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Grant Details

Grant Number: 5R21CA155531-02 Interpret this number
Primary Investigator: Lee, Hee
Organization: University Of Minnesota
Project Title: Mobile Phone Text Messaging Intervention for Cervical Cancer Screening
Fiscal Year: 2012


Abstract

DESCRIPTION (provided by applicant): The proposed study aims to develop and investigate the feasibility of an innovative text- message-based Screening (mScreening) intervention that utilizes components of persuasive technology to promote cervical cancer screening among young Korean American women living in Minnesota. Cervical cancer poses a significant burden on Korean American women, who experience alarmingly high incidence and mortality rates associated with the disease, while simultaneously reporting one of the lowest rates of cervical cancer screening. Previous interventions have failed to surmount the multitude of socio-structural-cultural barriers to cervical cancer screening unique to this population. We hypothesize that the mScreening intervention will increase participants' knowledge on cervical cancer and cervical cancer screening, and intent to undergo screening over time (H1) and will have 20% increase in having received a Pap test over the sample's baseline rate (H2). The specific aims of the first year are to: (1) utilize persuasive technology to develop text messages and pertinent visuals to be sent via mobile phone to KA women; (2) establish culturally-appropriate participant recruitment mechanisms; (3) develop the intervention process and outcome measures; and (4) develop interviewer training protocols for the baseline and follow-up interviews. In the second year, pilot testing of the mScreening interventions will be conducted and baseline and follow-up interviews will be performed. The pilot study will determine preliminary estimates for key intervention outcomes and will assess the feasibility and acceptability of the mScreening modality. This study provides significant steps to understanding and overcoming the socio-structural-cultural barriers medically-underserved groups face in adopting positive preventive health behaviors, grasping the potential of persuasive technology, and advancing the field of mHealth. If this intervention modality is ultimately found to be efficacious, this early intervention tool can be explored as an intervention approach to promote screening for other types of cancer in different underserved racial/ethnic minority groups. PUBLIC HEALTH RELEVANCE: The proposed study aims to develop and investigate the feasibility of an innovative text-message-based Screening (mScreening) intervention utilizing Persuasive Technology to effect positive attitudinal and behavioral changes in cervical cancer screening among underserved Korean American women. The pilot study will determine preliminary estimates for key intervention outcomes and will assess the acceptability of the mScreening modality. This study provides significant steps to understanding and overcoming the socio-structural-cultural barriers medically-underserved groups face in adopting positive preventive health behaviors, grasping the potential of persuasive technology, and advancing the field of mHealth. If this intervention modality is ultimately found to be efficacious, this early intervention tool can be explored as an intervention approach to promote screening for other types of cancer in different underserved racial/ethnic minority groups.



Publications

Development of a Mobile Health Intervention to Promote Papanicolaou Tests and Human Papillomavirus Vaccination in an Underserved Immigrant Population: A Culturally Targeted and Individually Tailored Text Messaging Approach.
Authors: Lee H.Y. , Lee M.H. , Sharratt M. , Lee S. , Blaes A. .
Source: JMIR mHealth and uHealth, 2019-06-06; 7(6), p. e13256.
EPub date: 2019-06-06.
PMID: 31199340
Related Citations

Barriers to Cervical Cancer Screening and Prevention in Young Korean Immigrant Women: Implications for Intervention Development.
Authors: Lee H.Y. , Lee M.H. .
Source: Journal of transcultural nursing : official journal of the Transcultural Nursing Society, 2017 Jul; 28(4), p. 353-362.
EPub date: 2016-05-18.
PMID: 27193752
Related Citations

Scaling Proteome-Wide Reactions of Activity-Based Probes.
Authors: Li S. , Diego-Limpin P.A. , Bajrami B. , Keshipeddy S. , Lam Y.W. , Deng B. , Farrokhi V. , McShane A.J. , Nemati R. , Howell A.R. , et al. .
Source: Analytical chemistry, 2017-06-20; 89(12), p. 6295-6299.
EPub date: 2017-06-05.
PMID: 28570047
Related Citations

mHealth Pilot Study: Text Messaging Intervention to Promote HPV Vaccination.
Authors: Lee H.Y. , Koopmeiners J.S. , McHugh J. , Raveis V.H. , Ahluwalia J.S. .
Source: American journal of health behavior, 2016 Jan; 40(1), p. 67-76.
PMID: 26685815
Related Citations

Mobile phone text messaging intervention for cervical cancer screening: changes in knowledge and behavior pre-post intervention.
Authors: Lee H.Y. , Koopmeiners J.S. , Rhee T.G. , Raveis V.H. , Ahluwalia J.S. .
Source: Journal of medical Internet research, 2014-08-27; 16(8), p. e196.
EPub date: 2014-08-27.
PMID: 25164545
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