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Strengthen the Evidence for Maternal and Child Health Programs

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Displaying records 1 through 12 (12 total).

Byrd TL, Wilson KM, Smith JL, et al. AMIGAS: a multicity, multicomponent cervical cancer prevention trial among Mexican American women. Cancer. 2013;119(7):1365-72. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Educational Material, Community-Based Group Education
Intervention Description: Six hundred thirteen women of Mexican origin in 3 treatment sites were randomized among 4 study arms: the full AMIGAS program with a video and a flip chart (n = 151), the AMIGAS program without the video (n = 154), the AMIGAS program without the flip chart (n = 155), and a usual care control group (n = 153). Six months after enrollment, women were surveyed and reported whether or not they had been screened.
Primary Outcomes: Percentage of women with a self-reported Pap smear at the 6-month follow-up
Conclusion: AMIGAS was effective in increasing Pap test screening among women of Mexican descent when used in a 1-to-1 setting. Future research should compare the 1-on-1 intervention with the group-based intervention.
Study Design: RCT: pretest-posttest
Significant Findings: Yes
Setting: El Paso, TX; Houston, TX; and Yakima Valley, WA
Target Audience: Mexican women with no Pap smear reported in the past 3 years
Data Source: Self-report and validated through medical records review
Sample Size: Intent-to-Treat Analysis (n=613) Intervention Group 1 (n=151); Intervention Group 2 (n=154); Intervention Group 3 (n=155); Control (n=153) Per-Protocol Analysis (n=513) Intervention Group 1 (n=128); Intervention Group 2 (n=125); Intervention Group 3 (n=127); Control (n=133)
Age Range: ≥21

O’Brien MJ, Halbert CH, Bixby R, Pimentel S, Shea JA. Community health worker intervention to decrease cervical cancer disparities in Hispanic women. J Gen Intern Med. 2010;25(11):1186-92. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Educational Material, Community-Based Group Education
Intervention Description: The current study is a randomized trial of a promotora-led educational intervention focused on cervical cancer in a local Hispanic community.
Primary Outcomes: Percentage of women who self-reported receiving a Pap smear in the past year, at the 6-month follow-up
Conclusion: The observed association between cervical cancer knowledge and Pap smear receipt underscores the importance of educating vulnerable populations about the diseases that disproportionately affect them.
Study Design: RCT: pretest-posttest
Significant Findings: Yes
Setting: South Philadelphia, PA
Target Audience: Hispanic women
Data Source: In-person interview administered in Spanish by the promotoras
Sample Size: Total (N=120) Intervention (n=60); Wait-List Control (n=60) Analysis (n=70) Intervention (n=34); Wait-List Control (n=36)
Age Range: 18-65

Jandorf L, Bursac Z, Pulley L, Trevino M, Castillo A, Erwin DO. Breast and cervical cancer screening among Latinas attending culturally specific educational programs. Prog Community Health Partnership. 2008; 2(3):195- 204 Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Community-Based Group Education, Patient Navigation
Intervention Description: Assess the effectiveness of a culturally customized program (Esperanza y Vida [Hope and Life]) in increasing breast and cervical cancer screening among Latinas, and to examine how screening rates related to changes in cancer knowledge, differences in ethnic origins, and geographic location.
Primary Outcomes: Odds of Pap smear adherence at the 2-month follow-up
Conclusion: Esperanza y Vida has the potential to reduce health disparities in breast and cervical cancer morbidity and mortality rates through increasing cancer screening and thereby increasing early detection.
Study Design: Cluster RCT
Significant Findings: Yes
Setting: Arkansas and New York City, NY
Target Audience: Latina women
Data Source: Telephone survey
Sample Size: Baseline (n=487) Intervention (n=308); Control (n=179) Follow-up (n=238)
Age Range: Mean: 39.3

