Addressing Stigma in Screening and Diagnostic Delay for Cervical Cancer

Study Overview
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Brief Summary
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This study aims to 1) implement a culturally and contextually rooted innovative multifoci, social marketing intervention involving societal focused media campaign elements to break down the barriers and facilitate timely and appropriate screening practices for cervical cancer; 2) measure cervical cancer stigma from a culturally relevant theoretical and conceptual framework; and 3) assess the influence of stigma on hindering seeking the PAP test. Further, this is an international study that will bring together a multi-disciplinary investigatory team, community advocates and State health agencies to deliver a social marketing intervention in Southern California (the Inland Empire region specifically) and Trinidad and Tobago.

Official Title
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Addressing Stigma in Screening and Diagnostic Delay for Cervical Cancer

Conditions
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Cervical Cancer Screening

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women will be included if they: have not been diagnosed with any type of cancer are between the ages of 18-70 self-identify as being African descended or Latina are able to speak English and/or Spanish acknowledge that a Pap test is currently needed Exclusion Criteria: Cervical cancer is diagnosed only in women, therefore this study only includes women Women who have been and/or are currently diagnosed with any type of cancer will be excluded Women with other major medical conditions (e.g. stroke and degenerative illness) will be excluded During the screening the level of symptomatology for depression and anxiety will be assessed. Women with severe depression and anxiety will be excluded, but appropriate psychological follow-up and referral will be provided Women older than 70 years will be excluded

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Social media intervention<br>Women between the ages of 18-70 who have not been diagnosed with any type of cancer and are of African descent or Latina | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evaluation of the ability of the social media intervention End Stigma End Fear, End Cervical Cancer to counter stigma of cervical cancer among disadvantaged women who acknowledge needing a Pap test at pre-intervention baseline | To evaluate the ability of the social media intervention End Stigma End Fear, End Cervical Cancer to counter stigma of cervical cancer, by determining whether, among disadvantaged women who acknowledge needing a Pap test at pre-intervention baseline, degree of exposure to the intervention is associated with the following endpoints at 3 months after the intervention is implemented: post-intervention change in stigma score relative to pre-intervention, and Pap testing (scored as 0=made no attempt, 1=made some attempt but did not get tested, 2=obtained Pap test). | 3 months after the intervention is implemented | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of whether change in stigma score is associated with Pap testing. |  | 3 months after the intervention is implemented | 
| Identification of factors associated with exposure to the intervention overall and to its individual components |  | 3 months after the intervention is implemented | 
| Assessment of whether each component of the intervention is associated with the study endpoints, by testing the 4 components (billboards/posters, newspaper advertisements, health brochures, and radio announcements) rather than the overall exposure score |  | 3 months after the intervention is implemented | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cervical Cancer Screening