Development and implementation of a curriculum on cancer screening for small groups of Latino women

Navarro, Ana; McNicholas, Lori J.; Cruz, M C C; McKennett, Marianne; Sanchez, Olga; Senn, Karen L.; Cañez, Blanca

doi:10.1007/bf03174335

Cited by 10 publications

(18 citation statements)

References 11 publications

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“…First, randomizing participants at the individual level represents a methodological improvement over much of the existing CHW literature, where weaker experimental designs are more prevalent 57,58,62,[71][72][73] . Second, the community-based recruitment strategies employed here produced a study cohort that is likely more representative of the overall population than a clinic- * Acculturation was measured using the Short Acculturation Scale for Hispanics (Marin 1987) † Health status was measured by a 1-question self-report with 5-point Likert scale response options ‡ Cervical cancer knowledge was measured by a six-question instrument developed by the study team and is expressed as the mean score of questions answered correctly § Self-efficacy for Pap smear receipt was measured by the Self-efficacy Scale for Pap Smear Screening Participation (SES-PSSP), with a maximum score of 5 (Hogenmiller 2007) ║Defined as having had a Pap smear during the 12 months prior to enrollment * Cervical cancer knowledge is expressed as a mean score out of a maximum of 6 † Self-efficacy is expressed as a mean score out of a maximum of 5 based cohort.…”

Section: Discussionmentioning

confidence: 99%

“…These workshops followed a previously-studied curriculum, which was modified by the study team for the purposes of the current study 62 . The curriculum employs an interactive format and includes information about female genital anatomy, risk factors for cervical cancer, common myths about cervical cancer, screening procedures and recommendations, the implications of screening, and the epidemiology of cervical cancer in Hispanic women.…”

Section: Methodsmentioning

confidence: 99%

“…Three previous studies randomized communities [57][58][59] , and two studies were randomized at the level of the CHW 60,61 . Our program was adapted from a curriculum that has been previously studied and reported elsewhere [61][62][63] . Our primary objective was to evaluate the impact of the experimental intervention on participants' receipt of Pap smear screening, cervical cancer knowledge, and self-efficacy.…”

Section: Introductionmentioning

confidence: 99%

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Community Health Worker Intervention to Decrease Cervical Cancer Disparities in Hispanic Women

et al. 2010

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Our randomized trial of a promotora-led educational intervention demonstrated improved Pap screening rates, in addition to increased knowledge about cervical cancer and self-efficacy. 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. Future research should evaluate such programs on a larger scale, and identify novel targets for intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Community Health Worker Intervention to Decrease Cervical Cancer Disparities in Hispanic Women

et al. 2010

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“…Running effective UCC screening programs also entails removing cultural and other barriers (the lack of information about UCC and Pap smears, negative attitudes to screening tests, etc. ), which may interfere with women's chances of being tested [2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Uterine Cervical Cancer Prevention in Eritrea: Development and Results of a Pilot Project

Rugge¹

2018

Arch Community Med Public Health

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Background: Uterine cervical cancer (UCC) is the fourth most common cancer worldwide; almost 85%-90% of UCCs, and UCC-related deaths occur in low-income countries. No UCC prevention programs are currently running in Eritrea.Aims: This manuscript describes a stepwise initiative aiming to establish an UCC prevention project in Eritrea, which combines Pap-smear and colposcopy. Methods:In 2013, an Italian multidisciplinary team submitted a project to the Eritrean Ministry of Health with a view to establishing an Eritrean-Italian UCC prevention task force. The project's starting point was an educational initiative to train local technicians on both Pap-smear assessments and colposcopy.Results: An intensive academic course organized by the University of Padova (Italy) under the patronage of the Eritrean Ministry of Health was successfully held in Asmara to train Eritrean technicians, nurses and midwifes to conduct Pap-smear assessments. Two subsequent pilot projects (2014-2016; 2016-2018) monitored the diagnostic competence of the Eritrean cyto-screeners. These pilot schemes resulted in an initial assessment of 2,014 Pap-smears, which provided information on the main operative issues involved in newly establishing a cancer prevention initiative in a sub-Saharan country. They also generated preliminary data on the prevalence of cancer and precancerous cervical lesions. The second pilot study is additionally providing further insight on the problems faced in expanding the prevention project to the Asmara population as a whole.Conclusions: Anti-HPV vaccination, the most effi cient primary UCC prevention strategy, entails basic requirements that are not always available in low-income countries. In terms of secondary UCC prevention, this Eritrean experience suggests that the low cost of "Pap testing" and the availability of local human resources could lower the incidence of UCC and related deaths in Eritrea.

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“…Study designs included tracking of screenings (n=4) [56, 69, 82, 88], qualitative post-tests (n=1) [68], single group pre- and post-tests (n=5) [55, 59, 62, 64, 65, 87], pre- and post-tests with random samples of participants (n=1) [91, 92], and quasi-experimental (n=6) [11, 51–54, 67, 83, 85, 93] and experimental (n=12) [57, 58, 60, 61, 63, 66, 70–74, 77–81, 84, 86, 89] designs. Follow-up periods ranged from six weeks [62] to three years post-intervention [51–53, 83], with the most common follow-up period being six months (n=6) [11, 54, 62, 64–66, 70, 71, 86]. Screening was assessed using self-report [11, 51–54, 57–67, 70, 71, 73, 74, 77, 78, 80, 81, 83, 84, 91–93] or clinic-based tracking and medical record review [56, 69, 82, 85, 86, 88, 89].…”

Section: Resultsmentioning

confidence: 99%

Increasing Cervical Cancer Screening Among US Hispanics/Latinas: A Qualitative Systematic Review

et al. 2014

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Purpose Hispanic/Latina women experience the highest cervical cancer incidence rates of any racial/ethnic group in the United States (US), and tend to present with more severe cases and experience higher mortality compared to most other populations. The goal of this qualitative systematic review was to explore existing interventions to increase cervical cancer screening among US Hispanics/Latinas and to identify characteristics of effective interventions and research gaps. Materials and Methods Six online databases were searched from their inception through June 30, 2013, using designated search terms and keywords. Peer-reviewed articles that documented an intervention designed to improve screening for cervical cancer among Hispanics/Latinas ages 18 years and older living in the US were reviewed. Data were abstracted using a standardized form to document intervention characteristics and results. Results Forty-five articles, describing 32 unique interventions, met inclusion criteria. Identified interventions consisted primarily of educational programs and/or provision of screening. Interventions used lay health advisors (LHAs), clinic-based outreach/delivery strategies, partnerships with churches, and mass media campaigns. Twelve interventions resulted in significant increases in cervical cancer screening rates. Conclusions Interventions developed utilizing theory, applying community-based participatory research approaches, and using lay health advisors were identified as having the greatest potential for improving cervical cancer screening among Hispanics/Latinas. There continues to be a need for the development of interventions in geographic areas with new and emerging Hispanic/Latino populations and that are comprehensive, follow participants for longer periods of time, and broaden the roles and build the capacities of LHAs.

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Development and implementation of a curriculum on cancer screening for small groups of Latino women

Abstract: The curriculum has been successfully implemented and represents a carefully constructed tool to foster breast and cervical early detection in underserved Latino communities.

Cited by 10 publications

References 11 publications

Community Health Worker Intervention to Decrease Cervical Cancer Disparities in Hispanic Women

Community Health Worker Intervention to Decrease Cervical Cancer Disparities in Hispanic Women

Uterine Cervical Cancer Prevention in Eritrea: Development and Results of a Pilot Project

Increasing Cervical Cancer Screening Among US Hispanics/Latinas: A Qualitative Systematic Review

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