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Strengthen the Evidence for Maternal and Child Health Programs

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Displaying records 1 through 20 (37 total).

Alfonzo E, Andersson Ellstrom A, Nemes S, Strander B. Effect of fee on cervical cancer screening – ScreenFee, a Swedish population-based randomized trial. PLoS One. 2016;11(3):e0150888 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, Patient Reminder/Invitation, Enabling Services
Intervention Description: Individually randomised controlled trial. All 3 124 women in three low-resource areas in Gothenburg, due for screening during the study period, were randomised to receive an offer of a free test or the standard invitation stating the regular fee of 100 SEK (≈11 €). The study was conducted during the first six months of 2013. Attendance was defined as a registered Pap smear within 90 days from the date the invitation was sent out.
Primary Outcomes: Percentage of women with a registered Pap smear within 90 days of sending the invitation
Conclusion: Abolishment of a modest screening fee in socially disadvantaged urban districts with low coverage, after previous multiple systematic interventions, does not increase attendance in the short term. Other interventions might be more important for increasing attendance in low socio-economic status areas.
Study Design: RCT
Significant Findings: No
Setting: Sweden
Target Audience: Women with no Pap smear reported in the past 3 or 5 years
Data Source: Process Registry of the Swedish National Screening Registry
Sample Size: Total (N=3,124) Intervention (n=1,562); Control (n=1,562)
Age Range: 23-63

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

Jibaja-Weiss ML, Volk RJ, Kingery P, Smith QW, Holcomb JD. Tailored messages for breast and cervical cancer screening of low-income and minority women using medical records data. Patient Educ Couns. 2003;50(2):123- 132. 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, Patient Reminder/Invitation
Intervention Description: This randomized controlled trial examined whether a personalized form (PF) letter containing generic cancer information and a personalized tailored (PT) letter containing minimally tailored individualized risk factor information based on medical records data affected breast and cervical cancer screening among 1574 urban low-income and minority women.
Primary Outcomes: Percentage of women with a registered Pap smear within 12 months of study group assignment
Conclusion: Personalized tailored letters that contain individualized cancer risk factor information may decrease the likelihood of receiving cancer screening among medically underserved low-income and minority women, but personalized form letters that contain generic cancer information may improve these rates in this disadvantaged population.
Study Design: RCT
Significant Findings: Yes
Setting: Two urban community health centers in Houston, TX
Target Audience: African American, Mexican American, and non-Hispanic white women who were registered at participating health centers
Data Source: Database provided by woman’s primary care provider
Sample Size: Total (N=1,574) Analysis (n=1,483) Intervention Group 1 (n=524); Intervention Group 2 (n=460); Control (n=499)
Age Range: 18-64

Jibaja-Weiss ML, Volk RJ, Smith QW, Holcomb JD, Kingery P. Differential effects of messages for breast and cervical cancer screening. J Health Care Poor Underserved. 2005; 16(1):42-52. 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, Patient Reminder/Invitation
Intervention Description: The 1,574 women participating in the randomized controlled trial were assigned to one of three groups: (1) PF letter, (2) PT letter, (3) control (no letter).
Primary Outcomes: Percentage of women with a registered Pap smear within 12 months of study group assignment
Study Design: RCT
Significant Findings: Yes
Setting: Two urban community health centers in Houston, TX
Target Audience: African American, Mexican American, and non-Hispanic white women who were registered at participating health centers
Data Source: Database provided by woman’s primary care provider
Sample Size: Total (N=1,574) Analysis (n=1,483) Intervention Group 1 (n=524); Intervention Group 2 (n=460); Control (n=499)
Age Range: 18-65

