RecruitingNot ApplicableNCT06416150

Reducing Urban Cervical Cancer Disparities

Reducing Urban Cervical Cancer Disparities Using a Tailored MHealth Intervention to Enhance Colposcopy Attendance

Sponsor

Fox Chase Cancer Center

Enrollment

546 participants

Start Date

Aug 28, 2024

Study Type

INTERVENTIONAL

Conditions

Cervical Cancer Papilloma Viral Infection

Summary

This study uses a hybrid Type 1 effectiveness-implementation trial to operationalize and assess the efficacy of the Health Enhancement Resource System (HERS) intervention. HERS aims to increase patient follow-up after abnormal test results through text message-based barriers counseling for women and supplemental telephone-based Health Coaching for women who miss their appointment.

Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 90 Years

Plain Language Summary

Simplified for easier understanding

This study is working to improve cervical cancer screening and follow-up care in urban communities, particularly for people who have been referred for a colposcopy (a close examination of the cervix after an abnormal Pap smear). Researchers want to reduce the gaps in care that lead to worse cancer outcomes in certain communities. **You may be eligible if...** - You are between 18 and 90 years old - You have been referred to a clinic for a colposcopy exam - You can communicate easily in English - You have a cell phone that can receive text messages - You are able to give consent to participate **You may NOT be eligible if...** - You are currently pregnant - You have a current or past diagnosis of invasive cervical cancer - You need follow-up care but not a colposcopy specifically Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALStage 1 SOC

Participants will receive high Standard Care, consisting of a telephone call approximately one month before the appointment to confirm the appointment date for the baseline colposcopy appointment, followed by a notification letter including scheduled appointment date and clinic contact information should the clinic be unable to reach the patient by telephone.

BEHAVIORALStage 1 HERS

Participants will receive text message appointment reminders and barriers messages. Text messages will be sent on a prescheduled basis over the course of 2 weeks preceding the scheduled target appointment.

BEHAVIORALStage 2 HERS

Participants will receive another barriers assessment and another round of text message appointment reminders and barriers messages.

BEHAVIORALStage 2 HERS+HC

Participants will receive another barriers assessment and another round of text message barriers counseling as well as health coaching (HC) after their missed appointment. Participants that miss their scheduled appointment will receive a HC call within 2 business days. HC calls will be flexibly scheduled based on the preference of the patients and limited to 15 minutes or less.

BEHAVIORALStage 3 SOC

Participants will receive a telephone call before their 12-month follow-up appointments to remind participants about their upcoming appointment and schedule/reschedule if needed.

BEHAVIORALStage 3 HERS

BEHAVIORALStage 3 HERS+HC

Participants will receive text message barriers counseling as well as HC after their missed appointment. Participants that miss their scheduled appointment will receive a HC call within 2 business days. HC calls will be flexibly scheduled based on the preference of the patients and limited to 15 minutes or less.

BEHAVIORALStage 4 HERS

Participants will receive another barriers assessment and another round of text message appointment reminders and barriers messages.

BEHAVIORALStage 4 HERS+HC

Participants will receive another barriers assessment and another round of text message barriers counseling as well as HC. Participants that miss their scheduled appointment will receive a HC call within 2 business days. HC calls will be flexibly scheduled based on the preference of the patients and limited to 15 minutes or less.