Increasing Breast Cancer Surveillance among African American Breast Cancer Survivors
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... ters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. OF ABSTRACT OF PAGES USAMRMC a. REPORT b. ABSTRACT c. THIS PAGE 19b. TELEPHONE NUMBER (include area U U U UU 114 code) Standard Form 298 (Rev. 8-98) Abstract Breast cancer survivors are at elevated risk for developing a new breast cancer compared to healthy women, and are at considerable risk for breast cancer recurrence. According to the American Society of Clinical Oncology, survivors should undergo careful breast cancer surveillance including annual mammography and breast selfexam. However, studies indicate that breast cancer surveillance among African American survivors, particularly mammography, is low, especially given the higher risk of survivors as a group. The promotion of breast cancer surveillance among African American survivors is an area that deserves special attention as cancers detected early are more treatable. One promising strategy is the adaptation of a peer-led intervention developed to increase screening among healthy African American women. The objectives of the current study are: 1) to evaluate the impact of a peer-led intervention on breast cancer surveillance intention and adherence among African American breast cancer survivors through a randomized controlled trial; and 2) to investigate the mediational pathways through which the peer-led intervention impacts surveillance intention and adherence.