Trial reportCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2007
A multifaceted intervention to increase cervical cancer screening among underserved Korean women.
Trial report in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02351609 (Patient Navigation and Financial Incentives to Promote Smoking Cessation), which is not on this map. Cited by 48 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Patient Navigation and Financial Incentives to Promote Smoking Cessation
Who cites it
48 citing papers in PubMed, 8 syntheses or guidelines pooled it, 96 citations in OpenAlex.
- Barriers and Facilitators to Breast and Cervical Cancer Screening Among Immigrants in the United States.Journal of immigrant and minority health · 2019Pooled it
- Assessing evidence of interventions addressing inequity among migrant populations: a two-stage systematic review.International journal for equity in health · 2019Pooled it
- Cultural Appropriateness in Health Communication: A Review and A Revised Framework.Journal of health communication · 2019Pooled it
- Pooled it
- Navigating Language Barriers: A Systematic Review of Patient Navigators' Impact on Cancer Screening for Limited English Proficient Patients.Journal of general internal medicine · 2016Pooled it
- Culturally tailored interventions of chronic disease targeting Korean Americans: a systematic review.Ethnicity & health · 2014Pooled it
- A systematic review of interventions to increase breast and cervical cancer screening uptake among Asian women.BMC public health · 2012Pooled it
- Interventions that increase use of Pap tests among ethnic minority women: a meta-analysis.Psycho-oncology · 2011Pooled it
- Trial
- The impact of age-relevant and generic infographics on knowledge, attitudes and intention to attend cervical screening: A randomized controlled trial.British journal of health psychology · 2024Trial
- Trial
- Community-Based Cervical Cancer Education: Changes in Knowledge and Beliefs Among Vietnamese American Women.Journal of community health · 2019Trial
- Trial
- ColoNav: patient navigation for colorectal cancer screening in deprived areas - Study protocol.BMC cancer · 2016Trial
- Increasing cervical cancer screening among Vietnamese Americans: a community-based intervention trial.Journal of health care for the poor and underserved · 2015Trial
- Implementation of culturally targeted patient navigation system for screening colonoscopy in a direct referral system.Health education research · 2013Trial
- Feasibility, acceptability and preliminary effectiveness of patient advocates for improving asthma outcomes in adults.The Journal of asthma : official journal of the Association for the Care of Asthma · 2013Trial
- Health beliefs associated with cervical cancer screening among Vietnamese Americans.Journal of women's health (2002) · 2013Trial
- Cost analysis of a patient navigation system to increase screening colonoscopy adherence among urban minorities.Cancer · 2013Trial
- Patient navigation to promote smoking cessation among low-income primary care patients: a pilot randomized controlled trial.Journal of ethnicity in substance abuse · 2013Trial
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveDespite the proven survival benefits associated with cervical cancer screening, use of the Pap test continues to be suboptimal in some population subgroups, such as among Korean-American women who face considerable barriers to screening. Therefore, we evaluated a multifaceted intervention that combined psychoeducational counseling with patient navigation to address both psychosocial and access barriers to screening.
methodWomen (n = 102) were recruited from Korean community centers and assigned to the intervention or control condition. The intervention group received cervical cancer education and patient navigation delivered by bilingual Korean health educators. The control group received general health education, including information about cervical cancer and screening. Assessments were obtained at baseline and postintervention. Screening behavior was assessed at 6 months postintervention.
resultsAt baseline, 17% of participants reported having had a Pap test in the previous year. At 6 months postintervention, 83% of women in the intervention group had obtained screening compared with 22% in the control group, chi2(1) = 41.22, P < 0.001. Multivariate logistic regression analyses indicated that participation in the intervention was associated with screening (P < 0.001). Fewer psychosocial barriers (e.g., discomfort at having a stranger perform Pap) and greater self-efficacy were also associated with screening (P < 0.05).
conclusionA combined modality intervention that delivers education with patient navigation training and assistance resulted in increased screening rates. Multifaceted approaches may be effective in reducing the psychosocial, access, and language barriers that contribute to cancer health disparities in underserved populations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.