Cervical Cancer Screening Among Hispanic Women

Study Overview
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Brief Summary
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In this study, 400 Hispanic women will be recruited and randomized to one of three interventions: Control (no change); A low-intensity information program, consisting of a video approach educating women on the importance of cervical cancer screening; A higher intensity program consisting of the video plus a 'promotora' or lay-community health educator led intervention at the participant's home to encourage cervical cancer screening. The investigators will compare which intervention is most effective in encouraging Hispanic women to undergo cervical cancer screening (Pap test)

Official Title
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Cervical Cancer Screening and Adherence to Follow-up Among Hispanic Women

Conditions
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Cervical Cancer

Intervention / Treatment
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* Behavioral: DVD
* Behavioral: Promotora


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Female 21 - 64 years of age Hispanic or Latina Resident of the Yakima Valley, WA, USA No hysterectomy Last PAP test (cervical screening) more than 3 years ago Last seen at the local clinic less than 5 years ago Exclusion Criteria: Less than 21 or greater than 64 years of age PAP test less 3 years ago Prior hysterectomy

Ages Eligible for Study
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Minimum Age: 21 Years
Maximum Age: 64 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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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control<br> | |
| Active Comparator: Low Intensity Information (DVD)<br>A low-intensity information program, consisting of a video approach educating women on the importance of cervical cancer screening; | Behavioral: DVD<br>* Participants will received a mailed DVD containing culturally appropriate information about the importance of cervical cancer screening<br>|
| Active Comparator: High Intensity Information (Promotora)<br>A higher intensity information program consisting of the video plus a 'promotora' or lay-community health educator led-intervention at the participant's home to encourage cervical cancer screening. | Behavioral: Promotora<br>* Participants will receive a home visit from a lay community health educator ('Promotora') and will be shown a DVD containing culturally appropriate information to educate participants about the importance of cervical cancer screening<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Participant attends cervical cancer screening |  | Within 7 months of the intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Navigator | Evaluation of the patient navigator program as a method to improve adherence and reduce time to follow-up among study participants who receive an abnormal Pap test result. Time to follow-up will be compared to a similar population of patients who were not part of the study who also receive a diagnosis of an abnormal Pap test. | Elapsed time from diagnosis to clinic visit |