Active Mammography and Counseling

Recruiting now · Not applicable

Conditions studied: Breast Cancer Prevention

In brief

The Puerto Rico Community Engagement Alliance (PR-CEAL) is an NIH-funded initiative which aims to improve health literacy and healthcare access across Puerto Rico. In 2024, the program developed a new study which goal is to improve breast cancer screening rates in Puerto Rico titled Monitoreo Activo de Mamografía y Orientación (MAMO). This multi-level study will recruit non-adherent women based on residence, age (40 to 74 years old), and having had two or more years since their last breast cancer screening. The intervention will focus on 39 municipalities with screening rates below the median, through three different levels: educational, navigation, and integration. At the educational level, the intervention will employ a community-based recruitment strategy led by Community Health Workers (CHWs), who will identify eligible women at community venues and conduct follow-up via telephone to provide educational support. Drawing on findings from a previous pilot study and addressing barriers specific to non- adherent women, the navigation-level intervention will incorporate the role of a Community Navigator to deliver tailored support and facilitate breast cancer screening uptake through collaboration with local networks and partnerships. The integration-level intervention will build upon the educational and navigation components by enhancing knowledge, attitudes, skills, and organizational processes within Federally Qualified Health Clinics (FQHCs). This component is designed to foster a supportive healthcare environment that encourages routine mammography screening. The integration-level intervention will be implemented in four FQHCs across PR.

Key facts

Study ID: NCT07238088
Run by: University of Puerto Rico Comprehensive Cancer Center
People needed: 1020
Starts: 2026-01-14
Expected to finish: 2028-02-28
Last updated by the study team: 2026-04-22

Who can join

Age: 40 and older, up to 74. Sex: female. Healthy volunteers: accepted.

You may qualify if…

Women (biological sex at birth) aged 40- 74
Residing in one of 39 municipalities across Puerto Rico whose having a low breast cancer screening rate below the median (38.6%): Aibonito, Arecibo, Barceloneta, Caguas, Camuy, Comerío, Corozal, Florida, Las Piedras, Loíza, Naguabo, Vieques, Villalba, Añasco, Carolina, Cayey, Dorado, Guayanilla, Guaynabo, Isabela, Juana Diaz, Juncos, Luquillo, Manatí, Peñuelas, Quebradillas, Cabo Rojo, Canóvanas, Ceiba, Ciales, Coamo, Culebra, Fajardo, Morovis, Ponce, Sabana Grande, San Juan, Santa Isabel, and Trujillo Alto.
Overdue for breast cancer screening by one or more years, in accordance with annual guidelines
Adequate cognitive orientation as verified by a brief version of the Mini-Mental State Examination
Access to a telephone for follow-up and communication
Ability to read and comprehend Spanish to engage with educational materials.

You may not qualify if…

Women outside the specified age range (40-74)
Up to date in breast cancer screening according to the annual recommendations.
No cognitive orientation
Participants without access to a telephone
Unable to read and comprehend Spanish
Women undergoing active cancer treatment
History of radical mastectomy

Where it is running

UPR-Comprehensive Cancer Center — San Juan, Puerto Rico (enrolling)

Full record on ClinicalTrials.gov

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