Creating a Patient Navigation Model to Address Cervical Cancer Disparities in a Rural Hispanic Farmworker Community

Wells, Kristen J.; Rivera, María I.; Proctor, Sister Sara K.; Arroyo, Gloria; Bynum, Shalanda A.; Quinn, Gwendolyn P.; Luque, John S.; Rivera, Marlene; Martinez-Tyson, Dinorah; Meade, Cathy D.

doi:10.1353/hpu.2012.0159

Cited by 16 publications

(44 citation statements)

References 23 publications

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“…Patient navigators are uniquely situated to intervene to increase both screening and follow-up when a Pap test indicates that follow up is necessary (Paskett et al, 2011a). While evidence surrounding PN programs suggests that positive results can be achieved, the literature also suggests that patient navigator research on a variety of patients across the cancer continuum is still needed (Wells et al, 2012). …”

Section: Review Of the Literaturementioning

confidence: 99%

Cervical Cancer Screening: Exploring Appalachian Patients’ Barriers to Follow-Up Care

Ely

White

Jones

et al. 2014

Social Work in Health Care

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This article describes a community-based Patient Navigation (PN) project conducted to identify potential barriers to seeking follow-up cervical cancer care in southeastern Kentucky. Patient navigators (PNs) were placed in cervical cancer programs within county public health departments where they interviewed patients about their perceived barriers to seeking follow-up care after receiving a positive Pap test result. Participants identified various potential barriers at three levels: the individual/personal level, the health care system level and the community/environmental level. One identified barrier that was unique to this study was a lack of consistency between follow-up recommendations and follow-up guidelines for patients under age 21. Implications are discussed.

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Section: Review Of the Literaturementioning

confidence: 99%

Cervical Cancer Screening: Exploring Appalachian Patients’ Barriers to Follow-Up Care

Ely

White

Jones

et al. 2014

Social Work in Health Care

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“…The ultimate goal of the TBCCN is to reduce cancer health disparities among medically and historically underserved populations in Hillsborough, Pinellas, and Pasco counties in Florida. One of TBCCN’s longstanding community partners is CMMS, a faith-based community primary care clinic located in a rural area of Hillsborough County, Florida (Wells et al, 2012). CMMS provides health care to a predominantly Hispanic population.…”

Section: Methodsmentioning

confidence: 99%

Acceptability of a Virtual Patient Educator for Hispanic Women

Wells

Vázquez-Otero²,

Bredice³

et al. 2015

Hisp Hlth Care Int

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There are few Spanish language interactive, technology-driven health education programs. Objectives of this feasibility study were to: 1) learn more about computer and technology usage among Hispanic women living in a rural community; and 2) evaluate acceptability of the concept of using an embodied conversational agent (ECA) computer application among this population. A survey about computer usage history and interest in computers was administered to a convenience sample of 26 women. A sample video prototype of a hospital discharge ECA was administered followed by questions to gauge opinion about the ECA. Data indicate women exhibited both a high level of computer experience and enthusiasm for the ECA. Feedback from community is essential to ensure equity in state of the art dissemination of health information. Hay algunos programas interactivos en español que usan la tecnología para educar sobre la salud. Los objetivos de este estudio fueron: 1) aprender más sobre el uso de computadoras y tecnología entre mujeres Hispanas que viven en comunidades rurales y 2) evaluar la aceptabilidad del concepto de usar un programa de computadora utilizando un agente de conversación encarnado (ECA) en esta población. Se administro una encuesta sobre el historial de uso y del interés de aprender sobre computadoras fue a 26 mujeres por muestreo de conveniencia. Un ejemplo del prototipo ECA en forma de video de un alta hospitalaria fue administrado y fue seguido por preguntas sobre la opinión que tenían del ECA. Los datos indican que las mujeres mostraron un alto nivel de experiencia con las computadoras y un alto nivel de entusiasmo sobre el ECA. La retroalimentación de la comunidad es esencial para asegurar equidad en la diseminación de información sobre la salud con tecnología de punta.

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“…Despite the promise of navigation in increasing screening rates in minority populations, there is little research on the use of navigators to increase cancer screening in the Medicare population. The majority of research has tested whether navigation services increase breast, cervical, and colorectal cancer screening in young and middle‐aged adults …”

mentioning

confidence: 99%

“…7 Despite these differences, empirical research suggests that individuals who receive such services are more likely than those who do not to receive timely, age-and sex-appropriate cancer screening. 8 Research also shows that navigation has been effective in increasing cancer screening prevalence in minority populations, including Native Americans, 9 Alaska Natives, 10 Asian Americans, 11,12 Micronesians, 13 Hispanics, 14,15 and African Americans. 5,16 Despite the promise of navigation in increasing screening rates in minority populations, there is little research on the use of navigators to increase cancer screening in the Medicare population.…”

mentioning

confidence: 99%

“…The majority of research has tested whether navigation services increase breast, cervical, and colorectal cancer screening in young and middle-aged adults. [8][9][10][11][12][13][14][15][16][17][18] The only known project to focus specifically on reducing cancer-related racial and ethnic disparities in older adults was the Cancer Prevention and Treatment Demonstration sponsored by the Centers for Medicare and Medicaid Services (CMS). Although approximately 17% of Medicare beneficiaries are younger than 65 and are eligible for Medicare because of disability, the majority of beneficiaries are aged 65 and older.…”

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confidence: 99%

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Reducing Cancer Screening Disparities in Medicare Beneficiaries Through Cancer Patient Navigation

Braun

Thomas

Domingo

et al. 2015

J American Geriatrics Society

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Significant racial disparities in cancer mortality are seen between Medicare beneficiaries. A randomized controlled trial tested the use of lay navigators (care managers) to increase cancer screening of Asian and Pacific Islander Medicare beneficiaries. The study setting was Moloka‘i General Hospital on the island of Moloka‘i, Hawai‘i, which was one of six sites participating in the Cancer Prevention and Treatment Demonstration sponsored by the Centers for Medicare and Medicaid Services. Between 2006 and 2009, 488 Medicare beneficiaries (45% Hawaiian, 35% Filipino, 11% Japanese, 8% other) were randomized to have a navigator help them access cancer screening services (experimental condition, n = 242) or cancer education (control condition, n = 246). Self-reported data on screening participation were collected at baseline and exit from the study, and differences were tested using chi-square. Groups were similar in demographic characteristics and baseline screening prevalence of breast, cervical, prostate, and colorectal cancers. At study exit, 57.0% of women in the experimental arm and 36.4% of controls had had a Papanicolaou test in the past 24 months (P = .001), 61.7% of women in the experimental arm and 42.4% of controls had had a mammogram in the past 12 months (P = .003), 54.4% of men in the experimental arm and 36.0% of controls had had a prostate-specific antigen test in the past 12 months (P = .008), and 43.0% of both sexes in the experimental arm and 27.2% of controls had had a flexible sigmoidoscopy or colonoscopy in the past 5 years (P < .001). Findings suggest that navigation services can increase cancer screening in Medicare beneficiaries in groups with significant disparities.

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Creating a Patient Navigation Model to Address Cervical Cancer Disparities in a Rural Hispanic Farmworker Community

Cited by 16 publications

References 23 publications

Cervical Cancer Screening: Exploring Appalachian Patients’ Barriers to Follow-Up Care

Cervical Cancer Screening: Exploring Appalachian Patients’ Barriers to Follow-Up Care

Acceptability of a Virtual Patient Educator for Hispanic Women

Reducing Cancer Screening Disparities in Medicare Beneficiaries Through Cancer Patient Navigation

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