NCT02427399

Conducting Outreach to Improve Cervical Cancer Screening Rates Among Underscreened Patients

Conducting Outreach to Improve Cervical Cancer Screening Rates Among Underscreened Patients at an Urban Community Health Center

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,100 (actual)
• Sponsor: Fenway Community Health · Academic / Other
• Sex: Female
• Age: 21 Years – 64 Years
• Healthy volunteers: Accepted

Summary

The purpose of this project is to determine whether outreach to HIV-negative patients who are overdue for a Pap smear at a New England urban community health center can increase cervical cancer screening rates. It additionally seeks to determine which form of outreach - via letter, email, phone, or a mixture of those modalities- is most effective among these patients.

Detailed description

To the investigators' knowledge, this study will be the first to assess the efficacy of email in cervical cancer screening outreach in a randomized controlled trial. It will also be one of the few randomized controlled trials to directly compare different outreach media directly, as opposed to different variations within a single medium (e.g. two different types of letters). Lastly, given the unique patient demographic makeup at Fenway, including a significant number of lesbian, bisexual and transgender patients, secondary subanalyses have the potential to significantly add to the investigators' knowledge of what media work best in conducting cervical cancer screening outreach with sexual and gender minorities, who are disproportionately underscreened compared to heterosexual cis-gendered women.

Conditions

• Uterine Cervical Neoplasms

Interventions

Type	Name	Description
OTHER	Letter and informational sheet	The patients in this group will be mailed a letter at time 0. The letter will inform the patient that she is overdue for a Pap and will also contain an informational sheet about cervical cancer and Pap tests.
OTHER	Email	The same text shared in the letter will be sent as an email to the patients in this intervention group, again at time 0, 1, and 2 months, as necessary for nonresponders.
OTHER	Phone	The patient will be telephoned and informed that they are due for a Pap, and given the opportunity to schedule an appointment over the phone immediately. Patients will be contacted at time 0, 1, and 2 months as necessary for nonresponders.
OTHER	Multimodal	The patient will be sent a letter/informational sheet at time 0. If she does not respond within one month, she will be sent an email. If she does not respond by 2 months after the start of the intervention period, she will be called.

Timeline

• Start date: 2013-01-01
• Primary completion: 2014-12-01
• Completion: 2017-01-01
• First posted: 2015-04-28
• Last updated: 2017-06-22
• Results posted: 2017-06-22