ArticleWomen & health2016
Evaluating the stage of change model to a cervical cancer screening intervention among Ohio Appalachian women.
Article in Women & health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 5 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- A Systematic Review of the Effectiveness of Health Education Programs for Cervical Cancer Prevention in Rural Communities: Implications for Promoting Health Equity.Journal of cancer education : the official journal of the American Association for Cancer Education · 2024Pooled it
- Impact of Community Health Workers on Access to Care for Rural Populations in the United States: A Systematic Review.Journal of community health · 2022Pooled it
- Interventions targeted at women to encourage the uptake of cervical screening.The Cochrane database of systematic reviews · 2021Pooled it
- Educational Interventions for Cervical Cancer Screening Behavior of Women: A Systematic ReviewAsian Pacific journal of cancer prevention : APJCP · 2018Pooled it
- Social determinants of health and US cancer screening interventions: A systematic review.CA: a cancer journal for cliniciansPooled it
- Comparative Effectiveness of 2 Interventions to Increase Breast, Cervical, and Colorectal Cancer Screening Among Women in the Rural US: A Randomized Clinical Trial.JAMA network open · 2023Trial
- Article
- Cancer Screening in Appalachia: A Common-Sense Approach.International journal of behavioral medicine · 2025Article
- Understanding of Cervical Screening Adoption among Female University Students Based on the Precaution Adoption Process Model and Health-Belief Model.International journal of environmental research and public health · 2022Article
- Translating qualitative data into intervention content using the Theoretical Domains Framework and stakeholder co-design: a worked example from a study of cervical screening attendance in older women.BMC health services research · 2022Article
- Effect of a community-based multicomponent intervention on cervical cancer behavior among women - A randomized controlled trial.Journal of education and health promotion · 2022Article
- Artificial neural networks (ANNs) for modeling efficient factors in predicting pap smear screening behavior change stage.BioMedicine · 2022Article
- Exploring the Barriers to Cervical Cancer Screening through the Lens of Implementers and Beneficiaries of the National Screening Program: A Multi-Contextual Study.Asian Pacific journal of cancer prevention : APJCP · 2020Article
- Preventive Care and Chronic Disease Management Comparison of Appalachian and Non-Appalachian Community Health Centers in the United States.Journal of Appalachian health · 2020Article
- Processes of Change for Colonoscopy: Limited Support for Use Among Navigated Latinos.Journal of racial and ethnic health disparities · 2019Article
- Provider-reliant contraception use among reproductive-aged women in rural Appalachian Ohio.Women's health (London, England)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Cervical cancer incidence and mortality rates are disproportionally high among women living in Appalachia Ohio. This study used the Transtheoretical Model to examine screening barriers before and after a lay health advisor (LHA) intervention (2005-2009) to increase cervical cancer screening rates. Ohio Appalachian women (n = 90) who were in need of a Pap test, based on risk-appropriate guidelines, were randomized to a 10-month LHA intervention and received two in-person visits, two phone calls, and four mailed postcards targeted to the participant's stage of change. Findings revealed that 63% had forward stage movement 10 months after the intervention. The most frequently reported screening barriers were time constraints, forgetting to make an appointment, and cost. Women who reported the following barriers-doctor not recommending the test; being unable to afford the test; and being embarrassed, nervous, or afraid of getting a Pap test-were less likely to be in the action stage. Understanding the stages of change related to Pap testing and reported barriers among this underserved population may help inform researchers and clinicians of this population's readiness for change and how to set realistic intervention goals.
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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.