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Displaying records 1 through 13 (13 total).

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

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

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

Kaczorowski J, Hearps SJ, Lohfield L, et al. Effect of provider and patient reminders, deployment of nurse practitioners, and financial incentives on cervical and breast cancer screening rates. Can Fam Physician. 2013;59(6):e282-9. 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, Patient Reminder/Invitation, Educational Material, PROVIDER/PRACTICE, Provider Reminder/Recall Systems, Financial Incentives, Nurse/Nurse Practitioner
Intervention Description: Before-and-after comparisons of the time-appropriate delivery rates of cervical and breast cancer screening using the automated and NP-augmented strategies of the P-PROMPT reminder and recall system.
Primary Outcomes: Rate of Pap smear delivery, defined as the number of women in each practice that were up-to-date with screening divided by all eligible women
Conclusion: The use of provider and patient reminders and pay-for-performance incentives resulted in increases in the uptake of Pap tests and mammograms among eligible primary care patients over a 1-year period in family practices in Ontario.
Study Design: Total (N=246) Analysis (n=232) N=physicians
Significant Findings: Yes
Setting: Eight primary care network practices and 16 family health network practices in southwestern Ontario
Target Audience: Practicing physicians from the participating primary care network and family health network groups
Data Source: CytoBase (consortium of main laboratories in Ontario), combined with rosters of eligible patients
Age Range: N/A

Singh MK, Einstadter D, Lawrence R. A structured women's preventive health clinic for residents: a quality improvement project designed to meet training needs and improve cervical cancer screening rates. Qual Saf Health Care. 2010;19(5):e45. 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, PROVIDER/PRACTICE, Provider Education, Designated Clinic/Extended Hours
Intervention Description: Evaluate the impact of a quality improvement project of implementing a Women's Preventive Health Clinic (WPHC) on addressing gaps identified by needs assessments: residents' comfort and knowledge with female preventive care and cervical cancer screening.
Primary Outcomes: Rate of Pap test orders during two 2.5 year periods (pre-intervention and post-intervention)
Conclusion: The results indicate that a focused resident preventive programme can meet gaps identified by education and needs assessments, and simultaneously have a positive impact on cervical cancer screening rates and thus may serve as a model for other residency programmes.
Study Design: QE: pretest-posttest
Significant Findings: Yes
Setting: MetroHealth Medical Center in Cleveland, OH
Target Audience: All women within eligible age range Second- and third-year internal medicine residents
Data Source: Electronic medical records
Sample Size: Total (=378) N=women Total (N=63) N=resident physicians
Age Range: 18-63

Bastani R, Berman BA, Belin TR, et al. Increasing cervical cancer screening among underserved women in a large urban county health system: can it be done? What does it take? Med Care. 2002;40(10):891-907. 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 Education, Provider Audit/Practice Audit, Quality Improvement/Practice-Wide Intervention, Designated Clinic/Extended Hours
Intervention Description: Evaluation of a 5-year demonstration project testing a multicomponent (provider, system, and patient) intervention to increase cervical cancer screening among women who receive their health care through the Los Angeles County Department of Health Services, the second largest County Health Department in the nation.
Primary Outcomes: Rate of registered Pap smears during the 9 months following the patient’s first clinic visit and entrance into the study
Conclusion: An intensive multicomponent intervention can increase cervical cancer screening in a large, urban, County health system serving a low-income minority population of under screened women.
Study Design: QE: pretest-posttest non-equivalent control group
Significant Findings: Yes
Setting: Los Angeles County Department of Health Services (LACDHS) facilities: 2 large hospitals, 2 feeder Comprehensive Health Centers, and 6 of the health center’s feeder Public Health Centers
Target Audience: Women attending LACDHS facilities
Data Source: Medical records and computerized databases held by the Los Angeles County Department of Health Services
Sample Size: Total (N=18,642) Intervention (n=9,492); Control (n=9,150) Baseline (n=5,249) Year 2 (n=5,470) Year 3 (n=5,365) First 6 months of Year 4 (n=2,558)
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

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

Perkins RB, Zisblatt L, Legler A, Trucks E, Hanchate A, Sheinfeld Gorin S. Effectiveness of a provider-focused intervention to improve HPV vaccination rates in boys and girls. Vaccine, 2015;33(9):1223-1229. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Education, Quality Improvement/Practice-Wide Intervention, Provider Incentives (Maintenance of Certification)
Intervention Description: A provider-focused intervention that included repeated contacts, education, individualized feedback, and strong quality improvement incentives to raise HPV vaccination rates at two federally qualified community health centers.
Primary Outcomes: Rates of patient initiation of HPV vaccination at baseline and during 2 follow-up periods: “Active intervention period,” 6-12 months after the start of the intervention “Post-intervention,” the 6-month period after the intervention
Conclusion: Provider-focused interventions including repeated contacts, education, individualized feedback, and strong quality improvement incentives have the potential to produce sustained improvements in HPV vaccination rates.
Study Design: Cluster RCT
Significant Findings: Yes
Setting: 1 outpatient pediatric/adolescent department at a major urban academic medical center and 7 affiliate federally qualified community health centers
Target Audience: Females who received primary care (>1 well visit) in the pediatric/adolescent department at a participating practice during the 2-year study period, excluding females who were pregnant during the study period and patients who received care in both an intervention and control practice5
Data Source: Electronic medical records
Sample Size: Total (n=3,961)6
Age Range: 11/21/2022

