The overall goal of this education program is to increase breast and cervical cancer screening in low-income women in Puerto Rico through implementation of an evidence-based educational program that addresses both health professionals (promotoras or community health workers) and public audiences of low-income women living in Canóvanas, Puerto Rico who have either never been screened for breast and/or cervical cancer, or are under-screened according recommended guidelines. To evaluate promotoras' delivery of the CLS screening education program we used a randomized pre-post comparison group study design that will provide data to determine the effectiveness of the CLS intervention program compared with usual practice (no intervention).
The proposed promotora and community based breast and cervical screening education program includes the following specific aims: Aim 1. To train community health workers (promotoras) from Taller Salud to implement the CLS breast and cervical cancer screening program. Taller Salud staff train and build capacity of promotoras to implement the CLS community-based education and navigation program. Aim 2. To deliver the CLS intervention program to at least 600 women in Canóvanas municipality, Puerto Rico. Aim 3. To evaluate the impact of the program on increasing mammography and cervical cancer screening among participating women in Canóvanas, Puerto Rico. Aim 4. To adapt and update intervention materials
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SCREENING
Masking
SINGLE
Enrollment
444
A lay health worker delivered educational intervention for breast and cervical cancer screening. In total, the Intervention Group subject participation will take approx. up to four hours (1 hour for interview, 1 hour for the second interview, and 1-2 hours for the CLS intervention) and Control Group up to four hours (One hour for interview, one hour for the second interview, up to two hours for educational intervention after the second interview). Follow-up data was collected 4-6 months post education session (intervention group) or post-baseline survey (control group).
University of Puerto Rico, Medical Sciences Campus
San Juan, Puerto Rico
Number of participants aged 21 and older who completed a cervical cancer screening (Pap test)
Screening behavior status at baseline and follow-up were assessed by asking women the month and year of their last Pap test.
Time frame: 4-6 months after the intervention
Number of participants aged 40 and older who completed a mammography test
Screening behavior status at baseline and follow-up were assessed by asking women the month and year of their last mammogram.
Time frame: 4-6 months after the intervention
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