Johnston GM, Boyd CJ, MacIsaac MA, Rhodes JW, Grimshaw RN. Effectiveness of letters to Cape Breton women who have not had a recent Pap smear. Chronic Dis Can. 2003;24(2-3):49-56. 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, Patient Reminder/Invitation
Intervention Description: Letters were sent to 15,691 unscreened and 6,995 under-screened women from Cape Breton Island encouraging them to obtain a Pap test. Controls were 61,510 unscreened women and 32,996 under- screened women in mainland Nova Scotia who were not sent letters.
Primary Outcomes: Odds of receiving a Pap smear within 6 months of the letter mailing date
Conclusion: Being previously unscreened, rather than under-screened, was associated with higher rates of abnormalities (OR = 1.62), indicating greater need for early detection and treatment to prevent invasive cancer. While one-time letters to women improved the Pap smear screening rates, multiple, continuous interventions are needed to make a more substantive improvement in these rates.
Study Design: RCT
Significant Findings: Yes
Setting: Cape Breton Island and Mainland Nova Scotia
Target Audience: Women who were either unscreened (no Pap smear recorded from January 1988- letter mailing date) or underscreened (at least one Pap smear recorded between January 1988- January 1995 but none recorded from January 1995-letter mailing date)
Data Source: Provincial Cytology Registry
Sample Size: Total (N=360,587) Analysis (n=113,426) Intervention (n=21,601); Control (n=91,825) Additional control group (n=1,218)
Age Range: ≥18

Morrell S, Taylor R, Zeckendorf S, Niciak A, Wain G, Ross J. How much does a reminder letter increase cervical screening among under-screened women in NSW? Aust N Z J Public Health. 2005;29(1):78-84. 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, Patient Reminder/Invitation
Intervention Description: Ninety thousand under-screened women were randomised to be mailed a 48-month reminder letter to have a Pap test (n=60,000), or not to be mailed a letter (n=30,000). Differences in Pap test rates were assessed by Kaplan-Meier survival analysis, by chi2 tests of significance between Pap test rates in letter versus no-letter groups, and by proportional hazards regression modelling of predictors of a Pap test with letter versus no-letter as the main study variable. T-tests were conducted on mean time to Pap test to assess whether time to Pap test was significantly different between the intervention and control groups.
Primary Outcomes: Pap test rates at the 90-day follow-up
Conclusion: Being sent a reminder letter is associated with higher Pap testing rates in under-screened women.
Study Design: RCT
Significant Findings: Yes
Setting: New South Wales
Target Audience: Women who had not had a Pap test in 4 years or more
Data Source: New South Wales Pap Test Register
Sample Size: Total (N=90,247) Intervention (n=60,189); Control (n=30,058) Analysis (n=89,699) Intervention (n=59,780); Control (n=29,919)
Age Range: 20-69

Nguyen BH, Nguyen K, McPhee SJ, Nguyen AT, Tran DQ, Jenkins CNH. Promoting cancer prevention activities among Vietnamese physicians in California. J Cancer Educ. 2000;15(2):82-5. 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, PROVIDER/PRACTICE, Provider Reminder/Recall Systems, Provider Education
Intervention Description: A three‐year intervention targeting Vietnamese physicians in solo practice in California.
Primary Outcomes: Yearly physician Pap test performance rates
Conclusion: The results demonstrate the efficacy of an intervention targeting Vietnamese primary care physicians in promoting smoking cessation counseling, Pap testing, and pelvic examinations, but not other cancer prevention activities.
Study Design: RCT
Significant Findings: Yes
Setting: Private practices with physicians who were members of the Vietnamese Physicians’ Associations in Northern and Southern CA
Target Audience: Physicians in solo practice who had received their medical training in Vietnam
Data Source: Physicians’ medical records
Sample Size: Total (N=48) Analysis (n=20) Intervention (n=9); Control (n=11) N=physicians
Age Range: N/A