Mishra SI, Luce PH, Baquet CR. Increasing pap smear utilization among Samoan women: results from a community based participatory randomized trial. J Health Care Poor Underserved. 2009;20(2 Suppl):85-101. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Community-Based Group Education
Intervention Description: Between the pretest and posttest surveys, women in the intervention group participated in the educational program over three weekly educational sessions. The intervention group churches served as the education sites, with women participating in the educational sessions at the churches from which they were recruited. Each educational session lasted approximately two hours. Women participating in the educational sessions received a token payment of $5 for each session they attended. To implement the cervical cancer education program, we constituted 20 groups with 8 to 14 women per group. Women in the control group received the cervical cancer education booklets after the posttest surveys.
Primary Outcomes: Percentage of women who self-reported receiving a Pap smear between baseline and 6-month follow-up
Conclusion: The findings support the efficacy of the multifaceted, theory-guided, culturally tailored community-based participatory cervical cancer education program for Samoan women in effecting positive changes in Pap smear use and cervical cancer-related knowledge and attitudes.
Study Design: Cluster RCT
Significant Findings: Yes
Setting: Twenty-six Samoan-speaking churches on the main island of Tutulia in the American Samoa
Target Audience: Samoan women a with no selfreported Pap smear in the past 2 years, no history of cervical cancer or hysterectomy, and plans to stay in the Territory throughout the study period
Data Source: Personal interviews
Sample Size: Total (N=416) Analysis (n=398) Intervention (n=201); Control (n=197)
Age Range: ≥20

Foley O, Birrer N, Rauh-Hain J, Clark R, DiTavi E, Carmen M. Effect of educational intervention on cervical cancer prevention and screening in Hispanic women. J Community Health. 2015;40(6):1178-84. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Educational Material, Community-Based Group Education, Other Media, COMMUNITY, POPULATION-BASED SYSTEMS
Intervention Description: Evaluate the effect of an educational intervention on four domains of health care utilization and cervical cancer prevention and screening in a Hispanic population.
Primary Outcomes: Percentage of women with a self-reported Pap smear in the past 3 years
Conclusion: These tools should be promoted to reduce the cervical cancer burden on vulnerable populations.
Study Design: QE: pretest-posttest
Significant Findings: No
Setting: Boston, MA
Target Audience: Hispanic women in the Boston area
Data Source: Written survey in English or Spanish
Sample Size: Baseline (n=318) Follow-up (n=295)
Age Range: ≥18

Gotay CC, Banner RO, Matsunaga DS, et al. Impact of a culturally appropriate intervention on breast and cervical screening among native Hawaiian women. Prev Med. 2000;31(5):529-37. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Enabling Services, Educational Material, Community-Based Group Education, Designated Clinic/Extended Hours, PROVIDER/PRACTICE
Intervention Description: This paper summarizes impacts of a breast and cervical cancer screening intervention spearheaded by a Native Hawaiian community.
Primary Outcomes: Percentage of women who had received annual Pap smears at the 3-year follow-up
Conclusion: Positive changes in screening activities among women aware of the intervention support the importance of information diffusion by community consumers. Diffusion may occur beyond the boundaries of the community as defined.
Study Design: QE: pretest-posttest non-equivalent control group
Significant Findings: Yes
Setting: Oahu, HI
Target Audience: Native Hawaiian women
Data Source: Telephone survey
Sample Size: Total (N=1,260) Analysis (n=678) Intervention (n=318); Control (n=360)
Age Range: ≥18

