Cervical Cancer Prevention for Black Adults

Purpose

The goal of this study is to develop and pilot test an intervention, entitled Health is Wealth: A Cervical Health Program, designed to promote screening and reduce perceived barriers to Cervical Cancer (CC) screening. Aim 1: Examine general awareness and cultural factors (fatalism, religiosity/spirituality, temporal orientation, medical mistrust, and acculturation) related to cancer control and prevention among African Americans (AA) and Sub Saharan African (SAI) Immigrants. Aim 2: Examine the socioecological barriers and facilitators to CC screening and self-sampling to inform tailoring of an evidenced based cervical health program to promote CC screening. Aim 3: Assess feasibility, acceptability, and preliminary efficacy in a pilot test of the Health is Wealth: A Cervical Health Program among 30 AA and 30 SAI women using quasi-experimental design. This study will take place in 2 phases.

Condition

  • Cervical Cancer

Eligibility

Eligible Ages
Between 30 Years and 65 Years
Eligible Genders
Female
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • Self-identify as Black woman (African American or Sub-Saharan African Immigrant) - No pap smear within the last three years or no pap smear/HPV co-test within past five years - Able to speak and write in English - Reside in Kentucky

Exclusion Criteria

  • Do not self-identify as Black woman (African American or Sub-Saharan African Immigrant) - History of hysterectomy - History of cervical cancer - Being pregnant - Unable to speak and write in English - Do not reside in Kentucky

Study Design

Phase
N/A
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Primary Purpose
Screening
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Black women cervical cancer screening 		Participants in this group with receive the Health is Wealth intervention.
  • Behavioral: Health is Wealth: A Cervical Health Program
    Health is Wealth: A Cervical Health Program will be introduced in a one-time 2-hour educational session, participants will be given HPV self-sampling kits, and instructional sheet that visually depicts the steps for self-sampling. The program will be culturally tailored to increase self-efficacy and knowledge while simultaneously addressing perceived health beliefs associated with cervical cancer and barriers associated with cervical cancer screening and HPV self-sampling. Content will be delivered in a group format (about 10-15 participants) by lecture, demonstration, and interactive exercises.

Recruiting Locations

UK Center for Clinical and Translational Science and nearby locations

University of Kentucky
Lexington, Kentucky 40536
Contact:
Adebola Adegboyega, PhD
859-323-5196
aoadeg2@uky.edu

More Details

NCT ID
NCT04927494
Status
Recruiting
Sponsor
Adebola Adegboyega

Study Contact

Adebola Adegboyega, PhD
859-323-5196
aoadeg2@uky.edu

Detailed Description

In phase 1, the investigators will conduct a cross-sectional survey with 150 Black men and women to examine factors impacting cervical cancer screening. Also, as part of phase 1, Aim 2 employs focus groups and a quantitative Health Belief Model checklist with 30 participants to guide development of a tailored intervention. In phase 2, Aim 3 will assess feasibility, acceptability, and preliminary efficacy of the Health is Wealth: A Cervical Health Program intervention among 30 African American and 30 Sub-Saharan African immigrant women.