Addressing Stigma in Screening and Diagnostic Delay for Cervical Cancer

N/AActive Not RecruitingNCT01287871

City of Hope Medical Center336 enrolled

Overview

This study aims to 1) implement a culturally and contextually rooted innovative multifoci, social marketing intervention involving societal focused media campaign elements to break down the barriers and facilitate timely and appropriate screening practices for cervical cancer; 2) measure cervical cancer stigma from a culturally relevant theoretical and conceptual framework; and 3) assess the influence of stigma on hindering seeking the PAP test. Further, this is an international study that will bring together a multi-disciplinary investigatory team, community advocates and State health agencies to deliver a social marketing intervention in Southern California (the Inland Empire region specifically) and Trinidad and Tobago.

Study Type

INTERVENTIONAL

Allocation

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

336

Conditions

Cervical Cancer Screening

Interventions

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 70 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: Women will be included if they: 1. have not been diagnosed with any type of cancer 2. are between the ages of 18-70 3. self-identify as being African descended or Latina 4. are able to speak English and/or Spanish 5. acknowledge that a Pap test is currently needed Exclusion Criteria: 1. Cervical cancer is diagnosed only in women, therefore this study only includes women 2. Women who have been and/or are currently diagnosed with any type of cancer will be excluded 3. Women with other major medical conditions (e.g. stroke and degenerative illness) will be excluded 4. During the screening the level of symptomatology for depression and anxiety will be assessed. Women with severe depression and anxiety will be excluded, but appropriate psychological follow-up and referral will be provided 5. Women older than 70 years will be excluded

Outcomes

Primary Outcomes

Evaluation of the ability of the social media intervention "End Stigma End Fear, End Cervical Cancer" to counter stigma of cervical cancer among disadvantaged women who acknowledge needing a Pap test at pre-intervention baseline

To evaluate the ability of the social media intervention "End Stigma End Fear, End Cervical Cancer" to counter stigma of cervical cancer, by determining whether, among disadvantaged women who acknowledge needing a Pap test at pre-intervention baseline, degree of exposure to the intervention is associated with the following endpoints at 3 months after the intervention is implemented: 1. post-intervention change in stigma score relative to pre-intervention, and 2. Pap testing (scored as 0=made no attempt, 1=made some attempt but did not get tested, 2=obtained Pap test).

Time frame: 3 months after the intervention is implemented

Secondary Outcomes

Assessment of whether change in stigma score is associated with Pap testing.

Time frame: 3 months after the intervention is implemented

Identification of factors associated with exposure to the intervention overall and to its individual components

Time frame: 3 months after the intervention is implemented

Assessment of whether each component of the intervention is associated with the study endpoints, by testing the 4 components (billboards/posters, newspaper advertisements, health brochures, and radio announcements) rather than the overall exposure score

Time frame: 3 months after the intervention is implemented

Addressing Stigma in Screening and Diagnostic Delay for Cervical Cancer

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes