Community Awareness Resources and Education - Project 1 (CARE)
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Purpose
To increase early detection of cervical cancer by increasing the proportion of Appalachian women, age 18 and older, who receive Pap smears at appropriate intervals and return for follow-up care when necessary.
| Condition | Intervention | Phase |
|---|---|---|
|
Cervical Cancer |
Behavioral: Lay Health Advisor Educational Intervention |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Screening |
| Official Title: | Reducing Cervical Cancer in Appalachia |
- Receipt of Cervical Cancer screening via Pap Test [ Time Frame: past 12-14 months (yes/no). ] [ Designated as safety issue: No ]the primary outcome of interest for Project 1 intervention will be a dichotomous variable, Pap smear in the past 12-14 months (yes/no). Initially, We will assess the univariate difference between treatment groups (lay health advisor vs. brochure and physician letter) in the proportion of women who received a Pap smear during the past 12 months using design-based logistic regression.
| Enrollment: | 280 |
| Study Start Date: | March 2005 |
| Study Completion Date: | May 2008 |
| Primary Completion Date: | May 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: Usual Care Group
All women over age 18 should be encouraged to obtain Pap smears at intervals appropriate for their risk profile, the comparison arm will include a low-literacy brochure which encourages women to receive screening. This low-literacy brochure was designed to answer basic questions about Pap smears and provide women with specific instructions on how to obtain a Pap smear.
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|
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Experimental: Intervention - Lay Health Advisor Educational Intervention
The individualized health education intervention consisted of an intensive, reinforced, face to face, interactive educational program. The program included an initial meeting of 45 60 minutes, followed by two telephone calls and reinforcement by a series of four postcards mailed at regular intervals and a second visit. Each woman will be enrolled in the intervention program for approximately 12 to 14 months.
|
Behavioral: Lay Health Advisor Educational Intervention
The individualized health education intervention consisted of an intensive, reinforced, face to face, interactive educational program. The program included an initial meeting of 45 60 minutes, followed by two telephone calls and reinforcement by a series of four postcards mailed at regular intervals and a second visit. Each woman will be enrolled in the intervention program for approximately 12 to 14 months.
|
Detailed Description:
The overall goal of Project 1 is to increase early detection of cervical cancer by increasing the proportion of Appalachian women, age 18 and older, who receive Pap smears at appropriate intervals and return for follow-up care when necessary. The project was implemented in Appalachian Ohio, a mainly rural and underserved area with a population comprised of 1.5 million adults, aged 18 and older, and used community-based participatory research (CBPR) and community relationships already established in the area by Center investigators.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
women age 18 and older
- who have visited participating clinics during the last two years and
- who consider themselves to be a current patient of that clinic
Exclusion Criteria:
- Not a resident of the selected Ohio Appalachia county
- Under the age of 18
Contacts and Locations| United States, Ohio | |
| The Ohio State University Comprehensive Cancer Center | |
| Columbus, Ohio, United States, 43201 | |
| Principal Investigator: | Electra D Paskett, Ph.D. | The Ohio State University Comprehensive Cancer Center |
More Information
No publications provided by Ohio State University Comprehensive Cancer Center
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Electra Paskett, Professor, Ohio State University Comprehensive Cancer Center |
| ClinicalTrials.gov Identifier: | NCT01172561 History of Changes |
| Other Study ID Numbers: | 2004C0104, 1P50CA105632 |
| Study First Received: | July 28, 2010 |
| Last Updated: | March 29, 2012 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Uterine Cervical Neoplasms Uterine Neoplasms Genital Neoplasms, Female Urogenital Neoplasms Neoplasms by Site |
Neoplasms Uterine Cervical Diseases Uterine Diseases Genital Diseases, Female |
ClinicalTrials.gov processed this record on May 21, 2013