Cervical Cancer
Conditions
Brief summary
The purpose of this study is to learn if a cervical health literacy program is a practical and helpful way of improving women's cervical health knowledge and improving cancer screening behaviors, and ultimately preventing cervical cancer.
Detailed description
Women in the criminal just system are 4-5 times more likely to have cervical cancer than non-incarcerated women. Little is known about how to close this gap. The few investigators that have studied cervical cancer risk and disease among women in jails and prisons have found that while many women get screened for cervical cancer, less than half get follow-up care. The investigator's pilot research suggests the most important contributor to cervical cancer risk, and perhaps lack of follow-up, is incarcerated women's low health literacy about both cervical cancer and broader reproductive health issues. This study is testing a sexual health empowerment intervention (SHE Project) to see if it improves incarcerated women's reproductive health literacy.
Interventions
BEHAVIORALSHE Project
Consists of five-sessions, starting on a Monday and ending Friday. Each day involves an approximately 2 hour session.
Sponsors
National Cancer Institute (NCI)
Megha Ramaswamy, PhD, MPH
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
21 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Women sentenced or anticipate a sentence of one year or less * Ability to follow participants post-jail release * Able to read and understand English
Exclusion criteria
* Women who have been treated for cervical cancer with procedures that would obviate the need for regular screening * Exhibit severe psychological distress
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effectiveness of sexual health empowerment (SHE Project) intervention | Change from Baseline to 5 days | Changes in knowledge, beliefs, and self-efficacy pre- and post-intervention measured using data collection instruments (Pap Knowledge Scale, Health Belief Model Scale for Cervical Cancer and Pap Smear Test, Self-Efficacy Scale for Pap Smear Screening Participation, Investigator developed study specific survey specific to women with criminal justice involvement, 10-question satisfaction survey) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Long-term health behavior | 6 Months post-jail release | Participant screening behaviors (Paps or Sexually Transmitted Infections \[STIs\]), clinical follow-up of screening, and strategies for navigating health care encounters. Measured using self-report of screening and clinical follow-up survey, review of participant medical charts) |
Countries
United States
Outcome results
None listed