A Mixed-Methods Approach to Understanding Factors Associated With Cervical Cancer Screening Utilization Among Low-Income, HIV-Positive Women

NCT01605656 | Completed

• 2 other identifiers: 2012-0240R25T CA57730
• Study Type: observational
• Target: 188
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this study is to better understand the factors that might prevent HIV-positive women from having routine pap smear screenings. Researchers also want to learn what might make it easier or encourage women to have these screenings.

Conditions

Cancer Prevention; Cervix

Keywords

Cancer Prevention; Cervix; Questionnaires; Focus groups; Surveys; Interviews

Outcome Measures

Primary Outcomes (1)

• HIV Positive Women's Perceived Barriers to Cervical Cancer Screening

  Participants rank Nominal Group Technique (NGT) items (cervical cancer screening barriers and strategies to improve screening) from 1-5 (1-least important: 5-most important). Once two coders have calculated rankings, the 5 items receiving the highest number of points will be deemed the 5 barriers to cervical cancer screening. Similarly, the 5 strategy-based items receiving highest number of points will be deemed essential strategies to improving cervical cancer screening at Thomas Street Health Center (TSHC).

  1 day

Study Arms (1)

Focus Groups + Interviews + Questionnaires

HIV-positive women recruited from the population of individuals seeking care at Thomas Street Health Center (TSHC) of the Harris County Hospital District (HCHD).

Behavioral: Cognitive Interview; Behavioral: Questionnaires; Behavioral: Focus Groups

Interventions

Cognitive Interview BEHAVIORAL

A research staff member will use a questionnaire to ask about many different health and social topics. The cognitive interview should take up to 45 minutes to complete.

Focus Groups + Interviews + Questionnaires

Questionnaires BEHAVIORAL

Phase I: Completion of a questionnaire about age, education level, income, and general health behaviors. This questionnaire should take about 20 minutes to complete. Phase II: Completion of 2 questionnaires. The first questionnaire will ask about age, education level, income, and general health behaviors. This questionnaire should take about 20 minutes to complete. The second questionnaire will ask about many different health and social topics. This questionnaire should take up to 45 minutes to complete.

Also known as: Surveys

Focus Groups + Interviews + Questionnaires

Focus Groups BEHAVIORAL

Phase I: There will be up to 8 women in each of the 5 focus groups. Participants asked questions about personal and clinic-related factors that might make it more difficult to receive pap smear screenings. Participants also asked to discuss what might make it easier or encourage women to receive pap smear screenings. The focus group discussion should last 60-90 minutes.

Focus Groups + Interviews + Questionnaires

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

HIV-positive women seeking care at Thomas Street Health Center (TSHC) of the Harris County Hospital District (HCHD).

You may qualify if:

• English speaking
• Patient receiving HIV/AIDS care at Thomas Street Health Center
• Female
• years of age or older
• Able to provide written informed consent to participate

You may not qualify if:

• \) Physically deemed ineligible based on medical (HIV related or other condition) or psychiatric condition

Sponsors & Collaborators

• M.D. Anderson Cancer Center: lead
• National Cancer Institute (NCI): collaborator

Study Sites (1)

Thomas Street Health Center, Harris County Hospital District

Houston, Texas, 77009, United States

Location

Related Links

• University of Texas MD Anderson Cancer Center Website

MeSH Terms

Interventions

Surveys and Questionnaires; Focus Groups

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Damon Vidrine, MS, DRPH, BA

  M.D. Anderson Cancer Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 18, 2012
• First Posted: May 25, 2012
• Study Start: July 1, 2012
• Primary Completion: April 1, 2015
• Study Completion: April 1, 2015
• Last Updated: March 29, 2016

Record last verified: 2016-03

Locations

US (1)