Cervical Cancer Screening Intervention Among Korean American Women
| Status: | Completed |
|---|---|
| Conditions: | Women's Studies |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | 21 - Any |
| Updated: | 3/3/2019 |
| Start Date: | February 2009 |
| End Date: | December 2014 |
Facilitating Cervical Cancer Screening Among Underserved Korean American Women
This is a randomized trial to evaluate the effects of a community-based intervention on
increasing cervical cancer screening rates in underserved Korean American women. Due to the
multiple factors that contribute to screening uptake, an educational program customized to
Korean culture combined with navigation assistance may be effective in increasing the number
of Korean American women who can access cervical cancer screening.
increasing cervical cancer screening rates in underserved Korean American women. Due to the
multiple factors that contribute to screening uptake, an educational program customized to
Korean culture combined with navigation assistance may be effective in increasing the number
of Korean American women who can access cervical cancer screening.
PRIMARY OBJECTIVES:
I. To evaluate the efficacy of a culturally-appropriate educational intervention compared to
a general cancer health education program in increasing cervical cancer screening among
Korean American women.
SECONDARY OBJECTIVES:
I. To examine the effects of a culturally-appropriate intervention on women's knowledge,
psychosocial beliefs about cervical cancer and screening, and barriers to screening compared
to a general cancer health education program.
II. To examine the extent to which changes in knowledge, psychosocial beliefs, and barriers
mediate the effects of the intervention on screening behavior.
OUTLINE: Participants are randomized to 1 of 2 arms.
ARM I (INTERVENTION CONDITION): Participants undergo a culturally appropriate, church-based
intervention comprised of four components: 2-hour small group education sessions delivered at
church sites by professional, bilingual community health educators (CHEs) that include
culturally appropriate visual aids and print materials in Korean; navigation assistance,
including language services, appointment scheduling, and transportation assistance from CHEs
and church health workers (CHWs); referrals to Pap test sites; and a 6-month reminder letter
for screening.
ARM II (CONTROL CONDITION): Participants undergo 2-hour general health and cancer education
by bilingual CHEs, which covers nutrition, regular check-ups, tobacco use, and cancer
screening. Participants also receive pre-existing written material produced by the American
Cancer Society (ACS), National Institutes of Health (NIH), and Centers for Disease Control
(CDC)., and are advised to seek regular preventive health services.
After completion of study, participants are followed up post-intervention and at 12 months.
I. To evaluate the efficacy of a culturally-appropriate educational intervention compared to
a general cancer health education program in increasing cervical cancer screening among
Korean American women.
SECONDARY OBJECTIVES:
I. To examine the effects of a culturally-appropriate intervention on women's knowledge,
psychosocial beliefs about cervical cancer and screening, and barriers to screening compared
to a general cancer health education program.
II. To examine the extent to which changes in knowledge, psychosocial beliefs, and barriers
mediate the effects of the intervention on screening behavior.
OUTLINE: Participants are randomized to 1 of 2 arms.
ARM I (INTERVENTION CONDITION): Participants undergo a culturally appropriate, church-based
intervention comprised of four components: 2-hour small group education sessions delivered at
church sites by professional, bilingual community health educators (CHEs) that include
culturally appropriate visual aids and print materials in Korean; navigation assistance,
including language services, appointment scheduling, and transportation assistance from CHEs
and church health workers (CHWs); referrals to Pap test sites; and a 6-month reminder letter
for screening.
ARM II (CONTROL CONDITION): Participants undergo 2-hour general health and cancer education
by bilingual CHEs, which covers nutrition, regular check-ups, tobacco use, and cancer
screening. Participants also receive pre-existing written material produced by the American
Cancer Society (ACS), National Institutes of Health (NIH), and Centers for Disease Control
(CDC)., and are advised to seek regular preventive health services.
After completion of study, participants are followed up post-intervention and at 12 months.
Inclusion Criteria:
- Self-identified Korean ethnicity
- Possessing a functional telephone in the home or on person
- Anticipated presence in this geographic region for a period of one year
Exclusion Criteria:
- A current diagnosis of cervical cancer
- Have had a Pap test within the past 12 months
- Are currently adherent to doctor recommended screening interval
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