Luque JS, Tarasenko YN, Reyes-Garcia C, et al. Salud es Vida: a cervical cancer screening intervention for rural Latina immigrant women. [published online Jan 12, 2016]. J Canc Educ. 10.1007/s13187-015-0978-x Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): Educational Material, Community-Based Group Education, PATIENT/CONSUMER
Intervention Description: This study examined the feasibility and efficacy of Salud Es Vida – a promotora-led, Spanish-language educational group session on cervical cancer screening (Pap tests), self-efficacy (belief in ability to schedule and complete a Pap test), and knowledge among immigrant Hispanic/Latina women from farmworker backgrounds.
Primary Outcomes: Percentage of women with a self-reported Pap test at follow-up
Conclusion: The group intervention approach was associated with increased cervical cancer knowledge, but not uptake of Pap test. More intensive interventions using patient navigation approaches or promotoras who actively follow participants or conducting one-on-one rather than group sessions may be needed to achieve improved screening outcomes with this population.
Study Design: QE: pretest-posttest non-equivalent control group
Significant Findings: No
Setting: 4 rural counties in Southeast GA
Target Audience: Hispanic/Latino immigrant women ages 21-65 who had not had a Pap test in 2 years or more
Data Source: Written survey; cervical cancer screening questions were derived from the Health Information National Trends Survey
Sample Size: Baseline (n=176) Intervention (n=86); Control (n=90) Follow-up/Analysis (n=90) Intervention (n=38); Control (n=52)
Age Range: 21-65

Moskowitz JM, Kazinets G, Wong JM, Tager IB. "Health is strength": a community health education program to improve breast and cervical cancer screening among Korean American Women in Alameda County, California. Cancer Detect Prev. 2007;31(2):173-83. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Educational Material, Community-Based Group Education, Enabling Services, Other Media, COMMUNITY, POPULATION-BASED SYSTEMS
Intervention Description: A 48-month community intervention was conducted to improve breast and cervical cancer (BCC) screening among Korean American (KA) women in Alameda County (AL), California. KA women in Santa Clara (SC) County, California served as a comparison group.
Primary Outcomes: Percentage of women who self-reported receiving a Pap test in the past 3 years
Conclusion: Although our overall intervention did not appear to enhance screening practices at the community-level, attendance at a women's health workshop appears to have increased cervical cancer screening.
Study Design: QE: pretest-posttest non-equivalent control group
Significant Findings: No
Setting: Alameda County and Santa Clara County, CA
Target Audience: Korean American women
Data Source: Telephone survey
Sample Size: Total (N=2,176) Baseline (n=1,093); Follow-up (n=1,083) Analysis (participated in baseline or follow-up) (n=1,902) Baseline (n=818) Intervention (n=404); Control (n=414) Follow-up (n=1,084) Intervention (n=418); Control (n=458)
Age Range: ≥18

Nguyen TT, McPhee SJ, Gildengorin G, et al. Papanicolaou testing among Vietnamese Americans: results of a multifaceted intervention. Am J Prev Med. 2006;31(1):1-9. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Educational Material, Community-Based Group Education, Patient Navigation, Enabling Services, PROVIDER/PRACTICE, Provider Reminder/Recall Systems, Provider Education, Designated Clinic/Extended Hours, Female Provider, COMMUNITY, Television Media, Other Media, POPULATION-BASED SYSTEMS
Intervention Description: Development and implementation of a multifaceted intervention using community-based participatory research (CBPR) methodology and evaluated with a quasi-experimental controlled design with cross-sectional pre-intervention (2000) and post-intervention (2004) telephone surveys. Data were analyzed in 2005.
Primary Outcomes: Odds of ever having received a Pap test Odds of having received a Pap test in the past 12 months
Conclusion: A multifaceted community-based participatory research (CBPR) intervention was associated with increased Pap test receipt among Vietnamese-American women in one community.
Study Design: QE: pretest-posttest non-equivalent control group
Significant Findings: Yes
Setting: Santa Clara County, CA and Harris County, TX
Target Audience: Vietnamese women living in either county
Data Source: Computer-assisted telephone interviewing system
Sample Size: Baseline(n=1,566) Intervention (n=798); Control (n=768) Follow-up (n=2,009) Intervention (n=1,004); Control (n=1,005)
Age Range: ≥18

