Telephone counseling improves adherence to colposcopy among lower-income minority women.

Lerman, Caryn; Hanjani, Parviz; Caputo, Craig; Miller, Suzanne M.; Delmoor, Ernestine; Nolte, Susan; Engstrom, Paul F.

doi:10.1200/jco.1992.10.2.330

Cited by 166 publications

(128 citation statements)

References 13 publications

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“…Two studies assessed the impact of telephone counseling on the diagnosis and treatment of premalignant disease of the cervix. 27,28 Compared to the control group, Lerman found the odds of adherence to colposcopy were 2.6 times higher for the intervention group (p<0.003). 27 Miller found that compared to telephone appointment confirmation, telephone counseling resulted in increased adherence to the initial colposcopy appointment (76 % vs. 68 %, OR 1.50, 95 % CI 1.04-2.17), and for attendance at the sixmonth colposcopy appointment (61 % vs. 36 %, OR 2.70, 95 % CI 1.15-6.51).…”

Section: Interventions To Improve Diagnosis or Treatmentmentioning

confidence: 95%

“…27,28 Compared to the control group, Lerman found the odds of adherence to colposcopy were 2.6 times higher for the intervention group (p<0.003). 27 Miller found that compared to telephone appointment confirmation, telephone counseling resulted in increased adherence to the initial colposcopy appointment (76 % vs. 68 %, OR 1.50, 95 % CI 1.04-2.17), and for attendance at the sixmonth colposcopy appointment (61 % vs. 36 %, OR 2.70, 95 % CI 1.15-6.51). 28 Given the moderate risk of bias due to one randomized controlled trial and one quasi-experimental study of good quality, the consistency of the findings, and the precision of the estimate, the strength of evidence is low that telephone counseling increases the diagnosis and treatment of premalignant lesions of the cervix for minority women (Tables 3 and 4).…”

Section: Interventions To Improve Diagnosis or Treatmentmentioning

confidence: 95%

“…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. 24,30,31 The single study that included both types of interventions was of fair quality.…”

Section: Quality Assessmentmentioning

confidence: 99%

“…18 Of the seven studies evaluating interventions to improve the diagnosis and treatment of premalignant disease of the cervix in minority populations, two involved telephone counseling. 27,28 One study created a streamlined process for cervical cancer screening and follow up of abnormalities 29 ; one included intensive follow up and/or vouchers for reducedcost care 30 ; and one included a personalized letter and pamphlet and/or an audiovisual presentation and/or transportation incentives. 31 One study included written educational materials, education programs, and messages in the media 24 ; and one evaluated the Breast and Cervical Cancer Prevention and Treatment Act of 2000, which authorized Medicaid expansion to cover treatment of patients screened under the Breast and Cervical Cancer Mortality Prevention Act and found to have an abnormal Pap smear.…”

Section: Types Of Interventions Examinedmentioning

confidence: 99%

“…Of the seven studies that evaluated the impact of interventions to improve the diagnosis or treatment of premalignant disease of the cervix, four evaluated the impact of a single intervention [27][28][29]42 and three evaluated the impact of a combination of interventions. 24,30,31 In a randomized controlled trial, Brewster evaluated a single visit for both screening for cervical cancer and follow up of an abnormal result (High-Grade Squamous Intraepithelial Lesion (HGSIL), Atypical Glandular Cells of Uncertain Significance (AGUS) or carcinoma).…”

Section: Interventions To Improve Diagnosis or Treatmentmentioning

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: Interventions To Improve Diagnosis or Treatmentmentioning

confidence: 95%