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.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
96
-11 questions about food security, housing personal safety, neighborhood safety, childcare, and transportation
* 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.
Southern Illinois University School of Medicine
Springfield, Illinois, United States
Washington University School of Medicine
St Louis, Missouri, United States
Participant adherence to initial colposcopy visit
-Will use weekly clinic schedules to track adherence rates
Time frame: At the time of initial colposcopy visit
Number of unmet basic needs
-Data obtained from Basic Needs Survey
Time frame: -2 weeks prior to initial colposcopy visits
Type of unmet basic needs
-Data obtained from Basic Needs Survey
Time frame: -2 weeks prior to initial colposcopy visits
Participant adherence to recommended follow-up after 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
Time frame: At the time of initial colposcopy visit
Participant acceptability of the unmet basic needs survey
Time frame: At the time of initial colposcopy visit
Participant perception of effectiveness of life navigator to assist with their unmet basic needs
* 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)
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-5 questions about the acceptability of the basic needs survey
-7 questions about the effectiveness of the life navigator
Time frame: At the time of initial colposcopy visit