{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T06:55:48Z","timestamp":1773298548003,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,12,2]],"date-time":"2021-12-02T00:00:00Z","timestamp":1638403200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["R01MD009682"],"award-info":[{"award-number":["R01MD009682"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The objective of this randomized trial was to evaluate the short\u2010term effect of bilingual written and interpersonal education regarding mammographic breast density (MBD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Latinas aged 40 to 74 years who were presenting for screening mammography were recruited and randomized 1:1:1 to receive a letter with their mammogram and MBD results (usual care [UC]), a letter plus a brochure (enhanced care [ENH]), or a letter plus a brochure and telephonic promotora education (interpersonal care [INT]). Surveys were administered at enrollment (T<jats:sub>0<\/jats:sub>) and 2 weeks to 6 months after intervention delivery (T<jats:sub>1<\/jats:sub>). Differences were assessed with \u03c7<jats:sup>2<\/jats:sup>, Kruskal\u2010Wallis, and McNemar tests and pairwise comparisons as appropriate. INT metrics and audio recordings were analyzed with descriptive statistics and qualitative content analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between October 2016 and October 2019, 943 of 1108 Latina participants (85%) completed both surveys. At T<jats:sub>1<\/jats:sub>, INT participants were more likely (<jats:italic>P<\/jats:italic> &lt; .001) to report seeing their MBD results in the letter (70.2%) than UC (53.1%) or ENH participants (55.1%). The percentage of INT women who reported speaking with a provider about MBD (29.0%) was significantly greater (<jats:italic>P<\/jats:italic> &lt; .001) than the percentage of UC (14.7%) or ENH participants (15.6%). All groups saw significant (<jats:italic>P<\/jats:italic> &lt; .001) but nondifferential improvements in their knowledge of MBD as a masking and risk factor. In the INT group, the promotora delivered education to 77.1% of the 446 participants randomized to INT and answered questions at 28.3% of the encounters for an average of $4.70 per participant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Among Latinas in a low\u2010resource setting, MBD knowledge may increase with written or interpersonal education, but with modest investment, interpersonal education may better improve MBD awareness and prompt patient\u2010provider discussions.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.34017","type":"journal-article","created":{"date-parts":[[2021,12,2]],"date-time":"2021-12-02T10:24:08Z","timestamp":1638440648000},"page":"1038-1047","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Evaluating educational interventions to increase breast density awareness among Latinas: A randomized trial in a Federally Qualified Health Center"],"prefix":"10.1002","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7658-6763","authenticated-orcid":false,"given":"Jennifer L.","family":"Ridgeway","sequence":"first","affiliation":[{"name":"Robert D. and Patricia E. 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