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

Paskett ED, McLaughlin JM, Lehman AM, Katz MI, Tatum CM, Oliveri JM. Evaluating the efficacy of lay health advisors for increasing risk-appropriate Pap test screening: a randomized controlled trial among Ohio Appalachian women. Cancer Epidemiol Biomarkers Prev. 2011;20(5):835-43. 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, Patient Reminder/Invitation, Home Visits
Intervention Description: Evaluate the efficacy of a lay health advisor (LHA) intervention for improving Pap testing rates, to reduce cervical cancer, among women in need of screening.
Primary Outcomes: Odds of having received a Pap test at study completion
Conclusion: LHA interventions show promise for improving screening behaviors among non-adherent women from underserved populations.
Study Design: RCT
Significant Findings: No
Setting: Fourteen Ohio Appalachian clinics
Target Audience: Women living in Ohio Appalachia, who were not pregnant, and who were in need of a Pap test based on riskappropriate guidelines
Data Source: Medical record review and self-report
Sample Size: Total (N=286) Analysis Medical Record Review (n=270) Intervention (n=139); Control (n=131) Self-Report (n=233) Intervention (n=115); Control (n=118)
Age Range: ≥18

Taylor VM, Hislop TG, Jackson JC, et al. A randomized controlled trial of interventions to promote cervical cancer screening among Chinese women in North America. J Natl Cancer Inst. 2002;94(9):670-7. 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, Patient Navigation, Enabling Services, Home Visits
Intervention Description: A randomized controlled trial to evaluate the effectiveness of two alternative cervical cancer screening interventions for Chinese women living in North America.
Primary Outcomes: Percentage of women who reported having received a Pap test in the 6 months between randomization and follow-up
Conclusion: Culturally and linguistically appropriate interventions may improve Pap testing levels among Chinese women in North America.
Study Design: RCT
Significant Findings: Yes
Setting: Seattle, WA and Vancouver, British Columbia
Target Audience: Women who spoke Cantonese, Mandarin, or English, with no history of cervical cancer or hysterectomy, who were defined as underutilizers of cervical cancer screening (no Pap test in the past 2 years and/or did not intend to have a Pap test in the next 2 years)
Data Source: Self-report through personal interviews and verified through medical record review
Sample Size: Total (N=402) Intervention Group 1 (n=129); Intervention Group 2 (n=139); Control (n=134)
Age Range: 20-69

Taylor VM, Jackson JC, Yasui Y, et al. Evaluation of a cervical cancer control intervention using lay health workers for V50ietnamese American women. Am J Public Health. 2010;100(10):1924-9. 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, Home Visits
Intervention Description: Evaluate the effectiveness of a cervical cancer control intervention for Vietnamese American women that used lay health workers.
Primary Outcomes: Percentage of women who had received a Pap test within 6 months of randomization
Conclusion: Lay health worker–based interventions for Vietnamese American women are feasible to implement and can increase levels of Pap testing use among ever-screened women but not among never-screened women.
Study Design: RCT
Significant Findings: No
Setting: Seattle, Washington
Target Audience: Vietnamese women who spoke Vietnamese or English, and who had not received a Pap test in the past 3 years
Data Source: Self-report through personal interviews and verified through medical record review
Sample Size: Total (N=234) Intervention (n=118); Control (n=116)
Age Range: 20-89

Vogt TM, Glass A, Glasgow RE, La Chance PA, Lichtenstein E. The safety net: a cost-effective approach to improving breast and cervical cancer screening. J Womens Health. 2003;12(8):789-98. 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, Patient Reminder/Invitation, Enabling Services, Designated Clinic/Extended Hours, PROVIDER/PRACTICE
Intervention Description: (1). to assess the cost-effectiveness of three interventions to deliver breast and cervical cancer screening to women unscreened for >or=3 years and (2). to determine the relation of an invasive cervical cancer diagnosis to the interval since the last true screening test.
Primary Outcomes: Percentage of women with a registered Pap smear at 12 weeks after the first intervention contact
Conclusion: Letter reminder, followed by a telephone appointment call, was the most cost-effective approach to screening rarely screened women. Lack of accurate information on prior hysterectomy adds substantial unnecessary costs to a screening reminder program.
Study Design: RCT
Significant Findings: Yes
Setting: Portland, OR metropolitan area
Target Audience: Women who were members of Northwest Kaiser Permanente (NWKP) for at least 3 years, with no history of cervical cancer or hysterectomy, who had not received a Pap smear in the same 3 years they had been members of NWKP
Data Source: Radiology and cytology database
Sample Size: Total (N=1,200) Intervention Group 1 (n=288); Intervention Group 2 (n=308); Intervention Group 3 (n=303); Control (n=301)
Age Range: 18-70

