%0 Journal Article
%T Cervical cancer screening and adherence to follow-up among Hispanic women study protocol: a randomized controlled trial to increase the uptake of cervical cancer screening in Hispanic women
%A Catherine Duggan
%A Gloria Coronado
%A Javiera Martinez
%A Theresa L Byrd
%A Elizabeth Carosso
%A Cathy Lopez
%A Maria Benavides
%A Beti Thompson
%J BMC Cancer
%D 2012
%I BioMed Central
%R 10.1186/1471-2407-12-170
%X A parallel randomized-controlled trial of 600 Hispanic women aged 21¨C64, who are non-compliant with Papanicolau (Pap) test screening guidelines. Participants will be randomized using block randomization to (1) a control arm (usual care); (2) a low-intensity information program, consisting of a Spanish-language video that educates women on the importance of cervical cancer screening; or (3) a high-intensity program consisting of the video plus a ¡®promotora¡¯ or lay-community health educator-led, home based intervention to encourage cervical cancer screening. Participants who attend cervical cancer screening, and receive a diagnosis of an abnormal Pap test will be assigned to a patient navigator who will provide support and information to promote adherence to follow-up tests, and any necessary surgery or treatment. Primary endpoint: Participants will be tracked via medical record review at community-based clinics, to identify women who have had a Pap test within 7 months of baseline assessment. Medical record reviewers will be blinded to randomization arm. Secondary endpoint: An evaluation of the patient navigator program as a method to improve adherence and reduce time to follow-up among participants who receive an abnormal Pap test result. An additional secondary endpoint is the cost-effectiveness of the two different intensity intervention programs.This culturally sensitive intervention aims to increase compliance and adherence to cervical screening in a Hispanic population. If effective, such interventions may reduce incidence of cervical cancer.NCT01525433
%K Hispanic women
%K Pap test
%K Cervical cancer screening
%K Cancer disparities
%U http://www.biomedcentral.com/1471-2407/12/170/abstract