"Health is Wealth" Program for Cervical Cancer Prevention
Recruiting in Palo Alto (17 mi)
Age: 18+
Sex: Female
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: AdegboyegaA
Disqualifiers: Non-black, Hysterectomy, Cervical cancer, Pregnant, others
No Placebo Group
Trial Summary
What is the purpose of this trial?The goal of this study is to develop and pilot test an intervention, entitled Health is Wealth: A Cervical Health Program, designed to promote screening and reduce perceived barriers to Cervical Cancer (CC) screening.
Aim 1: Examine general awareness and cultural factors (fatalism, religiosity/spirituality, temporal orientation, medical mistrust, and acculturation) related to cancer control and prevention among African Americans (AA) and Sub Saharan African (SAI) Immigrants.
Aim 2: Examine the socioecological barriers and facilitators to CC screening and self-sampling to inform tailoring of an evidenced based cervical health program to promote CC screening.
Aim 3: Assess feasibility, acceptability, and preliminary efficacy in a pilot test of the Health is Wealth: A Cervical Health Program among 30 AA and 30 SAI women using quasi-experimental design.
This study will take place in 2 phases.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What data supports the effectiveness of the Health is Wealth: A Cervical Health Program treatment?
The effectiveness of cervical cancer prevention programs is supported by research showing that increasing access to screening and education, especially in underserved populations, can save lives and improve health outcomes. Programs like the National Breast and Cervical Cancer Early Detection Program and community health worker models have been effective in increasing screening rates and awareness, which are key components of cervical cancer prevention.
12345How does the 'Health is Wealth' treatment for cervical cancer prevention differ from other treatments?
The 'Health is Wealth' program is unique because it focuses on community-based cervical cancer prevention, allowing communities to manage screening while healthcare systems concentrate on evaluating and managing positive cases. This approach differs from traditional methods by integrating screening, diagnosis, treatment, and education in familiar community settings, such as churches, making it more accessible and potentially increasing adherence.
12678Eligibility Criteria
This trial is for Black women, either African American or Sub-Saharan African Immigrant, living in Kentucky who haven't had a pap smear in the last three years or a pap/HPV co-test in five. Participants must speak and write English but can't join if they've had a hysterectomy, cervical cancer history, are pregnant, or don't meet the residency and identity criteria.Inclusion Criteria
Able to speak and write in English
I haven't had a pap smear in the last 3 years or a pap smear/HPV test in 5 years.
Self-identify as Black woman (African American or Sub-Saharan African Immigrant)
+1 more
Exclusion Criteria
Being pregnant
Do not self-identify as Black woman (African American or Sub-Saharan African Immigrant)
I have had a hysterectomy.
+3 more
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2-4 weeks
Phase 1: Survey and Focus Groups
Conduct a cross-sectional survey with 150 Black men and women to examine factors impacting cervical cancer screening and employ focus groups with 30 participants to guide development of a tailored intervention.
8 weeks
Phase 2: Intervention Pilot Test
Assess feasibility, acceptability, and preliminary efficacy of the Health is Wealth: A Cervical Health Program intervention among 30 African American and 30 Sub-Saharan African immigrant women.
6 months
Baseline, immediately post-test, 6 month follow-up
Follow-up
Participants are monitored for changes in cervical cancer knowledge, HPV knowledge, self-efficacy, perceived barriers, benefits, susceptibility, and seriousness.
6 months
Participant Groups
The study tests 'Health is Wealth: A Cervical Health Program' aimed at increasing cervical cancer screening rates. It explores cultural attitudes towards health and identifies barriers to screening. The program's feasibility and effectiveness will be pilot tested on 60 women using a quasi-experimental design over two phases.
1Treatment groups
Experimental Treatment
Group I: Black women cervical cancer screeningExperimental Treatment1 Intervention
Participants in this group with receive the Health is Wealth intervention.
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
University of KentuckyLexington, KY
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Who Is Running the Clinical Trial?
AdegboyegaALead Sponsor
Adebola AdegboyegaLead Sponsor
National Cancer Institute (NCI)Collaborator
References
The development and evaluation of a community based model for cervical cancer screening based on self-sampling. [2022]To develop and implement a community based model for cervical cancer prevention that allows the communities to manage the screening and the healthcare system to focus resources on evaluation and management of the positives.
