A lay health worker intervention to improve breast and cervical cancer screening among Latinas in El Paso, Texas: A randomized control trial

Savas, Lara S.; Atkinson, John; Figueroa-Solis, Erika; Valdes, Adriana; Morales, Pat; Castle, Philip E.; Fernández, María E.

doi:10.1016/j.ypmed.2021.106446

Cited by 12 publications

(15 citation statements)

References 27 publications

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“…In Korea, according to the KNCSS in 2020, the main reasons for non-participation in cervical cancer screening programs were “because of being healthy” and “no time” (data not shown). In this context, interventions to increase access to the healthcare system (i.e., vaginal self-sampling as an alternative Pap test to reduce logistical barriers about time) or to change the perception of cervical cancer and screening (i.e., educational intervention by community health workers or leaders who are more familiar with non-attendants), especially for persons with a low socioeconomic level [ 17 18 19 ], have been conducted, and a positive performance for increasing screening rates has been recorded. So far, in Korea, studies on the feasibility of self-sampling and intervention studies to increase knowledge on cervical cancer prevention have been conducted [ 20 21 22 ], but in-depth studies involving women with a low socioeconomic status who do not participate in cervical cancer screening are rare.…”

Section: Discussionmentioning

confidence: 99%

Trends in cervical cancer screening rates among Korean women: results of the Korean National Cancer Screening Survey, 2005–2020

et al. 2022

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Objective This study aimed to analyze the trends in cervical cancer screening rates, including organized and opportunistic cancer screening rates, with the Papanicolaou test among Korean women. Methods Data were collected from a nationwide, cross-sectional, Korean National Cancer Screening Survey. To evaluate the cervical cancer screening rates, we used the screening approach of “ cervical cancer screening rate with recommendation ,” defined as the proportion of women who underwent the Papanicolaou test during the previous 2 years according to the Protocol of National Cancer Screening Program for Cervical Cancer in Korea. The joinpoint regression analysis, which describes the annual percent change (APC), was performed to detect significant changes in cervical cancer screening rates in women aged 30-74 years during 2005-2020. Results The cervical cancer screening rate was 56.0% in 2020. From 2005 to 2013, there was a rising trend in cervical cancer screening rates (APC=2.70%, 95% confidence interval [CI]:1.05 to 4.38), followed by a falling trend (APC=−2.67%, 95% CI:−4.3 to −1.01). The falling trend was significantly associated with age (≥40 years), education level (below the 15th grade), household income (below the middle-income level), and residence (all residential areas). Conclusion The recent falling trend was more common in women with a low socioeconomic status, which suggests that there is a socioeconomic gap in cervical cancer screening. Moreover, young women in their thirties had a low screening rate. Therefore, an active participation strategy for women vulnerable to cervical cancer is required.

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Section: Discussionmentioning

confidence: 99%

Trends in cervical cancer screening rates among Korean women: results of the Korean National Cancer Screening Survey, 2005–2020

et al. 2022

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“…The University of Texas Health Science Center at Houston CPCRN used mini grants to address cancer-related health disparities, particularly among the Lantin(o/a/e). This included a mini-grant to the Cancer and Chronic Disease Consortium of El Paso (CCDC), a small community-based organization that leveraged the experience supported through the mini-grant to then obtain a larger grant from the Cancer Prevention and Research Institute of Texas to adapt and implement an EBI for increasing breast and cervical cancer screening among Latinas [ 15 ]. In addition to awarding mini grants, CPCRN centers (The University of Washington and the University of North Carolina) have partnered with mini-grant funders (e.g., Komen Foundation, State Health Department) and have provided training and TA to their grantees.…”

Section: Cpcrn Capacity-building Activitiesmentioning

confidence: 99%

Twenty years of capacity building across the cancer prevention and control research network