Decker KM, Turner D, Demers AA, Martens PJ, Lambert P, Chateau D. Evaluating the effectiveness of cervical cancer screening invitation letters. J Womens Health. 2013;22(8):687-93. 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, Patient Reminder/Invitation, Educational Material, PROVIDER/PRACTICE, Designated Clinic/Extended Hours
Intervention Description: Evaluate the effectiveness of an invitation letter on cervical screening participation among unscreened women 30 to 69 years of age.
Primary Outcomes: Odds of receiving a Pap smear in the 6 months following the intervention
Conclusion: Sending invitation letters increased cervical screening participation but because the overall effect was small, additional strategies that remove barriers to screening for unscreened women are also necessary.
Study Design: Cluster RCT
Significant Findings: Yes
Setting: Manitoba
Target Audience: Women who had no Pap smear reported since 2001 and had been registered in the screening registry for at least 5 years (as of June 2010), with no history of gynecological cancer or hysterectomy, and who were covered by provincial health care insurance
Data Source: Cervical cancer screening registry
Sample Size: Total (N=31,452) Intervention (n=17,068); Control (n=14,384)
Age Range: 30-69

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

Jensen H, Svanholm H, Stovring H, Bro F. A primary healthcare-based intervention to improve a Danish cervical cancer screening programme: a cluster randomised controlled trial. J Epidemiol Community Health. 2009;63(7):510-5. 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, Patient Reminder/Invitation
Intervention Description: A targeted invitation to women not participating for the last 5 years in cervical screening was evaluated to determine whether it would decrease the number of these women. Increasing general practitioners' attention to the screening programme for cervical cancer was also evaluated to determine whether it would increase participation.
Primary Outcomes: Odds of receiving a Pap smear during the intervention
Conclusion: It is possible to decrease the proportion of non-attenders and increase the coverage rate in a screening programme for cervical cancer using a special targeted invitation to non-attenders combined with a visit to GPs.
Study Design: Cluster RCT
Significant Findings: Yes
Setting: General practices (GPs) in the county of Aarhus
Target Audience: Women who had not had a Pap smear in the last 5 years GPs in Aarhus
Data Source: Database that included women’s Pap smear information, regardless of where she had received the screening
Sample Size: Total (N=117,129) Intervention (n=57,946); Control (n=59,183)
Age Range: 23-59

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

Taylor VM, Jackson JC, Yasui Y, et al. Evaluation of an outreach intervention to promote cervical cancer screening among Cambodian American women. Cancer Detect Prev. 2002;26(4):320-7. 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, Patient Navigation, Enabling Services, COMMUNITY, Community Events, POPULATION-BASED SYSTEMS, Home Visits
Intervention Description: A group-randomized controlled trial to evaluate a cervical cancer screening intervention program targeting Seattle’s Cambodian refugee community.
Primary Outcomes: Odds of having a self-reported Pap test in the past 12 months
Conclusion: This study was unable to document an increase in Pap testing use specifically in the neighborhood-based outreach intervention group; rather, we found an increase in both intervention and control groups. A general awareness of the project among women and their health care providers as well as other ongoing cervical cancer screening promotional efforts may all have contributed to increases in Pap testing rates.
Study Design: Cluster RCT
Significant Findings: No
Setting: Seattle, Washington
Target Audience: Cambodian women
Data Source: Self-report through personal interviews and verified through medical record review
Sample Size: Total (N=370) Analysis (n=289) Intervention (n=144); Control (n=145)
Age Range: ≥18

