Evidence map›Paper›PMID 40859259›Full record

ArticleBMC public health2025

Community navigation intervention for social needs in patients with abnormal mammography: a randomized controlled trial study protocol.

Kirstin Beck, Mackenzie Mitchell, Andrea S Wallace, Phoebe E Freer, Bob Wong, Deanna Kepka, Melissa H Watt, Sierra McNall, Alex Kolomaya, Anthony Ariotti and 3 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06305312 (Community Services Navigation to Advance Health Equity in Breast Cancer Screening), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

NCT06305312 narecruitingnot on this map

Community Services Navigation to Advance Health Equity in Breast Cancer Screening

TypeinterventionalSponsorUniversity of UtahRan2024 to 2028Enrolled1,450ConditionsBreast CancerArmsCommunity Service Navigation, Usual Care
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Kirstin BeckPopulation Health Sciences Department, University of Utah, Salt Lake City, USA.
Mackenzie MitchellPopulation Health Sciences Department, University of Utah, Salt Lake City, USA.
Andrea S WallaceCollege of Nursing, University of Utah, Salt Lake City, USA.
Phoebe E FreerDepartment of Radiology and Imaging Sciences, University of Utah, Salt Lake City, USA.
Bob WongCollege of Nursing, University of Utah, Salt Lake City, USA.
Deanna KepkaCollege of Nursing and Huntsman Cancer Institute, University of Utah, Salt Lake City, USA.
Melissa H WattPopulation Health Sciences Department, University of Utah, Salt Lake City, USA.
Sierra McNallPopulation Health Sciences Department, University of Utah, Salt Lake City, USA.
Alex KolomayaInternal Medicine University of Utah, Salt Lake City, USA.
Anthony AriottiPopulation Health Sciences Department, University of Utah, Salt Lake City, USA.
Madilyn MulfordPopulation Health Sciences Department, University of Utah, Salt Lake City, USA.
Tracy OnegaHuntsman Cancer Institute, University of Utah, Salt Lake City, USA.
Elissa M OzannePopulation Health Sciences Department, University of Utah, Salt Lake City, USA. elissa.ozanne@hsc.utah.edu.

Funding

Local Services Navigation to Improve Breast Cancer Screening OutcomesR01CA282409 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI ONEGA, TRACY, OZANNE, ELISSA MARY · 2023 to 2025
$1.9M
NCI NIH HHS 1R01CA282409-01NCI NIH HHS R01 CA282409
6 · The paper itself

Abstract

backgroundEffective follow-up care plays a critical role in enhancing breast cancer outcomes, as diagnosing breast cancer in earlier stages can improve mortality and ease treatment burden. Individuals with unmet social needs face greater barriers in completing their follow-up care (e.g., additional imaging, biopsies, and surgery). They are two times less likely to complete follow-up appointments. When patients do not complete follow-up appointments, they are at higher risk of detecting breast cancer at a later stage. We aim to examine how a social needs intervention via community navigation may (1) address patients' social needs, and (2) improve the completion of recommended medical care following an abnormal mammography.

methodsThis is a single-center randomized controlled trial taking place in the Intermountain West. We plan to enroll 1,450 participants throughout the study. Women with abnormal mammography results will be invited to complete a validated, 10-item social needs screening assessment in English or Spanish. Eligible patients will be at least 18 years of age, speak English or Spanish, and indicate at least one social need. Participants will be randomized to passive or active social needs categories. Those in the active group will be called by 211 United Way services (211), a service which connects callers to community resources. The passive group will not receive a call from 211. Instead, they will be provided with information to contact 211 independently if they choose to. Primary outcomes are: (1) change in social needs, and (2) follow-up of abnormal mammography results, and will be assessed through follow-up surveys and chart reviews. Interviews and focus group discussions will explore how social needs influence patients' adherence to recommended follow-up after an abnormal mammography result, and the role of community service navigation assistance in that follow-up. DISCUSSION: This study utilizes a 10-item social needs assessment and community navigation services to address social needs that prevent women from receiving timely follow-up after an abnormal mammogram screening. Our goal is to improve breast cancer follow-up outcomes for women with social needs.

trial registrationThe study was pre-registered at ClinicalTrials.gov on March 12, 2024, under identifier NCT06305312.

Indexed as

Breast NeoplasmsMammographyNeeds AssessmentPatient NavigationAdultFemaleHumansMiddle AgedRandomized Controlled Trials as TopicAbnormal mammogramBreast cancerFollow-up careMammographyScreeningSocial needs

Identifiers

PMID40859259
PMCPMC12379340

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Registered trials

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.