Opening Pathways to Cancer Screening for Vietnamese-American Women: Lay Health Workers Hold a Key

Bird, Joyce Adair; McPhee, Stephen J.; Ha, Ngoc-The; Lê, Bich Ngoc; Davis, Thomas B.; Jenkins, Christopher

doi:10.1006/pmed.1998.0365

Cited by 127 publications

(146 citation statements)

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“…24,26 In the community, lay or peer advisors and counselors, promotoras de salud, community health workers, and community health advisors also provide navigation-like services. 27,28 Because of this, the more useful definition emphasizes the navigator's focus on perceived barriers to care. The particular services provided by navigators depend on the barriers they identify and the strategies they adopt to eliminate or reduce those barriers.…”

Section: Defining Patient Navigationmentioning

confidence: 99%

Using navigators to improve care of underserved patients

Dohan

Schrag

2005

Cancer

400

371

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BACKGROUNDLogistic, cultural, educational, and other barriers can impede the delivery of high‐quality cancer care to underserved patients. Patient navigation services represent one innovation for addressing perceived barriers to care encountered by disadvantaged patients. In this report, the authors have 1) defined patient navigation, distinguishing it from other cancer support services; 2) described how programs are organized; and 3) discussed the need for research on program effectiveness.METHODSInformation was examined on navigation programs published in the scientific literature and on line. Qualitative research also was conducted, consisting of direct observation of patient care in cancer clinics with and without navigators in northern California, in‐person interviews with personnel and patients in the clinics observed, and telephone interviews with navigators at four sites across the United States.RESULTSThe authors found that navigation services have been implemented at all stages of cancer care: prevention, screening, treatment, and survival. Navigators differ from other cancer support personnel in their orientation toward flexible problem solving to overcome perceived barriers to care rather than the provision of a predefined set of services. There are no rigorous demonstrations of the effects and effectiveness of navigation, although such studies are underway.CONCLUSIONSCurrently, patient navigation is understudied, and literature documenting its effects and effectiveness is scant. Rigorous studies are needed of the navigator role and program costs and benefits. Such studies will facilitate an assessment of program effectiveness, feasibility across a range of health care settings, and performance relative to alternative approaches for addressing barriers to care among the underserved. Cancer 2005. © 2005 American Cancer Society.

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Section: Defining Patient Navigationmentioning

confidence: 99%

Using navigators to improve care of underserved patients

Dohan

Schrag

2005

Cancer

400

371

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“…Description of studies No screening interventions for men were identified. The four studies that were identified promoted the uptake of mammography screening for women; 16,42,81,82,[84][85][86][87]93,94,116,117 one also specifically promoted cervical cancer screening.…”

Section: Discussionmentioning

confidence: 99%

“…Two high-quality RCTs, 42,81,82,116,117 and two high-quality controlled trials 16,63,[84][85][86][87]93,94 were identified. Women were the unit of randomisation in Paskett 2006 116,117 and participants were randomly assigned to LHAs or no advisor and followed up after 12-14 months.…”

Section: Methodsmentioning

confidence: 99%

“…Communities (as defined by a zip code or group of adjacent zip codes) were the unit of randomisation to one of three intervention arms or to a non-intervention control arm in Andersen 2000 42,81,82 The interventions were implemented by volunteer groups, and were 'individual counselling' (IC), 'community activities' (CA) and a combination of both (IC + CA). In the two controlled trials 16,63,[84][85][86][87]93,94 the intervention was delivered to one community, whereas the control community received no intervention. Samples of women from all of the communities were surveyed after 3 years.…”

Section: Methodsmentioning

confidence: 99%

“…The interventions were delivered in participants' homes (Bird 1998, 84-87 by telephone, Paskett 2006 116,117 ), in community settings (beauty parlours, churches, bingo halls, clubs, stores, libraries, golf courses) 16,63,[84][85][86][87]93,94 or in health settings within the community (health fairs, mobile mammography van days). 16,63,93,94 Referral/recruitment The LHAs spoke to any woman with whom they came into contact in their social group.…”

Section: Locationmentioning

confidence: 99%

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An evidence synthesis of qualitative and quantitative research on component intervention techniques, effectiveness, cost-effectiveness, equity and acceptability of different versions of health-related lifestyle advisor role in improving health.

Carr

Lhussier²,

Forster³

et al. 2011

Health Technol Assess

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. ii ii HTA NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service' . The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of pro...

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Caring for a 70-Year-Old Vietnamese Woman

McPhee¹

2002

JAMA: The Journal of the American Medical Association

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Opening Pathways to Cancer Screening for Vietnamese-American Women: Lay Health Workers Hold a Key

Cited by 127 publications

References 10 publications

Using navigators to improve care of underserved patients

Using navigators to improve care of underserved patients

An evidence synthesis of qualitative and quantitative research on component intervention techniques, effectiveness, cost-effectiveness, equity and acceptability of different versions of health-related lifestyle advisor role in improving health.

Caring for a 70-Year-Old Vietnamese Woman

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