Estimating the impact of increasing cervical cancer screening in the National Breast and Cervical Cancer Early Detection Program among low-income women in the USA. [2023]The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides free cervical cancer screening to low-income women. This study estimated the health benefits gained in terms of life years (LYs) saved and quality-adjusted life years (QALYs) gained if cervical cancer screening by the NBCCEDP increased to reach more eligible women.
A Culturally Sensitive Approach to Cervical Cancer Prevention in the Latina Population Using the Promotora Model. [2021]Latina women of low socioeconomic status are particularly vulnerable to morbidity and mortality from cervical cancer. Lower rates of screening are associated with increased mortality rates in this population. Community health workers known as promotoras de salud can be an effective part of the health care team to help improve health care access in this population. Promotoras using a cervical cancer education curriculum known as AMIGAS can help promote access to services, provide education, and possibly save lives in an underserved population. Nurses and advanced practice nurses who care for underserved Latina women can collaborate with promotoras to increase women's knowledge of cervical cancer screening and of community-based resources available to increase their access to Pap testing and human papillomavirus vaccination.
[Prevention of cervical and breast cancer in health services and non-governmental organizations in the city of Buenos Aires]. [2019]The article analyzes actions for the prevention of cervical and breast cancer in public, private, and employment-based health services and in non-governmental organizations in the city of Buenos Aires. The article seeks to reflect on the reach and limitations of the approaches implemented in the three subsectors of the health care system and the community to prevent women from suffering or eventually dying as a consequence of these diseases, in the fragmented context of a health system with great heterogeneity in access and deep social inequalities in the use of preventive actions. The study utilizes a broad definition of prevention which integrates education, awareness-building and early detection of pre-carcinogenic and carcinogenic lesions, among other medical and non-medical components. The results were obtained using semi-structured interviews with subjects from public hospitals, employment-based health care services, private medical companies and non-governmental organizations with work in cancer prevention. These results show that contrary to a comprehensive approach, each institution limits its actions to only one aspect of prevention, implementing predominately isolated or disconnected actions inadequate to generate an autonomous and well-informed demand for treatment and health care among women.
How to reduce the impact of cervical cancer worldwide: Gaps and priority areas identified through the essential cancer and primary care packages: An analysis of effective interventions. [2021]Cervical cancer is a preventable cancer; therefore, countries should provide strategic, evidence-based health services to reduce its incidence and impact on their populations. Two packages of health services that group together all the services related to cervical cancer, the Essential Cancer Package (9 interventions) and the Primary Care Package (5 interventions), are defined in this article with the aim of assessing the global status of the availability of health services and their coverage in 194 countries worldwide.
A single-visit cervical carcinoma prevention program offered at an inner city church: A pilot project. [2006]A single-visit cervical carcinoma prevention program was implemented, integrating screening, diagnosis, treatment, and health education in the familiar environment of the community church.
Cervical cancer screening coverage in a high-incidence region. [2019]OBJECTIVE To analyze the coverage of a cervical cancer screening program in a city with a high incidence of the disease in addition to the factors associated with non-adherence to the current preventive program. METHODS A cross-sectional study based on household surveys was conducted. The sample was composed of women between 25 and 59 years of age of the city of Boa Vista, RR, Northern Brazil who were covered by the cervical cancer screening program. The cluster sampling method was used. The dependent variable was participation in a women's health program, defined as undergoing at least one Pap smear in the 36 months prior to the interview; the explanatory variables were extracted from individual data. A generalized linear model was used. RESULTS 603 women were analyzed, with an mean age of 38.2 years (SD = 10.2). Five hundred and seventeen women underwent the screening test, and the prevalence of adherence in the last three years was up to 85.7% (95%CI 82.5;88.5). A high per capita household income and recent medical consultation were associated with the lower rate of not being tested in multivariate analysis. Disease ignorance, causes, and prevention methods were correlated with chances of non-adherence to the screening system; 20.0% of the women were reported to have undergone opportunistic and non-routine screening. CONCLUSIONS The informed level of coverage is high, exceeding the level recommended for the control of cervical cancer. The preventive program appears to be opportunistic in nature, particularly for the most vulnerable women (with low income and little information on the disease). Studies on the diagnostic quality of cervicovaginal cytology and therapeutic schedules for positive cases are necessary for understanding the barriers to the control of cervical cancer.
Development of an educational program to prevent cervical cancer among immigrants in Korea. [2019]This study developed and measured the effects of a cervical cancer prevention program for married women immigrants.