Addressing Stigma in Screening and Diagnostic Delay for Cervical Cancer

NCT01287871 | Active Not Recruiting DMC

• 1 other identifier: 09136
• Study Type: interventional
• Target: 336
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to 1) implement a culturally and contextually rooted innovative multifoci, social marketing intervention involving societal focused media campaign elements to break down the barriers and facilitate timely and appropriate screening practices for cervical cancer; 2) measure cervical cancer stigma from a culturally relevant theoretical and conceptual framework; and 3) assess the influence of stigma on hindering seeking the PAP test. Further, this is an international study that will bring together a multi-disciplinary investigatory team, community advocates and State health agencies to deliver a social marketing intervention in Southern California (the Inland Empire region specifically) and Trinidad and Tobago.

Conditions

Cervical Cancer Screening

Keywords

Cervical Cancer Screening

Outcome Measures

Primary Outcomes (1)

• Evaluation of the ability of the social media intervention "End Stigma End Fear, End Cervical Cancer" to counter stigma of cervical cancer among disadvantaged women who acknowledge needing a Pap test at pre-intervention baseline

  To evaluate the ability of the social media intervention "End Stigma End Fear, End Cervical Cancer" to counter stigma of cervical cancer, by determining whether, among disadvantaged women who acknowledge needing a Pap test at pre-intervention baseline, degree of exposure to the intervention is associated with the following endpoints at 3 months after the intervention is implemented: 1. post-intervention change in stigma score relative to pre-intervention, and 2. Pap testing (scored as 0=made no attempt, 1=made some attempt but did not get tested, 2=obtained Pap test).

  3 months after the intervention is implemented

Secondary Outcomes (3)

• Assessment of whether change in stigma score is associated with Pap testing.

  3 months after the intervention is implemented

• Identification of factors associated with exposure to the intervention overall and to its individual components

  3 months after the intervention is implemented

• Assessment of whether each component of the intervention is associated with the study endpoints, by testing the 4 components (billboards/posters, newspaper advertisements, health brochures, and radio announcements) rather than the overall exposure score

  3 months after the intervention is implemented

Study Arms (1)

Social media intervention

OTHER

Women between the ages of 18-70 who have not been diagnosed with any type of cancer and are of African descent or Latina

Other: supportive care

Interventions

supportive care OTHER

Social media intervention

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Women will be included if they:
• have not been diagnosed with any type of cancer
• are between the ages of 18-70
• self-identify as being African descended or Latina
• are able to speak English and/or Spanish
• acknowledge that a Pap test is currently needed

You may not qualify if:

• Cervical cancer is diagnosed only in women, therefore this study only includes women
• Women who have been and/or are currently diagnosed with any type of cancer will be excluded
• Women with other major medical conditions (e.g. stroke and degenerative illness) will be excluded
• During the screening the level of symptomatology for depression and anxiety will be assessed. Women with severe depression and anxiety will be excluded, but appropriate psychological follow-up and referral will be provided
• Women older than 70 years will be excluded

Sponsors & Collaborators

• City of Hope Medical Center: lead

Study Sites (1)

City of Hope Medical Center

Duarte, California, 91010, United States

Location

MeSH Terms

Interventions

Palliative Care

Intervention Hierarchy (Ancestors)

Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Kimlin Ashing-Giwa, PhD

  City of Hope Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 31, 2011
• First Posted: February 2, 2011
• Study Start: January 1, 2011
• Primary Completion: October 1, 2012
• Study Completion: December 31, 2025
• Last Updated: June 26, 2025

Record last verified: 2025-06

Locations

US (1)