Using CHWs and HPV Home Tests to Increase Cervical Cancer Screening in Minority Populations
| Status: | Completed |
|---|---|
| Conditions: | Cervical Cancer, Cervical Cancer, Cancer, Women's Studies |
| Therapuetic Areas: | Oncology, Reproductive |
| Healthy: | No |
| Age Range: | 30 - 65 |
| Updated: | 10/19/2018 |
| Start Date: | October 10, 2011 |
| End Date: | February 17, 2015 |
Research Project of the South Florida Center for Reducing Cancer Disparities (SUCCESS): Testing CHWs and HPV Self-Sampling to Increase Cervical Cancer Screening Among Minority Immigrants in Miami-Dade County:
Caribbean immigrants (both Hispanics and Blacks from Haiti) are less likely to be screened
for cervical cancer than the general population. One promising approach is outreach
strategies that employ Community Health Workers (CHWs). Yet even in well structured CHW
programs, many women remain unscreened. In our NCI Community Networks sponsored project, we
are testing an approach that combines CHWs with self sampling for the human papilloma virus
(HPV) as a screening strategy among such hard to reach populations.
for cervical cancer than the general population. One promising approach is outreach
strategies that employ Community Health Workers (CHWs). Yet even in well structured CHW
programs, many women remain unscreened. In our NCI Community Networks sponsored project, we
are testing an approach that combines CHWs with self sampling for the human papilloma virus
(HPV) as a screening strategy among such hard to reach populations.
Building on our existing community partnerships, we propose a randomized CBPR study among 600
women in three underserved communities in Miami-Dade County to determine optimal approaches
to increase cervical cancer screening among Caribbean and other underserved women. The study
is a three arm study with 200 women randomized at each site over 3 years. Women in the
control group would be exposed to NCI approved culturally and linguistically appropriate
outreach and educational materials on cervical cancer screening. Our two specific aims are 1)
to determine if as compared to our control group, women randomized to the community health
worker intervention group consisting one on one health education and facilitation of
referrals to existing screening programs results in increase proportion of women who are
screened 2) to determine if as compared to the CHW group, women randomized to a CHW
intervention with the addition of a home based self-sampling strategy results in an
additional increase in proportion of women who are screened versus the CHW group without HPV
sampling. Secondary outcomes include comparisons of a) measures of access to care (health
insurance, having a usual source of care, and visit to provider in six months) b) cost of
providing the intervention in order to determine the cost of recruiting an individual woman
into screening c) among women having abnormal screens, time to follow-up and further testing.
women in three underserved communities in Miami-Dade County to determine optimal approaches
to increase cervical cancer screening among Caribbean and other underserved women. The study
is a three arm study with 200 women randomized at each site over 3 years. Women in the
control group would be exposed to NCI approved culturally and linguistically appropriate
outreach and educational materials on cervical cancer screening. Our two specific aims are 1)
to determine if as compared to our control group, women randomized to the community health
worker intervention group consisting one on one health education and facilitation of
referrals to existing screening programs results in increase proportion of women who are
screened 2) to determine if as compared to the CHW group, women randomized to a CHW
intervention with the addition of a home based self-sampling strategy results in an
additional increase in proportion of women who are screened versus the CHW group without HPV
sampling. Secondary outcomes include comparisons of a) measures of access to care (health
insurance, having a usual source of care, and visit to provider in six months) b) cost of
providing the intervention in order to determine the cost of recruiting an individual woman
into screening c) among women having abnormal screens, time to follow-up and further testing.
Inclusion Criteria:
- Haitian, Hispanic or African American women
- ages 30-65 years
- not having had a pap smear in the last three years
- live in Miami-Dade County
Exclusion Criteria:
- having had a hysterectomy
- history of cervical cancer
- plan to move out of the neighborhood during the next six months
- are enrolled in any other cancer prevention/outreach related study
We found this trial at
1
site
University of Miami A private research university with more than 15,000 students from around the...
Click here to add this to my saved trials