Kiser, L. H., & Butler, J. (2020). Improving Equitable Access to Cervical Cancer Screening and Management. The American journal of nursing, 120(11), 58–67. https://doi.org/10.1097/01.NAJ.0000721944.67166.17 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 Reminder/Invitation, HEALTH_CARE_PROVIDER_PRACTICE, Provider Training/Education, Quality Improvement/Practice-Wide Intervention, Nurse/Nurse Practitioner
Intervention Description: Improving cervical cancer screening rates was identified as a priority in a federally qualified health center when only 40% of eligible women were properly screened in 2016. Forty-five percent of the population the clinic serves is uninsured and 60% are Hispanic. The aim of this quality improvement project was to have 75% of the women 21 to 65 years of age who sought care at this clinic during the 60-day project period receive Pap test eligibility screening, enrollment in a state and federal screening program, and case management. Four rapid plan–do–study–act cycles were used. Tests of change included team engagement, patient engagement, eligibility screening, and case log management. Data were analyzed using run charts to evaluate the impact of interventions on outcomes. The interventions consisted of team meetings, a patient engagement tool, an eligibility screening tool, and case log management.
Conclusion: A multicomponent approach led to underserved women receiving equitable access to cervical cancer screening and timely enrollment in a cervical cancer screening program.
Setting: Federally qualified health center (FQHC) in Tucson, Arizona,
Target Audience: Uninsured and underserved women ages 21-65

Heidemann, D. L., Adhami, A., Nair, A., Haftka-George, A., Zaidan, M., Seshadri, V., Tang, A., & Willens, D. E. (2021). Using a Frontline Staff Intervention to Improve Cervical Cancer Screening in a Large Academic Internal Medicine Clinic. Journal of general internal medicine, 36(9), 2608–2614. https://doi.org/10.1007/s11606-021-06865-8 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, Incentives, HEALTH_CARE_PROVIDER_PRACTICE, Provider Training/Education, Residents/Medical Students
Intervention Description: Phase 1 lasted 9 months and implemented CCS patient outreach, patient financial incentives, and clinic staff education. Phase 2 lasted 9 months and involved a workflow change in which MAs identified candidates for CCS during patient check-in. Feedback spanned the entire study period.
Conclusion: The rate of CCS increased by 5% after a systematic 2-phase organizational intervention that empowered MAs to remind, identify, and prepare candidates during check-in for CCS.
Significant Findings: yes
Setting: Urban academic internal medicine clinic
Target Audience: Women ages 21-64 eligible for cervical cancer screening

Sutton, S., Azar, S. S., Evans, L. K., Murtagh, A., McCarthy, C., & John, M. S. (2021). HPV Knowledge Retention and Concurrent Increase in Vaccination Rates 1.5 Years After a Novel HPV Workshop in Medical School. Journal of cancer education : the official journal of the American Association for Cancer Education, 10.1007/s13187-021-02106-y. Advance online publication. https://doi.org/10.1007/s13187-021-02106-y Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): HEALTH_CARE_PROVIDER_PRACTICE, Provider Training/Education, Designated Clinic/Extended Hours
Intervention Description: The objective of this study was to demonstrate long-term retention of HPV knowledge and positive attitudes towards HPV vaccination after attending our novel HPV workshop, with a focus on knowledge of oropharyngeal cancer. A follow-up survey was administered to medical students 1.5 years after the initial completion of the workshop. HPV vaccination records from the student-led clinic were collected from the immunization information system.
Conclusion: This study demonstrates that knowledge and positive attitudes were maintained 1.5 years after participating in this HPV curriculum during students’ preclinical years of medical school. Additionally, an increase in HPV vaccination rates occurred at a student-led clinic, indicating a positive clinical impact on the curriculum.
Significant Findings: no
Setting: Reno school of medicine, University of Nevada

Fu, L., Smith, A., Ciotoli, C., Dannenbaum, M., & Jacobs, M. (2021). An immunization quality improvement learning collaborative in the college health setting. Journal of American college health : J of ACH, 1–10. Advance online publication. https://doi.org/10.1080/07448481.2021.1979560 Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): HEALTH_CARE_PROVIDER_PRACTICE, Provider Training/Education, Quality Improvement/Practice-Wide Intervention
Intervention Description: Teams participated in a 7-month virtual learning collaborative to implement immunization delivery best practices at their SHCs. A pre-post-intervention design was used to compare vaccination coverage in May 2017 to May 2018 among students who were unvaccinated at the start of the academic year.
Conclusion: Participating in a learning collaborative may help SHCs improve vaccination delivery.
Significant Findings: yes
Setting: Student health clinics

   

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.