Abnormal Pap Smear, Colposcopy
Conditions
Brief summary
The investigators aim to improve adherence to follow-up recommendations for an abnormal Pap and effectively reduce disparities in cervical cancer risk and disease among rural and low-income urban women.
Interventions
OTHERBasic needs survey
-11 questions about food security, housing personal safety, neighborhood safety, childcare, and transportation
BEHAVIORALLife Navigator
* The life navigator will contact women identified with unmet basic needs within two business days of completing the baseline survey. * The life navigator in our study will: (1) identify and assess women's needs; (2) jointly generate solutions to address the needs; (3) develop plans to carry out the solutions, including; (4) help prioritize among multiple needs; (5) identify community resources that could help solve the problem; (6) determine eligibility for services; (7) help women access available resources by scheduling appointments and provide appointment reminders; (8) prepare women to interact with service agencies and/or act as an advocate on their behalf; (9) provide instrumental support such as arranging transportation; (10) actively intervene to resolve barriers to basic needs solutions; (11) oversee follow-up of problem solving actions; and (12) review progress made towards resolving unmet basic needs and adapt solutions accordingly.
OTHERFollow-up survey
-5 questions about the acceptability of the basic needs survey
OTHERFollow-up survey (phase II participants only)
-7 questions about the effectiveness of the life navigator
Sponsors
Washington University School of Medicine
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Newly referred patients to colposcopy clinic at SIUM and WUSM * Aged 18 years or older * English speaking * Able to provide verbal consent * Diagnosis of abnormal pap will be confirmed by pathology report * Member of all races and ethnic groups
Exclusion criteria
* Male * Established colposcopy clinic patients * Known diagnosis of cancer * Pregnancy * Incarcerated * Unable to consent * No access to a working contact phone number
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Participant adherence to initial colposcopy visit | At the time of initial colposcopy visit | -Will use weekly clinic schedules to track adherence rates |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of unmet basic needs | -2 weeks prior to initial colposcopy visits | -Data obtained from Basic Needs Survey |
| Type of unmet basic needs | -2 weeks prior to initial colposcopy visits | -Data obtained from Basic Needs Survey |
| Participant adherence to recommended follow-up after initial colposcopy visit | At the time of initial colposcopy visit | -Data will be collected for each participant to notate whether participant showed up for recommended follow-up visit and will be tabulated for all participants |
| Participant acceptability of the unmet basic needs survey | At the time of initial colposcopy visit | — |
| Participant perception of effectiveness of life navigator to assist with their unmet basic needs | At the time of initial colposcopy visit | * Data collected on the follow-up survey * 7 questions asking the following * Was the patient navigator helpful (yes with comments/no) * What could the navigator done better (multiple choice and area to add comments) * Did you use any of the resources the navigator told you about (yes with comments/no) * Would you recommend this type of helper to a family member or friend (yes/no) * Were there parts you didn't like or didn't find helpful (yes with comments/no) * Do you think the patient navigator helped you get to your clinic appointments (yes/no) * If available, would you find it helpful to talk to the patient navigator more (yes/no) |
Countries
United States
Outcome results
None listed