Comparison among the efficacy of interventions for the return rate to receive the pap test report: randomized controlled clinical trial

Vasconcelos, Camila Teixeira Moreira; Pinheiro, Ana Karina Bezerra; Nicolau, Ana Izabel Oliveira; Lima, Thaís Marques; Barbosa, Denise de Fátima Fernandes

doi:10.1590/1518-8345.1337.2857

Cited by 6 publications

(5 citation statements)

References 11 publications

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“…Yet, few studies have focused on the role that patient navigation might play in cancer care in LMICs or on how these services can affect health outcomes in countries with fragmented or fragile health systems. In the 14 studies included in the review, the types of patient navigation services that were offered mirrored those provided in HICs, notably facilitating linkages to follow-up services [6, 31–35], providing counselling [6, 33, 34, 36–39], providing financial support [40], coordinating appointments [32, 33, 35, 39–43], and maintaining communication with patients and families [40, 41, 43].…”

Section: Discussionmentioning

confidence: 99%

Patient navigation services for cancer care in low-and middle-income countries: A scoping review

Dalton

Holzman

Erwin³

et al. 2019

PLoS ONE

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BackgroundNearly 70% of all cancer deaths occur in low- and middle-income countries (LMICs) and many of these cancer deaths are preventable. In high-income countries (HICs), patient navigation strategies have been successfully implemented to facilitate the patient’s journey at multiple points along the cancer care continuum. The purpose of this scoping review is to understand and describe the scope of patient navigation interventions and services employed in LMICs.MethodsA systematic search of published articles was conducted including Medline, Biosis, Embase, Global Health, and Web of Science. Articles were examined for evidence of patient navigation interventions used in cancer care in LMICs. Evidence was synthesized by navigation service provided and by type of outcome.ResultsFourteen studies reported on patient navigation interventions in cancer care in low-income and middle-income countries in Asia, South America, and Africa. Most studies reported on women’s cancers and included navigation interventions at most points along the cancer care continuum i.e. awareness, education, screening participation, adherence to treatment and surveillance protocols.ConclusionFew studies report on cancer patient navigation in LMICs. With the use of an implementation science framework, patient navigation research can explore a broader range of outcomes to better evaluate its potential role in improving cancer control in LMICs.

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Section: Discussionmentioning

confidence: 99%

Patient navigation services for cancer care in low-and middle-income countries: A scoping review

Dalton

Holzman

Erwin³

et al. 2019

PLoS ONE

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“…In a separate intervention study, undertaken in Fortaleza, the educational group (a flip chart in the waiting room) presented a non-return rate of 18%, while the behavioral group (who were given a bracelet with the return date printed on it) had a rate of 34%, and the comparison group, one of 23%. The bracelet for reminding the service users of the date did not bring any benefits, but, rather, contributed to distancing the women from the service 12 . As a result, the interventions tested in the present study were shown to be more simple and efficacious for motivating the women to attend to collect the report.…”

Section: Discussionmentioning

confidence: 99%

“…Group 2 - telephone call - educational intervention: as well as the normal attendance, the women were offered an intervention in the form of an educational telephone call, whose content was guided by the themes from script-file 4 from technology developed in a previous study 12 and based in the Brazilian guidelines for controlling cervical cancer. The dialogue established in the telephone approach was conducted according to the principles of the Motivational Interview (MI).…”

Section: Methodsmentioning

confidence: 99%

Telephone interventions in adherence to receiving the Pap test report: a randomized clinical trial

Nicolau¹,

Lima²,

Vasconcelos

et al. 2017

Rev. Latino-Am. Enfermagem

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Objective:to test the efficacy of the behavioral and educational interventions undertaken by telephone, for women’s attendance at the consultation to receive the Pap test report. Method:a randomized clinical trial, with a sample randomized in three groups: telephone call - educational (n=171), telephone call - reminder (n=171) and comparison (n=169). The inclusion criteria were to be of legal age, to have become sexually active, to undertake the preventive examination during the study and to have a mobile or fixed telephone. The educational group received a telephone call involving a script based in the motivational interview and in the Brazilian guidelines. The behavioral group received a telephone call involving a reminder about the consultation. The comparison group received a card with details of when to return for a consultation regarding the results. Results:the women who received one of the interventions had a non-return rate of 7.3% and an increase of 39% (RR CI95%: 1.24-1.55) in the protection against this outcome. In the individual analysis of the interventions, it was evidenced that both are efficacious, as the telephone call - reminder reduces the woman’s failure to return to the service by 40% (RR CI95%: 1.25-1.57), while the telephone call - educational does so by 37% (RR CI95%: 1.22-1.54). The rates of non-return were of 6.5% and 8.2%, respectively, as against 33.1% in the comparison group. Conclusion:the interventions tested showed greater efficacy in the educational and behavioral contexts, in relation to the normal attendance, as they motivated the women to return to the service to receive the Pap test report. Clinical trial register: RBR-w3vnc.

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“…In a study of Brazilian women undergoing cervical cancer screening through Papanicolaou testing at a single urban center ( n = 775), patients were randomized to either receive a written card with a follow-up date on it (control), education on the importance of returning to the clinic and follow-up for the results (education), or a novel patient navigation method where different colored wristbands with reminders were tied onto the wrists of patients (navigation group). The navigation group had a lower follow-up rate (66%) than both the education group (82%) and the control (77%) ( P < 0.05)[ 39 ]. This highlights the importance of studying the interventions prior to implementation as not all interventions are acceptable, feasible, or produce the same results given differences in the clinical and cultural context of the healthcare system and the community.…”

Section: Patient Navigation and Community Health Workersmentioning

confidence: 99%

Healthcare delivery interventions to reduce cancer disparities worldwide

Dickerson

Ragavan

Parikh

et al. 2020

WJCO

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Globally, cancer care delivery is marked by inequalities, where some economic, demographic , and sociocultural groups have worse outcomes than others. In this review, we sought to identify patient-facing interventions designed to reduce disparities in cancer care in both high- and low-income countries. We found two broad categories of interventions that have been studied in the current literature: Patient navigation and telehealth. Navigation has the strongest evidence base for reducing disparities, primarily in cancer screening. Improved outcomes with navigation interventions have been seen in both high- and low-income countries. Telehealth interventions remain an active area of exploration, primarily in high income countries, with the best evidence being for the remote delivery of palliative care. Ongoing research is needed to identify the most efficacious, cost-effective, and scalable interventions to reduce barriers to the receipt of cancer care globally.

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Comparison among the efficacy of interventions for the return rate to receive the pap test report: randomized controlled clinical trial

Cited by 6 publications

References 11 publications

Patient navigation services for cancer care in low-and middle-income countries: A scoping review

Patient navigation services for cancer care in low-and middle-income countries: A scoping review

Telephone interventions in adherence to receiving the Pap test report: a randomized clinical trial

Healthcare delivery interventions to reduce cancer disparities worldwide

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