Evidence map›Paper›PMID 27869293›Full record

Trial reportCancer2017

Addressing multilevel barriers to cervical cancer screening in Korean American women: A randomized trial of a community-based intervention.

Carolyn Y Fang, Grace X Ma, Elizabeth A Handorf, Ziding Feng, Yin Tan, Joanne Rhee, Suzanne M Miller, Charles Kim, Han Seung Koh

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02594826 (Facilitating Cervical Cancer Screening Among Underserved Korean American Women), which is not on this map. Cited by 34 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 9 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT02594826 nacompletednot on this map

Facilitating Cervical Cancer Screening Among Underserved Korean American Women

TypeinterventionalSponsorFox Chase Cancer CenterRan2009 to 2014Enrolled744ConditionsCervical CarcinomaArmsCulturally appropriate intervention, General health education control
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 9 syntheses or guidelines pooled it, 54 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Carolyn Y FangCancer Prevention and Control Program, Fox Chase Cancer Center, Philadelphia, Pennsylvania.
Grace X MaCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania.
Elizabeth A HandorfDepartment of Biostatistics and Bioinformatics, Fox Chase Cancer Center, Philadelphia, Pennsylvania.
Ziding FengDepartment of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Yin TanCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania.
Joanne RheeCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania.
Suzanne M MillerCancer Prevention and Control Program, Fox Chase Cancer Center, Philadelphia, Pennsylvania.
Charles KimCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania.
Han Seung KohFirst Korean United Methodist Church of Cherry Hill, Cherry Hill, New Jersey.
Temple University · USFox Chase Cancer Center · USFirst United Methodist Church · USThe University of Texas MD Anderson Cancer Center · US

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Margaret von Mehren · 1985 to 2026
$138.8M
Training ProgramU54CA153513 · NCI · TEMPLE UNIV OF THE COMMONWEALTH · PI MA, GRACE X. · 2010 to 2015
$5.2M
NCI NIH HHS P30 CA006927NCI NIH HHS U54 CA153513
6 · The paper itself

Abstract

backgroundKorean American women have among the lowest rates of cervical cancer screening in the United States. The authors evaluated a multicomponent intervention combining community education with navigation services to reduce access barriers and increase screening rates in this underserved population. It was hypothesized that cervical cancer screening rates would be higher among women who received the intervention program compared with those in the control program.

methodsKorean American women (N = 705) were recruited from 22 churches. In this matched-pair, group-randomized design, 347 women received the intervention, which consisted of a culturally relevant cancer education program combined with provision of navigation services. The control group (N = 358) received general health education, including information about cervical cancer risk and screening and where to obtain low-cost or no-cost screening. Screening behavior was assessed 12 months after the program.

resultsScreening behavior data were obtained from 588 women 12 months after the program. In both site-level and participant-level analyses, the intervention program contributed to significantly higher screening rates compared with the control program (odds ratio [OR], 25.9; 95% confidence interval [CI], 10.1-66.1; P < .001). In sensitivity analysis, the treatment effect remained highly significant (OR, 16.7; 95% CI, 8.1-34.4; P < .001).

conclusionsA multicomponent intervention combining community cancer education with navigation services yielded significant increases in cervical cancer screening rates among underscreened Korean American women. Community-accessible programs that incorporate cancer education with the delivery of key navigation services can be highly effective in increasing cervical cancer screening rates in this underserved population. Cancer 2017;123:1018-26. © 2016 American Cancer Society.

Indexed as

AsianAdultAgedEarly Detection of CancerFemaleHumansMass ScreeningMiddle AgedPapanicolaou TestSocioeconomic FactorsUterine Cervical NeoplasmsVaginal Smearscervical cancer screeningcommunity-based participatory researchinterventionKorean Americannavigation

Identifiers

PMID27869293
PMCPMC5339039
OpenAlexW2551744801

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.