used to develop a patient navigation program in Baltimore, Maryland. The components of the patient navigation system included the development of a community academic (advisory) committee (CAC); recruitment and selection of community health workers (CHWs)/navigators and supervisory staff, initial training and continuing education of the CHWs/navigators, and evaluation of CHWs/navigators. The study was approved by the Johns Hopkins Bloomberg School of Public Health Institutional Review Board.

conclusionsThe incorporation of community-based participatory research principles into each facet of this patient navigation program facilitated the attainment of the intervention's objectives. This patient navigation program successfully delivered cancer navigation services to 1,302 urban Black older adults. Appropriately recruited, selected and trained CHWs monitored by an experienced supervisor and investigators are the key elements in a patient navigation program. This model has the potential to be adapted by research and health service providers.

Indexed as

Black or African AmericanHealth Status DisparitiesUrban PopulationAge FactorsBaltimoreCommunity-Based Participatory ResearchCommunity Health WorkersCommunity-Institutional RelationsDecision MakingEarly Detection of CancerFemaleHealth PromotionHumansMaleNeoplasmsUniversities

Identifiers

PMID23793252
PMCPMC4196256

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.