Mammography for All: A Religiously-Tailored Intervention to Increase Mammography Among Muslim Women Living in Dearborn, Michigan

Request for Proposal

Mammography for All: A Religiously-Tailored Intervention to Increase Mammography Among Muslim Women Living in Dearborn, Michigan
Client: Henry Ford Health System

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Problem Background:
Mammography offers the best protection from breast cancer mortality for women aged 50 years and older. Currently, the U.S. Preventive Services Task Force recommends annual mammograms for women between the ages of 50 and 74, with screening under 50 being an “individual” decision. Mammography screening among women in this age group reduces breast cancer mortality by 40% when 85% of a population obtains examinations regularly. Despite an overall increase in mammography use and decrease in breast cancer mortality over the past decade, mammography remains underused among Muslim women. A study, led by Aasim Padela, who teaches medicine and directs the Initiative on Islam and Medicine at the University of Chicago, found that about 50 percent of Muslim-American women over age 40 undergo routine mammograms, compared with 67 percent of the rest of the general U.S. population of women in the same age demographic.

About Henry Ford Health System:
Henry Ford Health System is a nonprofit corporation comprised of hospitals, medical centers and one of the nation’s largest group practices, the Henry Ford Medical Group, which includes more than 1,200 physicians practicing in over 40 specialties. The System’s flagship, Henry Ford Hospital in Detroit, is a Level 1 Trauma Center recognized for clinical excellence in cardiology, cardiovascular surgery, neurology and neurosurgery, orthopedics, sports medicine, multi-organ transplants and cancer treatment. With more than 30,000 employees, Henry Ford Health System is the fifth-largest employer in metro Detroit, and among the most diverse. Henry Ford Health System offers a state-of-the-art mammography services that are described here:

Program Overview:
The client will be adapting and implementing a religiously tailored mosque-based intervention developed by Padela in Dearborn city. The intervention includes two community-based, three and a half hour education classes for Muslim women. At the education classes, an imam provides a spiritual teaching, a breast surgeon talks about the importance of mammography screening and the guidelines, and peer educators

lead group discussions about how religious beliefs may be influencing their decision to not have a mammogram. Henry Ford Health System wants to adapt this intervention, which they call Mammography for All, by adding its mobile mammography van and enabling participants to sign up for a 30-minute appointment using the mobile van or at any Henry Ford Medical Center or its Cancer Institute.

Period of Performance
The contract will be awarded for a three-year period starting October 1, 2022.

The budget for the entire length of contract will not exceed $250,000.

Scope of Work
We are seeking an external evaluator to evaluate the implementation and outcomes of their Mammography for All program. We seek both to document our work but also to improve on our program model with evaluation data. The successful external evaluator will work closely with Henry Ford Mammography for All administrative team to formalize an evaluation plan. As this is a is a multi-year initiative, the following outline on scope of work is subject to change and develop.

â— Explanation of the public health problem addressed by the program under evaluation that includes:â— Definition of the health condition or topic addressed by the program â— Review of public health data describing the epidemiology or distribution of the health condition or issue in the population targeted by the program â— Impact of health condition or issue when not addressed (e.g., cost of health care, preventable morbidity, premature mortality) â— Review of public health data describing disparities/inequities in the epidemiology/impact of the health condition or issue â— Brief review of existing or past evidence-based programs or initiatives that address the health condition or problem that have shown promise/indicate there is a gap in our understanding of the effectiveness of interventions in this areaâ— Identification of potential stakeholders â— Description of how stakeholders will be engaged in the evaluation process, including planning, implementation, analysis, and dissemination of findings â— Section describing how you will pursue planning the evaluation with the client and/or stakeholders including the development of an evaluation plan and/or pursuit of IRB approval â— Statement about whether IRB approval will be sought and from where it will be sought â— Appropriate references citing all data and evidence presented as appropriatebackground statement that presents your understanding of the Mammography for All program as context for your proposed evaluationA description about how you will engage stakeholders at all levels of the evaluation, including Right to Play administrative staff, the Mammography for All team, and the community at largeA preliminary description of the design of the Mammography for All program using a visual logic modelA description of your overall evaluation approach to evaluating the Mammography for All program, including at least one evaluation aim supported by research question(s) that you will answer as part of the proposed evaluationA detailed description of the methods and analysis that would be employed should award be made for each kind of evaluation proposed (formative, outcome, process, etc.) including at minimum:Your selected study design and justification for this approach with discussion about potential limitations of the designIdentification of your primary outcome of analysis and any secondary outcomes or measures that will be evaluatedDescription of your sample and how that sample will be constructed (e.g., purposive sampling) with attention to inclusion and exclusion criteriaAn explanation of all recruitment procedures including informed consent A description of the proposed methods for data collection, including the time periods of collection, the instruments and mode that will be used (e.g., web-based survey) to distribute themProcedures that will be used to safeguard data and protect research participantsA description of the dissemination products that would be created for the evaluation and key audiences to whom these products would be distributed