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The investigators aim to improve adherence to follow-up recommendations for an abnormal Pap and effectively reduce disparities in cervical cancer risk and disease among rural and low-income urban women.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase I: | Active Comparator |
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| Phase 2: | Experimental | -In Phase 2 of the study (second five months), new colposcopy patients will be approached and consented in a similar fashion as in Phase 1 and asked to complete the basic needs survey. However, this time, patients who screen positive with at least one unmet basic need will be offered assistance by a life navigator (a trained case manager) who will contact the patients by phone within 2 business days of completing the survey. The life navigator will connect patients with community resources in each area to help with their unmet basic needs.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Basic needs survey | Other | -11 questions about food security, housing personal safety, neighborhood safety, childcare, and transportation |
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| Measure | Description | Time Frame |
|---|---|---|
| Participant adherence to initial colposcopy visit | -Will use weekly clinic schedules to track adherence rates | At the time of initial colposcopy visit |
| Measure | Description | Time Frame |
|---|---|---|
| Number of unmet basic needs | -Data obtained from Basic Needs Survey | -2 weeks prior to initial colposcopy visits |
| Type of unmet basic needs | -Data obtained from Basic Needs Survey |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lindsay M Kuroki, M.D. | Washington University School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Southern Illinois University School of Medicine | Springfield | Illinois | 62794 | United States | ||
| Washington University School of Medicine |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33631781 | Derived | Kuroki L, Massad LS, Martin A, Liu J, Brown D, Leon A, Groesch K, Wilson T, Zeino Y, Diaz-Sylvester P, Delfino K, Hyon K, Kreuter M. Addressing Unmet Basic Needs to Improve Colposcopy Adherence Among Women With Abnormal Cervical Cancer Screening. J Low Genit Tract Dis. 2021 Apr 1;25(2):106-112. doi: 10.1097/LGT.0000000000000593. |
| Label | URL |
|---|---|
| Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine | View source |
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| Life Navigator | Behavioral |
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| Follow-up survey | Other | -5 questions about the acceptability of the basic needs survey |
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| Follow-up survey (phase II participants only) | Other | -7 questions about the effectiveness of the life navigator |
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| -2 weeks prior to initial colposcopy visits |
| Participant adherence to recommended follow-up after initial colposcopy visit | -Data will be collected for each participant to notate whether participant showed up for recommended follow-up visit and will be tabulated for all participants | At the time of initial colposcopy visit |
| Participant acceptability of the unmet basic needs survey | At the time of initial colposcopy visit |
| Participant perception of effectiveness of life navigator to assist with their unmet basic needs |
| At the time of initial colposcopy visit |
| St Louis |
| Missouri |
| 63110 |
| United States |