Wismer BA, Moskowitz JM, Min K, et al. Interim assessment of a community intervention to improve breast and cervical cancer screening among Korean American women. J Public Health Manag Pract. 2001;7(2):61-70. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Educational Material, Community-Based Group Education
Intervention Description: A community intervention program was launched in 1996 to improve breast and cervical cancer screening among Korean American women in Alameda County, California.
Primary Outcomes: Percentage of women who self-reported receiving a Pap test in the past 2 years
Conclusion: After 18 months, interim program assessment revealed that mammograms improved, but Pap smears, breast self-examinations, and clinical breast examinations did not change significantly. However, results were similar for the control county probably because the program was not implemented fully. Several strategies for improving program implementation are discussed including recommendations for researchers planning community intervention projects.
Study Design: QE: pretest-posttest non-equivalent control group
Significant Findings: No
Setting: Alameda County and Santa Clara County, CA
Target Audience: Korean American women
Data Source: Telephone survey
Sample Size: Baseline (n=818) Intervention (n=404); Control (n=414)
Age Range: ≥18

Han, H. R., Song, Y., Kim, M., Hedlin, H. K., Kim, K., Ben Lee, H., & Roter, D. (2017). Breast and Cervical Cancer Screening Literacy Among Korean American Women: A Community Health Worker-Led Intervention. American journal of public health, 107(1), 159–165. https://doi.org/10.2105/AJPH.2016.303522 Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT_CONSUMER, Educational Material, Community-Based Group Education, Other Person-to-Person Education, Patient Navigation
Intervention Description: We conducted a cluster-randomized trial at 23 ethnic churches in the Baltimore, Maryland–Washington, DC, metropolitan area between 2010 and 2014. Trained CHWs enrolled 560 women. The intervention group received an individually tailored cancer-screening brochure followed by CHW-led health literacy training and monthly telephone counseling with navigation assistance. Study outcomes included receipt of an age-appropriate cancer screening test, health literacy, cancer knowledge, and perceptions about cancer screening at 6 months.
Conclusion: A health literacy–focused CHW intervention successfully promoted cancer-screening behaviors and related cognitive and attitudinal outcomes in Korean American women.
Significant Findings: yes
Setting: 23 ethnic churches in the Baltimore,MD-Washington, DC area
Target Audience: Korean American women who had not had a pap test in 24 months and who could read and write Korean or English

Ochoa, C. Y., Murphy, S. T., Frank, L. B., & Baezconde-Garbanati, L. A. (2020). Using a Culturally Tailored Narrative to Increase Cervical Cancer Detection Among Spanish-Speaking Mexican-American Women. Journal of cancer education : the official journal of the American Association for Cancer Education, 35(4), 736–742. https://doi.org/10.1007/s13187-019-01521-6 Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT_CONSUMER, Educational Material, Community-Based Group Education, COMMUNITY, Other Media
Intervention Description: The objective of this study was to determine the feasibility and effectiveness of translating films, and whether the use of narrative is an effective vehicle for producing changes in knowledge, attitudes, and behaviors regarding cervical cancer compared with a nonnarrative film. A randomized controlled telephone trial surveyed the effectiveness of two films our team produced among a sample of 300 monolingual Spanish-speaking women, ages 25 to 45, who were of Mexican origin. Participants were recruited using random digit dialing (RDD) procedures from 2013 to 2014 in Los Angeles County and were randomly selected to view either a narrative or nonnarrative film. Data were collected by phone at baseline, 2 weeks, and 6 months after viewing. On average, participants arrived in the USA 25 years ago. The majority reported having less than high school education and limited English proficiency.
Conclusion: Narratives are a useful and underutilized tool to communicate information about cancer prevention. These findings have important implications for the delivery of health education among Spanish-speaking, low-literacy immigrant women, and for the reduction of cancer-related disparities.
Significant Findings: no
Setting: Los Angeles county, CA
Target Audience: monolingual Spanish-speaking women, ages 25 to 45, who were of Mexican origin.

   

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.