TY - JOUR
T1 - The integration of value assessment and social network methods for breast health navigation among African Americans
AU - Molina, Yamilé
AU - Kao, Szu-Yu
AU - Bergeron, Nyahne Q
AU - Strayhorn-Carter, Shaila M
AU - Strahan, Desmona C
AU - Asche, Carl
AU - Watson, Karriem S
AU - Khanna, Aditya S
AU - Hempstead, Bridgette
AU - Fitzpatrick, Veronica
AU - Calhoun, Elizabeth A
AU - McDougall, Jean
N1 - Molina Y, Kao SY, Bergeron NQ, et al. The Integration of Value Assessment and Social Network Methods for Breast Health Navigation Among African Americans. Value Health. 2023;26(10):1494-1502. doi:10.1016/j.jval.2023.06.001
PY - 2023/10/1
Y1 - 2023/10/1
N2 - Objectives: A major strategy to reduce the impact of breast cancer (BC) among African Americans (AA) is patient navigation, defined here as individualized assistance for reducing barriers to healthcare use. The primary focus of this study was to estimate the added value of incorporating breast health promotion by navigated participants and the subsequent BC screenings that network members may obtain. Methods: In this study, we compared the cost-effectiveness of navigation across 2 scenarios. First, we examine the effect of navigation on AA participants (scenario 1). Second, we examine the effect of navigation on AA participants and their networks (scenario 2). We leverage data from multiple studies in South Chicago. Our primary outcome (BC screening) is intermediate, given limited available quantitative data on the long-term benefits of BC screening for AA populations. Results: When considering participant effects alone (scenario 1), the incremental cost-effectiveness ratio was $3845 per additional screening mammogram. When including participant and network effects (scenario 2), the incremental cost-effectiveness ratio was $1098 per additional screening mammogram. Conclusion: Our findings suggest that inclusion of network effects can contribute to a more precise, comprehensive assessment of interventions for underserved communities.
AB - Objectives: A major strategy to reduce the impact of breast cancer (BC) among African Americans (AA) is patient navigation, defined here as individualized assistance for reducing barriers to healthcare use. The primary focus of this study was to estimate the added value of incorporating breast health promotion by navigated participants and the subsequent BC screenings that network members may obtain. Methods: In this study, we compared the cost-effectiveness of navigation across 2 scenarios. First, we examine the effect of navigation on AA participants (scenario 1). Second, we examine the effect of navigation on AA participants and their networks (scenario 2). We leverage data from multiple studies in South Chicago. Our primary outcome (BC screening) is intermediate, given limited available quantitative data on the long-term benefits of BC screening for AA populations. Results: When considering participant effects alone (scenario 1), the incremental cost-effectiveness ratio was $3845 per additional screening mammogram. When including participant and network effects (scenario 2), the incremental cost-effectiveness ratio was $1098 per additional screening mammogram. Conclusion: Our findings suggest that inclusion of network effects can contribute to a more precise, comprehensive assessment of interventions for underserved communities.
KW - African American
KW - breast cancer
KW - cost effectiveness
KW - patient navigation
UR - https://institutionalrepository.aah.org/allother/546
UR - https://libkey.io/libraries/1712/10.1016/j.jval.2023.06.001
U2 - 10.1016/j.jval.2023.06.001
DO - 10.1016/j.jval.2023.06.001
M3 - Article
C2 - 37301367
JO - Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research
JF - Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research
ER -