Wangen

Escoffery

Fernández

et al. 2023

Cancer Causes Control

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Purpose To improve population health, community members need capacity (i.e., knowledge, skills, and tools) to select and implement evidence-based interventions (EBIs) to fit the needs of their local settings. Since 2002, the Centers for Disease Control and Prevention has funded the national Cancer Prevention and Control Research Network (CPCRN) to accelerate the implementation of cancer prevention and control EBIs in communities. The CPCRN has developed multiple strategies to build community members’ capacity to implement EBIs. This paper describes the history of CPCRN’s experience developing and lessons learned through the use of five capacity-building strategies: (1) mini-grant programs, (2) training, (3) online tools, (4) evidence academies, and (5) evaluation support for partners’ capacity-building initiatives. Methods We conducted a narrative review of peer-reviewed publications and grey literature reports on CPCRN capacity-building activities. Guided by the Interactive Systems Framework, we developed histories, case studies, and lessons learned for each strategy. Lessons were organized into themes. Results Three themes emerged: the importance of (1) community-engagement prior to and during implementation of capacity-building strategies, (2) establishing and sustaining partnerships, and (3) co-learning at the levels of centers, networks, and beyond. Conclusion CPCRN activities have increased the ability of community organizations to compete for external funds to support implementation, increased the use of evidence in real-world settings, and promoted the broad-scale implementation of cancer control interventions across more than eight states. Lessons from this narrative review highlight the value of long-term thematic networks and provide useful guidance to other research networks and future capacity-building efforts.

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“…Over the past 2 decades, interventions to improve screening have demonstrated efficacy for tailored messaging delivered through print, telephone, and technology . Furthermore, patient navigation is effective in increasing cancer screening .…”

Section: Introductionmentioning

confidence: 99%

Comparative Effectiveness of 2 Interventions to Increase Breast, Cervical, and Colorectal Cancer Screening Among Women in the Rural US

et al. 2023

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ImportanceWomen living in rural areas have lower rates of breast, cervical, and colorectal cancer screening compared with women living in urban settings.ObjectiveTo assess the comparative effectiveness of (1) a mailed, tailored digital video disc (DVD) intervention; (2) a DVD intervention plus telephonic patient navigation (DVD/PN); and (3) usual care with simultaneously increased adherence to any breast, cervical, and colorectal cancer screening that was not up to date at baseline and to assess cost-effectiveness.Design, Setting, and ParticipantsThis randomized clinical trial recruited and followed up women from rural Indiana and Ohio (community based) who were not up to date on any or all recommended cancer screenings. Participants were randomly assigned between November 28, 2016, and July 1, 2019, to 1 of 3 study groups (DVD, DVD/PN, or usual care). Statistical analyses were completed between August and December 2021 and between March and September 2022.InterventionThe DVD interactively assessed and provided messages for health beliefs, including risk of developing the targeted cancers and barriers, benefits, and self-efficacy for obtaining the needed screenings. Patient navigators counseled women on barriers to obtaining screenings. The intervention simultaneously supported obtaining screening for all or any tests outside of guidelines at baseline.Main Outcomes and MeasuresReceipt of any or all needed cancer screenings from baseline through 12 months, including breast, cervical, and colorectal cancer, and cost-effectiveness of the intervention. Binary logistic regression was used to compare the randomized groups on being up to date for all and any screenings at 12 months.ResultsThe sample included 963 women aged 50 to 74 years (mean [SD] age, 58.6 [6.3] years). The DVD group had nearly twice the odds of those in the usual care group of obtaining all needed screenings (odds ratio [OR], 1.84; 95% CI, 1.02-3.43; P = .048), and the odds were nearly 6 times greater for DVD/PN vs usual care (OR, 5.69; 95% CI, 3.24-10.5; P &lt; .001). The DVD/PN intervention (but not DVD alone) was significantly more effective than usual care (OR, 4.01; 95% CI, 2.60-6.28; P &lt; .001) for promoting at least 1 (ie, any) of the needed screenings at 12 months. Cost-effectiveness per woman who was up to date was $14 462 in the DVD group and $10 638 in the DVD/PN group.Conclusions and RelevanceIn this randomized clinical trial of rural women who were not up to date with at least 1 of the recommended cancer screenings (breast, cervical, or colorectal), an intervention designed to simultaneously increase adherence to any or all of the 3 cancer screening tests was more effective than usual care, available at relatively modest costs, and able to be remotely delivered, demonstrating great potential for implementing an evidence-based intervention in remote areas of the midwestern US.Trial RegistrationClinicalTrials.gov Identifier: NCT02795104

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A lay health worker intervention to improve breast and cervical cancer screening among Latinas in El Paso, Texas: A randomized control trial

Cited by 12 publications

References 27 publications

Trends in cervical cancer screening rates among Korean women: results of the Korean National Cancer Screening Survey, 2005–2020

Trends in cervical cancer screening rates among Korean women: results of the Korean National Cancer Screening Survey, 2005–2020

Twenty years of capacity building across the cancer prevention and control research network

Comparative Effectiveness of 2 Interventions to Increase Breast, Cervical, and Colorectal Cancer Screening Among Women in the Rural US

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