Thompson B, Coronado G, Chen L, Islas, I. Celebremos la salud! a community randomized trial of cancer prevention. Cancer Causes Control. 2006;17(5):733-46. 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, Other Person-to-Person Education, Enabling Services, Other Media, Community Events, COMMUNITY, POPULATION-BASED SYSTEMS
Intervention Description: In a randomized controlled trial of 20 communities, the study examined whether a comprehensive intervention influenced cancer screening behaviors and lifestyle practices in rural communities in Eastern Washington State. Cross-sectional surveys at baseline and post-intervention included interviews with a random sample of approximately 100 households per community. The interview included questions on ever use and recent use of Pap test, mammogram, and fecal occult blood test (FOBT) and sigmoidoscopy/colonoscopy, fruit and vegetable consumption and smoking practices.
Primary Outcomes: Percentage of women who self-reported ever having received a Pap smear Percentage of women who self-reported receiving a Pap smear in the past 3 years
Conclusion: Our null findings might be attributable to the low dose of the intervention, a cohort effect, or contamination of the effect in non-intervention communities. Further research to identify effective strategies to improve cancer prevention lifestyle behaviors and screening practices are needed.
Study Design: Cluster RCT
Setting: Twenty communities in the Lower Yakima Valley of WA
Target Audience: Women
Data Source: Self-report through personal interviews
Sample Size: Total (N=1,962) Analysis (n=1,851) Intervention (n=894); Control (n=957)
Age Range: ≥18

Byrnes P, McGoldrick C, Crawford M, Peers M. Cervical screening in general practice - strategies for improving participation. Aust Fam Physician. 2007;36(3):183-4, 192. 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, Patient Reminder/Invitation, PROVIDER/PRACTICE, Provider Audit/Practice Audit, Nurse/Nurse Practitioner
Intervention Description: To assess the effects on cervical screening rates in one small general practice based on uptake and the benefits of multiple strategies.
Primary Outcomes: Rate of registered Pap smears at the end of the 18-month audit
Conclusion: Strategies are feasible and associated with a considerable increase in screening rates. Patients can choose to have their test performed by a nurse in general practice. This study suggests that each strategy's improvement in uptake is independently additive.
Study Design: QE: pretest-posttest
Significant Findings: Yes
Setting: General practice in Bundaberg, Queensland
Target Audience: Women attending the practice living within Bundaberg
Data Source: Chart review
Sample Size: Baseline (n=1,540) Follow-up (n=1,431)
Age Range: 18-69

Dorrington MS, Herceg A, Douglas K, Tongs J, Bookallil M. Increasing Pap smear rates at an urban Aboriginal Community Controlled Health Service through translational research and continuous quality improvement. Aust J Prim Health. 2015;21(4):417-22. 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, Patient Reminder/Invitation, Educational Material, PROVIDER/PRACTICE, Provider Reminder/Recall Systems, Quality Improvement/Practice-Wide Intervention, Designated Clinic/Extended Hours, Female Provider, Needs Assessment, PATIENT_CONSUMER, HOSPITAL
Intervention Description: Translational research (TR) and continuous quality improvement (CQI) processes used to identify and address barriers and facilitators to Pap smear screening within an urban Aboriginal Community Controlled Health Service (ACCHS).
Primary Outcomes: Pap smears per year conducted by Aboriginal Community Controlled Health Service
Conclusion: he use of TR with CQI appears to be an effective and acceptable way to affect Pap smear screening. This model is transferrable to other settings and other health issues.
Study Design: QE: pretest-posttest
Significant Findings: Yes
Setting: An urban Aboriginal Community Controlled Health Service (ACCHS)
Target Audience: All women within eligible age range
Data Source: Electronic medical records
Sample Size: Total (N=213)
Age Range: 18-70

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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.