Project Self in Improving Cervical Cancer Screening Rates in Hispanic and African American Women

Not Applicable

Active, not recruiting

Interventions: Other: Educational Intervention
Procedure: HPV Self-Collection
Other: Questionnaire Administration

Brief Summary: This trial studies if Project Self can improve the rate of cervical cancer screening in Hispanic and African American women living in Houston, Texas. Project Self may help to improve cervical cancer screening rates by providing human papillomavirus (HPV) self-collection kits, education, counseling, and navigation.

Detailed Description: PRIMARY OBJECTIVES:

I. To examine the feasibility of conducting an education intervention trial regarding cervical cancer screening among women of Hispanic and African American origin living in public housing units in Houston, Texas.

SECONDARY OBJECTIVES:

I. Document cervical screening associated knowledge, attitudes and practices among Hispanic and African American women living in public housing units in Houston, Texas at pre- and post-health education.

II. Document Pap smear screening rate in last 3 years among participants. III. Document HPV positive rate among participants.

OUTLINE:

Participants complete questionnaires, take part in a health education session, and receive an HPV self-collection kit.

After completion of study, participants are followed up at 1 month.

Recruitment & Eligibility

Inclusion Criteria

Self-identify as African American or Hispanic women.
Valid home address reflective of residence in the participating housing development(s) at least 50% of the time.
Functioning telephone number.
Speak and read English or Spanish.

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Screening (questionnaire, health education, self-collection)	Questionnaire Administration	Participants complete questionnaires, take part in a health education session, and receive HPV self-collection kit.
Screening (questionnaire, health education, self-collection)	Educational Intervention	Participants complete questionnaires, take part in a health education session, and receive HPV self-collection kit.
Screening (questionnaire, health education, self-collection)	HPV Self-Collection	Participants complete questionnaires, take part in a health education session, and receive HPV self-collection kit.

Primary Outcome Measures

Name	Time	Method
Human papillomavirus (HPV) self-collection uptake rate	Up to 2 weeks after health education session	Defined as the proportion of the participants who consent to the study and receive an HPV self-collection kit complete the self-collection and return the sample to the lab or research staff member or community health worker within timeline.
Participant consent rate	Up to 1 month

Secondary Outcome Measures

Name	Time	Method
HPV positive proportion	Up to 1 month
Cervical screening associated knowledge, attitudes and practices score	Up to 1 month	Paired t-tests or Wilcoxon signed-rank tests will be used to examine the change of the scores difference for cervical screening associated knowledge, attitudes and practices. For every participant, 'Knowledge' will be measured using a 12-question scale, which will have a 'Yes/No/Unsure' response. Each 'correct' response will be scored as 1, while 'incorrect' and 'unsure' as 0. A score 50% (≥6 correct responses) will be considered as optimal. 'Attitude' will be measured using a 6-question scale which will have 'Disagree/Neutral/Agree response. Attitude will be considered as favorable if we have three or more "Agree" responses. Being screened, before our education-intervention, for cervical cancer with Pap-smear, and after our intervention either with HPV self-sampling or Pap-smear, will be regarded as having good practice. Changes in Knowledge, Attitude and Practice, pre- and post-education intervention will be examined using Paired t-tests or Wilcoxon signed-rank tests.
Participants' self-reported Pap smear screening rate in last 3 years	Up to 1 month