Enhancing Access to Supportive Services for Women of Color With Metastatic Breast Cancer
Black and Latina women experience disparities in supportive and palliative care access and outcomes. The goal of the proposed pilot study is to evaluate the feasibility and acceptability of a community navigator delivered supportive care intervention for historically underserved populations of women with metastatic breast cancer.
Conditions studied
Metastatic Breast Cancer, Stage IV Breast Cancer AJCC V7
About this study
Black and Latina women experience disparities in supportive and palliative care access and outcomes. The goal of the proposed pilot study is to evaluate the feasibility and acceptability of a community navigator delivered supportive care intervention for historically underserved populations of women with metastatic breast cancer.
Interventions
- Behavioral: ACCESS Supportive Care — ACCESS Supportive Care includes: 1. Coaching sessions: 6 one-hour weekly Community Navigator led supportive and early palliative care health coaching sessions. Sessions will be hybrid (in-person or virtual) per participant preference. 2. Monthly check-in: Monthly check-ins (\~5-10 minutes) about their supportive care and social determinants of health needs over 16 weeks. 3. Scheduling of outpatient supportive oncology appointment if interested. 4. Community linkage: Warm hand offs and connection to community resources to enhance access to support groups, educational workshops, and healthy lifestyle services.
- Behavioral: Phone sessions — 6 weekly phone sessions, approximately 10 minutes in length each, to review breast cancer and supportive and palliative care resources in NYC and online. The 6 weekly phone sessions will include the topics discussed in the intervention arm but will be informational in nature. The phone sessions will be followed by monthly check-ins (\~5 minutes) to review and answer questions about the resources for the duration of 16 weeks.
Primary outcomes
- Number of participants recruited (at 9 months)
- Number of participants remaining in study (at 9 months)
- Number of times navigator communicates with oncology team (9 months)
- Number of times participants connect to resources (9 months)
- Number of visits (6 months)
- Number of phone calls (9 months)
- Number of visits conducted according to the ACCESS manual (9 months)
- Change in The Impact of Event Scale - Revised (IES-R) scores (Baseline and 9 months)
Eligibility information
Study locations
- Mount Sinai Hospital, New York, New York 10029 United States
Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-11-09.