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Strengthen the Evidence for Maternal and Child Health Programs

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Displaying records 21 through 40 (78 total).

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

Anderson JO, Mullins RM, Siahpush M, Spittal MJ, Wakefield M. Mass media campaign improves cervical screening across all socio-economic groups. Health Educ Res. 2009;24(5):867-75. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): COMMUNITY, Television Media, Other Media, POPULATION-BASED SYSTEMS
Intervention Description: This study sought to determine whether a mass media campaign conducted in Victoria, Australia, in 2005 was effective in encouraging women across all socio-economic status (SES) groups to screen.
Primary Outcomes: Number of registered Pap smears during 2005
Conclusion: Mass media campaigns can prompt increased rates of cervical screening among all women, not just those from more advantaged areas. Combining media with additional strategies targeted at low-SES women may help lessen the underlying differences in screening rates across SES.
Study Design: QE: pretest-posttest
Significant Findings: Yes
Setting: Victoria
Target Audience: Women with no history of hysterectomy
Data Source: Victorian Cervical Cytology Registry
Sample Size: Approximate total (N≈1,421,390)4
Age Range: 18-69

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

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

Howe A, Owen-Smith V, Richardson J. The impact of a television soap opera on the NHS Cervical Screening Programme in the North West of England. J Public Health Med. 2002;24(4):299-304. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): COMMUNITY, Television Media, POPULATION-BASED SYSTEMS
Intervention Description: Evaluate the impact of a Coronation Street story line, in which one of the characters died from cervical cancer, on the National Health Service (NHS) Cervical Screening Programme.
Primary Outcomes: Number of registered Pap smears performed on eligible women in the intervention Health Authorities during weeks 9-32 in 2000 and 2001
Conclusion: We have demonstrated a large impact of a soap opera story line on the cervical screening programme although the benefit to health is not clear. Further research will determine the long-term effect of the story.
Study Design: QE: pretest-posttest
Significant Findings: Yes
Setting: Lancashire and Greater Manchester zones of the North West Region of the National Health Service
Target Audience: Women whose previous Pap smear was normal and who were on routine recall during the intervention period
Data Source: Health Authority cervical screening databases
Sample Size: Total (N=320,128)5 N= Pap smears
Age Range: ≥25

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

Morrell S, Perez DA, Hardy M, Cotter T, Bishop JF. Outcomes from a mass media campaign to promote cervical screening in NSW, Australia. J Epidemiol Community Health. 2010;64(9):777-83. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): COMMUNITY, Television Media, Other Media, POPULATION-BASED SYSTEMS
Intervention Description: The mass media has been shown to be effective at improving participation in cervical screening. A 2007 television advertising campaign to promote cervical screening in New South Wales (NSW) was examined.
Primary Outcomes: Weekly Pap test rates in 2006 and 2007 Number of screens performed during the campaign in 2007, compared to the corresponding period in 2006
Conclusion: Despite the ecological nature of this study, the mass media campaign appears to have been successful in increasing screening in unscreened and underscreened women in NSW.
Study Design: QE: pretest-posttest design
Significant Findings: Yes
Setting: New South Wales
Target Audience: Women in New South Wales
Data Source: New South Wales Pap Test Register
Sample Size: Approximate total (N≈27,100) 2006 (n=12,284) 2007 (n=14,816) N=mean Pap smears per week
Age Range: 20-69

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

Tavasoli SM, Pefoyo AJ, Hader J, Lee A, Kupets R. Impact of invitation and reminder letters on cervical cancer screening participation rates in an organized screening program. Prev Med. 2016;88:230-6. 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, Patient Reminder/Invitation
Intervention Description: Explore the impact of invitation and reminder letters on cervical cancer screening participation among eligible Ontario women 30 to 69 years of age.
Primary Outcomes: Percentage of women with a registered Pap test at the 9-month follow-up
Conclusion: The invitation and reminder letter strategy increased cervical cancer screening participation.
Study Design: QE: pretest-posttest
Significant Findings: Yes
Setting: Ontario
Target Audience: Women who had not had a Pap test in the previous 36 months
Data Source: Cytobase and the Ontario Health Insurance Plan’s Claims History Databases
Sample Size: Total (N=273,534) 2014 (n=135,770); 2013 (n=137,764) Analysis (n=27,269) 2014 (n=16,196)6 ; 2013(n=11,073)
Age Range: 30-69

Yucel U, Ceber E, Ozenturk G. Efficacy of a training course given by midwives concerning cervical cancer risk factors and prevention. Asian Pac J Cancer Prev. 2009;10(3):437-42. 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, Home Visits
Intervention Description: This experimental field study was performed with the aim of evaluating the efficacy of training given to women about cervical cancer risk factors and primary and secondary prevention precautions.
Primary Outcomes: Percentage of women who self-reported receiving a Pap smear at the 12-month follow-up
Conclusion: Women were in need of knowledge about risk factors related to cervical cancer, prevention from and early diagnosis of cervical cancer, but there was no significant increase in the rate of having a Pap smear test despite the increase in the knowledge level with the training given.
Study Design: QE: pretest-posttest
Significant Findings: No
Setting: Evka 4 Health Care Center in Izmir
Target Audience: Women who were literate, married, had social security, and were registered at the Evka 4 Health Care Center
Data Source: Written questionnaire
Sample Size: Baseline (n=254) Follow-up (n=227)
Age Range: 25-29

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

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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.