An Inventory of Avon Foundation for Women Breast Cancer Patient Navigation Programs Open Access

Stanley, Sandte La Bren (2011)

Permanent URL: https://etd.library.emory.edu/concern/etds/5x21tf979?locale=en
Published

Abstract

Abstract
An Inventory of Avon Foundation for Women Breast Cancer Patient Navigation Programs
By Sandte Stanley


The Avon Foundation for Women grantees provide breast cancer services through patient navigation. The purpose of this study is to explore the variation in the use and services of navigators, describe the audiences they serve, treatment completion, and evaluation mechanisms. Fifty-six Avon patient navigation programs funded since 2008 throughout the United States; 44 (81%) complete responses were received. Programs were racially and ethnically diverse mostly serving Hispanics (30%) and African Americans (31%). The age of clients was mostly in the 40-64 years old (64%) range. A majority of clients that PN programs (90%) served had an average income of less than $30,000. Programs tended to serve either uninsured (50.7%) or clients with access to Medicaid (32.4%). PN programs were both community-based and hospital-based programs (22.5%) operating from safety-net settings (35.2%). All Avon Foundation for Women Grantees incorporate some type of navigation services within their programs. Patient navigators provided these types of services: diagnostic services such as breast imagining (e.g. mammography and breast ultrasound) and various types of therapy. Barriers to care within the Avon funded PN programs were consistent with barriers found in previous research, including issues of transportation, access to appointments, language barriers, and financial issues (e.g. cost of screening and treatment specifically for those uninsured). PN programs found ways to reduce multiple barriers through offering onsite services which help to negate multiple systems and social barriers. The purpose of this study is to explore the variation in the use and services of navigators, describe the audiences they serve, and evaluation mechanisms of these programs.

An Inventory of Avon Foundation for Women Breast Cancer Patient Navigation Programs
By
Sandte Stanley
Bachelor of Arts in Psychology
Michigan State University
2009
Thesis Committee Chair: Cam Escoffery, PhD, MPH, CHES
An abstract of
A thesis submitted to the Faculty of the
Rollins School of Public Health of Emory University
in partial fulfillment of the requirements for the degree of
Master of Public Health
in Behavioral Sciences and Health Education
2011

Table of Contents

Table of Contents
Chapter 1: Introduction

Introduction...1
Purpose Statement...5
Research Questions...5
Definition of Key Terms...5

Chapter 2: Review of Literature

Review of Literature...7
Breast cancer statistics...7
Barriers to breast cancer services...8
Patient Navigation interventions...10
Outcomes of PN interventions...12
PN's impact on barriers to breast cancer after abnormal screenings...12
Gap in literature...13

Chapter 3: Methodology

Methodology...15
Study design...15
Participants...15
Measures...16
Procedures...17
Data analysis...17
Results...18

Chapter 4: Discussion

Discussion...25

References...30
Appendix A

Avon Foundation Programming Survey...32

Appendix B

Invitation letter...43

Appendix C

Article to be submitted to Journal of American Cancer Society...44

About this Master's Thesis

Rights statement
  • Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.
School
Department
Degree
Submission
Language
  • English
Research field
Keyword
Committee Chair / Thesis Advisor
Committee Members
Partnering Agencies
Last modified

Primary PDF

Supplemental Files