A nurse practitioner intervention to increase breast and cervical cancer screening for poor, elderly black women

Mandelblatt, Jeanne; Traxler, Maryann; Lakin, Patricia; Thomas, Louys; Chauhan, Prem M. S.; Matseoane, Stephen; Kanetsky, Peter A.

doi:10.1007/bf02599260

Cited by 58 publications

(58 citation statements)

References 40 publications

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“…Of the studies of interventions to improve screening for cervical cancer in racial and ethnic minority populations, one was of very good quality, 14 ten were of good quality, 15,22,23,[32][33][34][35][36]39,40 12 were of fair quality, 12,13,[16][17][18][19][20][21]25,37,38,41 and one was of poor quality. 26 Of the studies of interventions to improve the diagnosis and treatment of premalignant disease of the cervix, three were of good quality [27][28][29] and three were of fair quality.…”

Section: Quality Assessmentmentioning

confidence: 99%

“…Of the 25 studies evaluating interventions to improve the rate of screening for cervical cancer, eight included a single intervention 12,17,[32][33][34]38,40,42 and 17 included multiple interventions. [13][14][15][16][18][19][20][21][22][23]25,26,[35][36][37]39,41 The most common interventions were educational materials and education programs.…”

Section: Types Of Interventions Examinedmentioning

confidence: 99%

“…Nineteen interventions included educational materials 12,13,15,16,[18][19][20][21][22][23]25,26,32,33,36,37,[39][40][41] and 15 included education programs. 15,16,18,19,[21][22][23]25,26,[35][36][37]39,41 Seven interventions included navigation (including assistance scheduling appointments, finding low-cost sources of care and with transportation), [13][14][15]22,23,35,36 five included strategies to provide low-cost screening, 16,21,26,37,42 five included strategies to improve access to screening, 17,18,21,34,…”

Section: Types Of Interventions Examinedmentioning

confidence: 99%

“…Of the remaining four studies that addressed a single intervention to improve screening for cervical cancer in racial or ethnic minority populations, 17,34,38,42 each evaluated the impact of a unique intervention. Margolis evaluated the impact of using lay health advisers to offer women due for screening an appointment with a female nurse practitioner.…”

Section: Impact Of Interventions To Increase Screeningmentioning

confidence: 99%

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Cervical Cancer Screening, Diagnosis and Treatment Interventions for Racial and Ethnic Minorities: A Systematic Review

et al. 2012

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OBJECTIVES To systematically review the literature to determine which interventions improve the screening, diagnosis or treatment of cervical cancer for racial and/or ethnic minorities. DATA SOURCES Medline on OVID, Cochrane Register of Controlled Trials, CINAHL, PsycINFO and Cochrane Systematic Reviews. STUDY ELIGIBILITY CRITERIA, PARTICIPANTS AND INTERVENTIONS We searched the above databases for original articles published in English with at least one intervention designed to improve cervical cancer prevention, screening, diagnosis or treatment that linked participants to the healthcare system; that focused on US racial and/or ethnic minority populations; and that measured health outcomes. Articles were reviewed to determine the population, intervention(s), and outcomes. Articles published through August 2010 were included. STUDY APPRAISAL AND SYNTHESIS METHODS One author rated the methodological quality of each of the included articles. The strength of evidence was assessed using the criteria developed by the GRADE Working Group.45,46 RESULTS Thirty-one studies were included. The strength of evidence is moderate that telephone support with navigation increases the rate of screening for cervical cancer in Spanish- and English-speaking populations; low that education delivered by lay health educators with navigation increases the rate of screening for cervical cancer for Latinas, Chinese Americans and Vietnamese Americans; low that a single visit for screening for cervical cancer and follow up of an abnormal result improves the diagnosis and treatment of premalignant disease of the cervix for Latinas; and low that telephone counseling increases the diagnosis and treatment of premalignant lesions of the cervix for African Americans. LIMITATIONS Studies that did not focus on racial and/or ethnic minority populations may have been excluded. In addition, this review excluded interventions that did not link racial and ethnic minorities to the health care system. While inclusion of these studies may have altered our findings, they were outside the scope of our review. CONCLUSIONS AND IMPLICATIONS OF KEY FINDINGS Patient navigation with telephone support or education may be effective at improving screening, diagnosis, and treatment among racial and ethnic minorities. Research is needed to determine the applicability of the findings beyond the populations studied.

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Section: Quality Assessmentmentioning

confidence: 99%

Section: Types Of Interventions Examinedmentioning

confidence: 99%

Section: Types Of Interventions Examinedmentioning

confidence: 99%

Section: Impact Of Interventions To Increase Screeningmentioning

confidence: 99%

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Cervical Cancer Screening, Diagnosis and Treatment Interventions for Racial and Ethnic Minorities: A Systematic Review

et al. 2012

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“…At the end of the study, however, screening rates were significantly higher at the nurse practitioner site. (It was noted that the screening population, low-income African American women Ն65 years old, remained below screening levels targeted by the National Cancer Institute [23].) A large comprehensive cancer screening activity by mid-level providers is being utilized by the Moffitt Cancer Center's Lifetime Cancer Screening Program in Tampa, Florida [22].…”

Section: B B and M Tmentioning

confidence: 99%