Evidence map›Paper›PMID 30772115›Full record

Trial reportPatient education and counseling2019

Engaging limited English proficient and ethnically diverse low-income women in health research: A randomized trial of a patient navigator intervention.

Alyssa Nickell, Susan L Stewart, Nancy J Burke, Claudia Guerra, Elly Cohen, Catherine Lawlor, Susan Colen, Janice Cheng, Galen Joseph

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Patient education and counseling, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Interventions for improving health literacy in migrants.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Trial
  4. Faith, Culture, and Cancer: A Qualitative Study Exploring Muslim Women's Perspectives on Clinical Trials in the United Kingdom.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
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

9 authors.

Alyssa NickellShanti Project, San Francisco, USA.
Susan L StewartDepartment of Public Health Sciences, Division of Biostatistics, University of California, Davis, USA.
Nancy J BurkePublic Health University of California, Merced, USA; Department of Anthropology, History & Social Medicine, University of California, San Francisco USA.
Claudia GuerraDepartment of Anthropology, History & Social Medicine, University of California, San Francisco USA.
Elly CohenBreastCancerTrials.org, San Francisco, USA.
Catherine LawlorShanti Project, San Francisco, USA.
Susan ColenBreastCancerTrials.org, San Francisco, USA.
Janice ChengDepartment of Anthropology, History & Social Medicine, University of California, San Francisco USA.
Galen JosephDepartment of Anthropology, History & Social Medicine, University of California, San Francisco USA. Electronic address: galen.joseph@ucsf.edu.

Funding

Precision Genomics in the WISDOM Pragmatic Clinical Trial: An "Embedded" ELSI Study of Risk-based Breast Cancer ScreeningR01CA211999 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOSEPH, GALEN · 2017 to 2021
$3.5M
NCI NIH HHS R01 CA211999
6 · The paper itself

Abstract

objectiveEvaluate a community-based navigator intervention to increase breast cancer patients' and survivors' access to information about health research participation opportunities.

methodsIn the context of a Community Based Participatory Research collaboration, we conducted a prospective randomized controlled trial of the Health Research Engagement Intervention with pre- and post-intervention surveys (n = 133). The primary outcome was health research information-seeking behavior. Secondary outcomes were health research knowledge, willingness to participate in health research, and health empowerment. Qualitative interviews (n = 11) elucidated participant perspectives on the intervention.

resultsThere was no statistically significant difference between intervention and control groups' information-seeking behavior. Knowledge that not all health research studies are about drugs or treatments increased significantly from pre- to post-test among intervention group participants (32% to 48%, p = 0.012), but not in the control group (43% to 30%, p = 0.059); the difference between arms was statistically significant (p = 0.0012). Although survey responses indicated willingness to participate, qualitative interviews identified competing priorities that limited participants' motivation to seek enrollment information. CONCLUSIONS AND PRACTICE IMPLICATIONS: Community-based navigators are a trusted, and therefore promising link between health research and low-income underserved communities. However, systemic barriers in health research infrastructures need to be addressed to include low income, LEP and immigrant populations.

Indexed as

Access to InformationBiomedical ResearchLimited English ProficiencyPatient NavigationAgedBreast NeoplasmsFemaleHumansInterviews as TopicMiddle AgedPovertyProspective StudiesSurveys and QuestionnairesCancerCBPRClinical trialsCommunity based participatory researchDisparitiesInformation-Seeking behaviorLEPLimited English proficientPatient navigation

Identifiers

PMID30772115
PMCPMC8846431

What OpenQuestion holds

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Registered trials

None linked

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.