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| Name | Class |
|---|---|
| Centre Regional de Coordination des Depistages des Cancer - Pays de la Loire | OTHER |
| Centre d'Investigation Clinique-P1415, TOURS | UNKNOWN |
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Despite the existence of an effective screening test (pap smear), cervical cancer is, every year in France, the cause of more than 3,000 new cases and 1,100 deaths. But, in France, 4 in 10 women are not screened or not often enough (nearly 7 millions women). It is therefore necessary to develop new strategies to reach these women. The etiological factor of this cancer is persistent infection with High-Risk Human PapillomaVirus (HR-HPV). Thereby, HPV-based tests could be alternative screening tests. Vaginal self-sampling with HR-HPV test is simpler and less intrusive than the pap smear. It has been shown that sending vaginal self-sampling kit (with HPV test) to unscreened women's home is a powerful means to increase the participation rate of cervical cancer screening. It seems interesting to explore methods to increase the efficiency of this strategy by optimizing the ratio of the number of kits used compared to the number of kits sent. Two approaches will be tested: a system "available on request" of the kit and / or the addition of an SMS (Short Message Service) reminder.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Self-sampling kit sent at home | Active Comparator | Sending of a vaginal self-sampling kit at home |
|
| Self-sampling kit sent at home + SMS reminder | Experimental | Sending of a vaginal self-sampling kit at home + a SMS reminder is sent if the woman do not (in 2 months) :
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| Letter offering a self-sampling kit "on request"+ SMS reminder | Experimental | Sending of letter offering a vaginal self-sampling kit. Women can ask for this kit on line, on our website or by calling us. If they do ask for the kit, one kit is sending to their home. For these women, a SMS reminder is sent if the woman do not (in 2 months) :
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| SMS offering a self-sampling kit "on request"+ SMS reminder | Experimental | Sending of SMS offering a vaginal self-sampling kit. Women can ask for this kit on line, on our website or by calling us. If they do ask for the kit, one kit is sending to their home. For these women, a SMS reminder is sent if the woman do not (in 2 months) :
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Self-sampling kit sent at home | Behavioral | Selected women receive a mail inviting them either to perform a vaginal self sampling at their home (with the kit provided) or to perform a pap smear. When women choose the vaginal self-sampling, a HPV test is performed on the sample in a virology laboratory. |
| Measure | Description | Time Frame |
|---|---|---|
| Participation / no participation to complete cervical cancer screening | Complete cervical cancer screening is defined as one of the followings :
| 9 months after postal mail (with or without the kit) or SMS |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Julie BOYARD, MSc | University Hospital of TOURS | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Crcdc-Cvl | Tours | 37044 | France |
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| Self-sampling kit sent at home + SMS reminder | Behavioral | Selected women receive a mail inviting them either to perform a vaginal self sampling at their home (with the kit provided) or to perform a pap smear. After 2 months without "return", a SMS reminder about the available self-sampling kit is sent to the woman. We call "return" :
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| Letter offering a self-sampling kit "on request"+ SMS reminder | Behavioral | Selected women receive a mail inviting them either to perform a vaginal self sampling at their home (kit provided on request) or to perform a pap smear. Women are invited to ask the kit online, on our website. For the women who ask the kit, after 2 months without "return", a SMS reminder about the available self-sampling kit is sent to the woman. We call "return" :
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| SMS offering a self-sampling kit "on request"+ SMS reminder | Behavioral | Selected women receive a SMS inviting them to ask a vaginal self sampling kit to perform a sample at home and send it to a laboratory (kit provided on request). Women are invited to ask the kit by answering "1" by SMS. For the women who ask the kit, after 2 months without "return", a SMS reminder about the available self-sampling kit is sent to the woman. We call "return" :
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| ID | Term |
|---|---|
| D002583 | Uterine Cervical Neoplasms |
| ID | Term |
|---|---|
| D014594 | Uterine Neoplasms |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D002577 | Uterine Cervical Diseases |
| D014591 | Uterine Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |
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