Effective Lay Health Worker Outreach and Media-Based Education for Promoting Cervical Cancer Screening Among Vietnamese American Women

Mock, Jeremiah; McPhee, Stephen J.; Nguyen, Tuan D.; Wong, Ching; Doan, Hiep T.; Lai, KY; Nguyen, Kim; Nguyen, Tung T.; Bui-Tong, Ngoc

doi:10.2105/ajph.2006.086470

Cited by 139 publications

(176 citation statements)

References 28 publications

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“…23 Mock found increases in the rate of screening for cervical cancer for Vietnamese women in both intervention and control groups (intervention 65.8 % to 81.8 %, p<0.001; control 70.1 % to 75.5 %, p<0.001). 22 The increase in the intervention group was significantly greater than that in the control (Z test p= 0.001). 22 Fernandez found that 39.5 % of Latinas in the intervention group completed screening compared to 23.6 % in the control group (p<0.05).…”

Section: Impact Of Interventions To Increase Screeningmentioning

confidence: 87%

“…Of the studies that evaluated the impact of multiple interventions, five included education delivered by lay health workers plus navigation in combination with other interventions (educational materials and/or messages in the media), on the rate of screening for cervical cancer. 15,22,23,35,36 Compared to control, all found an increase in the rate of screening for cervical cancer with the intervention. Wang found a 70 % rate of screening for cervical cancer with the intervention for Chinese American women compared to 11.1 % for the control condition (p<0.001).…”

Section: Impact Of Interventions To Increase Screeningmentioning

confidence: 91%

“…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%

“…[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. 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 transportatio...…”

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%

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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: Impact Of Interventions To Increase Screeningmentioning

confidence: 87%

Section: Impact Of Interventions To Increase Screeningmentioning

confidence: 91%

Section: Quality Assessmentmentioning

confidence: 99%

Section: Types Of Interventions Examinedmentioning

confidence: 99%

Section: Types Of Interventions Examinedmentioning

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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Interventions targeted at women to encourage the uptake of cervical screening

Everett

Bryant

Griffin

et al. 2011

Cochrane Database of Systematic Reviews

182

176

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Background World-wide, cervical cancer is the second most common cancer in women. Increasing the uptake of screening, alongside increasing informed choice is of great importance in controlling this disease through prevention and early detection. Objectives To assess the effectiveness of interventions aimed at women, to increase the uptake, including informed uptake, of cervical cancer screening. Search methods We searched the Cochrane Gynaecological Cancer Group Trials Register, Cochrane Central Register of Controlled Trials (CENTRAL), Issue 1, 2009. MEDLINE, EMBASE and LILACS databases up to March 2009. We also searched registers of clinical trials, abstracts of scientific meetings, reference lists of included studies and contacted experts in the field. Selection criteria Randomised controlled trials (RCTs) of interventions to increase uptake/informed uptake of cervical cancer screening. Data collection and analysis Two review authors independently abstracted data and assessed risk of bias. Where possible the data were synthesised in a meta-analysis. Main results Thirty-eight trials met our inclusion criteria. These trials assessed the effectiveness of invitational and educational interventions, counselling, risk factor assessment and procedural interventions. Heterogeneity between trials limited statistical pooling of data. Overall, however, invitations appear to be effective methods of increasing uptake. In addition, there is limited evidence to support the use of educational materials. Secondary outcomes including cost data were incompletely documented so evidence was limited. Most trials were at moderate risk of bias. Informed uptake of cervical screening was not reported in any trials. Authors’ conclusions There is evidence to support the use of invitation letters to increase the uptake of cervical screening. There is limited evidence to support educational interventions but it is unclear what format is most effective. The majority of the studies are from developed countries and so the relevance to developing countries is unclear.

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Interventions targeted at women to encourage the uptake of cervical screening

Staley¹,

Shiraz²,

Shreeve³

et al. 2021

Cochrane Database of Systematic Reviews

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Effective Lay Health Worker Outreach and Media-Based Education for Promoting Cervical Cancer Screening Among Vietnamese American Women

Abstract: Combined intervention motivated more Vietnamese American women to obtain their first Pap tests and to become up-to-date than did media education alone.

Cited by 139 publications

References 28 publications

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

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

Interventions targeted at women to encourage the uptake of cervical screening

Interventions targeted at women to encourage the uptake of cervical screening

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