Abstract B089: A community-based participatory approach to developing a salon-based HPV self-collection intervention
Authors: Palmer Kelly N.B. , Mantina Namoonga M. , Adegboyega Adebola , Sokale Itunu O. , Pryor Kathleen , Suero-Davis Azaria , Brooks Trevon , Hatcher Jennifer 
Published: September 2024

Background: Black women in the US experience higher rates of cervical cancer mortality due to delayed diagnosis from lower screening rates. Contributing to this disparity, especially for those who are 40-64 years old, are provider bias, costs, and limited access. Recent FDA approval of HPV self-collection and current innovative research efforts for clinical and simulated home- based HPV self-collection bring promise of increasing access. However, like other innovations, equitable dissemination of HPV self-collection will be challenging. Our project seeks to distribute HPV self-collection kits in unconventional settings like hair salons. We conducted a community-based participatory study using concept mapping to gather diverse insights to design a salon-based HPV self-collection intervention. Methods: We employed GroupWisdom and REDCap online platforms to engage with our participants. Participants were members of the Black Community Advisory Council of Tucson (Black CACTus). Concept mapping steps involved: 1) Brainstorming statements from a prompt, 2) Sorting statements into piles according to meaning by each participant, 3) Rating the importance and feasibility of statements, 4) Reviewing the cluster map, and 5) Reviewing a draft/proposed intervention. Results: Black CACTus members (n=10) included hairstylists (n=3), salon clients (n=4), and healthcare providers (n=3). All participants identified as Black women, with two also identifying as Latina and White. Participants were 23-53 years old. Brainstorming yielded 39 statements. A six-cluster map was generated using the sorting data. Cost-related factors like "free" or "covered by insurance," as well as convenience, were rated as highly important by all participants. Development of clear communication and education about screening benefits, test results, and timely delivery of results were regarded as the most feasible. Conclusions: To equitably increase cervical cancer screening we must look beyond traditional clinical settings to trusted community locales like hair salons. Including the voice of the community and cultural and contextual factors is vital when tailoring cancer screening initiatives, particularly for Black women. Our study used concept mapping, in a collaborative, iterative process with vested community members to identify intervention elements and implementation strategies that have the potential to increase access to and uptake of cervical cancer screening among Black women.

Citation Format: Kelly N.B. Palmer, Namoonga M. Mantina, Adebola Adegboyega, Itunu O. Sokale, Kathleen Pryor, Azaria Suero-Davis, Trevon Brooks, Jennifer Hatcher. A community-based participatory approach to developing a salon-based HPV self-collection intervention [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B089.