Grant Details
| Grant Number: | 5R01CA107015-06 Interpret this number |
| Primary Investigator: | Radecki Breitkopf, Carmen |
| Organization: | University Of Texas Medical Br Galveston |
| Project Title: | Intervention to Improve Follow-Up of Abnormal Pap Test |
| Fiscal Year: | 2010 |
Abstract
Over 90 percent of deaths due to cervical cancer could be prevented with appropriate screening and treatment of precursor lesions. However, 20 percent to 70 percent of women in the United States who are told that their Papanicolaou (Pap) test was abnormal do not adhere to recommendations for follow-up care. This is a problem especially among minorities and women of lower socioeconomic status. The proposed study will address this problem by investigating an intervention based in the unified theory of behavior that has been designed to improve follow-up rates after notification of an abnormal Pap test. A total of 600 women of white, black, or Hispanic race/ethnicity between 18 and 55 years of age who experience an abnormal Pap test will be randomized to one of three groups: (1) matched belief + knowledge + importance (intervention), (2) mismatched belief + knowledge + importance (active control), or (3) standard care (passive control). All groups will be notified by telephone of their abnormal results and provided instructions for follow-up. Women assigned to the intervention will receive a semi-structured message addressing three core determinants of behavior identified in our previous work. Specifically, the message will target beliefs about the consequences of follow-up that were isolated for each racial/ethnic group (matched beliefs). In addition, the message will provide detailed information regarding the procedures and timeline associated with follow-up care. Finally, the importance of follow-up, particularly for "low-grade" abnormalities, will be emphasized. Women assigned to the active control group will receive the same knowledge and importance message; however, the belief component will have been designed for a race/ethnicity different from their own (mismatched). Multiple behavioral and psychological outcomes including adherence to initial follow-up, anxiety, and patient satisfaction will be evaluated between groups. In addition, delay in care and completeness of care will be assessed over an 18- month interval. Finally, we will examine the grade of Pap abnormality (low versus high) as an effect modifier. If the proposed intervention is supported by the data, it will significantly increase adherence to follow-up recommendations and consequently decrease the number of women who develop invasive cervical cancer.
Publications
Recycling attitudes and behavior among a clinic-based sample of low-income Hispanic women in southeast Texas.
Authors: Pearson HC, Dawson LN, Radecki Breitkopf C
Source: PLoS One, 2012;7(4), p. e34469.
EPub date: 2012 Apr 6.
PMID: 22493693
Related Citations
Grant Numbers:
| NCI NIH HHS - R01 CA107015-01A1 |
MeSH Terms:
| Family Characteristics | Educational Status | Humans |
| Texas | Attitude | Employment |
| Recycling | Income | Marital Status |
| Acculturation | Hispanic Americans | Social Desirability |
| Adult | Middle Aged | Adolescent |
| Female |
Predictors of sleep characteristics among women in southeast Texas.
Authors: Kachikis AB, Breitkopf CR
Source: Womens Health Issues, 2012 Jan-Feb;22(1), p. e99-109.
EPub date: 2011 Aug 27.
PMID: 21875813
Related Citations
Grant Numbers:
| NCI NIH HHS - R01 CA107015-02 | NCI NIH HHS - R01CA107015 |
MeSH Terms:
Who is counseled to lose weight? Survey results and anthropometric data from 3,149 lower socioeconomic women.
Authors: Breitkopf CR, Egginton JS, Naessens JM, Montori VM, Jatoi A
Source: J Community Health, 2012 Feb;37(1), p. 202-7.
PMID: 21744160
Related Citations
Grant Numbers:
| NCI NIH HHS - K24 CA131099 | NCI NIH HHS - R01CA107015 |
MeSH Terms:
| Socioeconomic Factors | Young Adult | Health Care Surveys |
| Directive Counseling | Humans | Weight Loss |
| Adult | Middle Aged | Body Mass Index |
| Adolescent | Physician-Patient Relations | Female |
Is Spanish language a barrier to domestic violence assessment?
Authors: Jatoi A, Breitkopf CR
Source: J Womens Health (Larchmt), 2011 Jul;20(7), p. 1111-6.
EPub date: 2011 Jun 1.
PMID: 21631373
Related Citations
Grant Numbers:
| NCI NIH HHS - R01CA107015 |
MeSH Terms:
Passive smoke exposure and abnormal cervical cytology in a predominantly Hispanic population.
Authors: Ward KK, Berenson AB, Breitkopf CR
Source: Am J Obstet Gynecol, 2011 Mar;204(3), p. 213.e1-6.
EPub date: 2011 Jan 17.
PMID: 21247553
Related Citations
Grant Numbers:
| NICHD NIH HHS - K24 HD043659-10 | NICHD NIH HHS - T32 HD055163-01A1 | NCI NIH HHS - R01CA107015 |
| NICHD NIH HHS - T32HD055163 |
MeSH Terms:
The influence of cultural adaptation and sexual risk behaviors on cervical cytology in a Hispanic population.
Authors: Ward KK, Roncancio AM, Breitkopf CR
Source: Am J Obstet Gynecol, 2010 Dec;203(6), p. 549.e1-7.
EPub date: 2010 Sep 22.
PMID: 20864073
Related Citations
Grant Numbers:
| NCI NIH HHS - R01 CA107015-01A1 | NCI NIH HHS - R01CA107015 | NICHD NIH HHS - T32HD055163 |
MeSH Terms:
Attitudes, beliefs and behaviors surrounding organ donation among Hispanic women.
Authors: Breitkopf CR
Source: Curr Opin Organ Transplant, 2009 Apr;14(2), p. 191-5.
PMID: 19469039
Related Citations
Grant Numbers:
| NCI NIH HHS - R01 CA107015-01A1 | NCI NIH HHS - R01 CA107015-04 |
MeSH Terms:
The Body Image Concern Inventory: validation in a multiethnic sample and initial development of a Spanish language version.
Authors: Littleton H, Breitkopf CR
Source: Body Image, 2008 Dec;5(4), p. 381-8.
EPub date: 2008 Aug 26.
PMID: 18753021
Related Citations
Grant Numbers:
| NCI NIH HHS - R01 CA107015-01A1 | NCI NIH HHS - R01CA107015 |
MeSH Terms:
