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Cervical Cancer Control for Vietnamese American Women

An Evidence-Based Practice

Description

Two members of the local Vietnamese community were trained as lay health workers to act as role models, provide social support, and discuss barriers to pap testing within the community.

Lay health workers visited Vietnamese women aged 20-79 at their homes and supplied the women with educational materials (DVD and pamphlet) that contained basic information about cervical cancer and pap testing and emphasized the importance of pap testing.

One month following the home visit, the women received a follow-up call from the lay health care worker.

Goal / Mission

The goal of this intervention was to increase cervical cancer screening among Vietnamese American women.

Impact

The Cervical Cancer Control intervention is impactful in increasing the likelihood that women who have a history of at least one pap test receive another pap test in the future.

Results / Accomplishments

Women with a history of at least one pap test during their lifetime were significantly more likely to receive a pap test following the lay health care worker visit when compared to women with a history of at least one pap test during their lifetime who received educational materials, but not a visit from a lay health care worker (p=.04). Pap testing was verified by medical records. No significant changes were observed in woman who had never received a pap test.

About this Promising Practice

Organization(s)
Fred Hutchinson Cancer Research Center
Primary Contact
Victoria Taylor
Fred Hutchinson Cancer Research Center (M3-B232)
1100 Fairview Ave North, Seattle, WA 98109
vtaylor@fhcrc.org
https://sharedresources.fredhutch.org/profile/tayl...
Topics
Health / Cancer
Health / Health Care Access & Quality
Organization(s)
Fred Hutchinson Cancer Research Center
Source
American Journal of Public Health
Date of publication
Oct 2010
Date of implementation
2006
Geographic Type
Urban
Location
Seattle
For more details
http://www.ncbi.nlm.nih.gov/pubmed/20724673
Target Audience
Women, Racial/Ethnic Minorities
Additional Audience
Vietnamese American Women

Related Promising Practices

  1. Vietnamese REACH for Health Initiative (VRHI)
  2. Increased Medicaid Reimbursements to Enhance Breast/Cervical Cancer Screening Project
  3. Cervical Cancer Screening and Follow-up
  4. The Chinese Women's Health Project
  5. CDC COMMUNITY GUIDE: Cervical Cancer Prevention & Control, Provider-Oriented Screening Interventions: Provider Reminder & Recall Systems
  6. Alabama Breast and Cervical Cancer Coalition (ABCCC)

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.