Translating Research Into Practice Intervention

The TRIP Project aims to overcome barriers to widespread implementation and dissemination of
evidence-based practices that will improve the delivery of guideline-concordant care to
vulnerable women with breast cancer. To accomplish this goal the study team will create (a)
regional patient registries; (b) systematic screening for social barriers to care with a
personalized referral plan; and (c) patient navigation services that integrate into one model
of care to improve the quality and effectiveness of care delivery, for minority and/or
low-income women with breast cancer in Boston.

Inclusion Criteria:

1. are an adult female 18 years of age or older;

2. reside within 25 miles of the City of Boston;

3. have any of the following risk factors for delays in care: are Black and/or Hispanic
ethnicity, do not speak English as their primary language, and/or have only public
insurance or are uninsured at the time of diagnosis.

Exclusion Criteria:

1. cancer diagnosis made > 60 days prior to enrollment, such that the ability of the
intervention to effect the outcome is limited;

2. presence of a cognitive impairment such as dementia or delirium from any cause (e.g.
metabolic, medication or drug induced), given the unique challenges to their treatment
decision making/ adherence and the fact that the intervention would not include the
patient directly, but rather the family;

3. home residence is outside of the city of Boston, Massachusetts.