Promoting Cervical Cancer Screening Through the Advocacy of Screened Women
Pilot of a Network-driven, Advocacy Intervention to Promote Cervical Cancer Screening in Uganda
1 other identifier
interventional
143
1 country
1
Brief Summary
This study pilots a 7-session group intervention among 40 screened women, 20 of whom will be randomly assigned to take part in the intervention, and 20 to the wait-list control. Assessments will be administered at baseline and month 6 to index participants as well as up to three unscreened female social network members of each index participant (up to 120 total). The primary outcome is CC screening among participating social network members.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Aug 2021
Shorter than P25 for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 25, 2021
CompletedFirst Posted
Study publicly available on registry
July 14, 2021
CompletedStudy Start
First participant enrolled
August 30, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 25, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
April 25, 2022
CompletedApril 27, 2022
April 1, 2022
8 months
June 25, 2021
April 25, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Proportion of social network members who report cervical cancer screening
cervical cancer screening among women in social network
past 6 months
Secondary Outcomes (1)
Proportion of index participants who self-report engagement in cervical cancer (CC) prevention advocacy
past 6 months
Study Arms (2)
intervention
EXPERIMENTAL7-sesson group intervention that uses dyadic instruction, role playing and group sharing and discussion to reduce internalized stigma, improve disclosure decision making and healthy living, and teach advocacy skills
wait-list control
NO INTERVENTIONParticipants will not receive the intervention until all follow-up data has been collected.
Interventions
The group intervention draws on theories of social diffusion, cognitive consistency, and social influence, and our own recently developed and tested group intervention that mobilized people living with HIV in Uganda to successfully act as change agents for HIV prevention within their social networks. The intervention actively targets internalized stigma, disclosure decision making, healthy living, and advocacy communication skills. The ultimate goal of the program is to encourage female social network members to get screened for cervical cancer.
Eligibility Criteria
You may qualify if:
- age 18 years or older
- has been previously screened for cervical cancer
- has told at least one woman in her social network about her cervical cancer screening experience
You may not qualify if:
- unstable medical status (e.g., advance disease stage that calls into question her ability to complete the 6-month study)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- RANDlead
- Makerere Universitycollaborator
- Rays of Hope Hospice Jinjacollaborator
- African Palliative Care Associationcollaborator
Study Sites (1)
Buyinja HCIV
Namayingo, Uganda
Related Publications (3)
Wagner GJ, Matovu JKB, Juncker M, Namisango E, Bouskill K, Nakami S, Beyeza-Kashesya J, Luyirika E, Bogart LM, Green HD, Wanyenze RK. Effects of a peer advocacy intervention on cervical cancer screening among social network members: results of a randomized controlled trial in Uganda. J Behav Med. 2023 Dec;46(6):930-939. doi: 10.1007/s10865-023-00418-6. Epub 2023 Sep 13.
PMID: 37702912DERIVEDGhai I, Wagner GJ, Matovu JKB, Juncker M, Namisango E, Bouskill K, Nakami S, Beyeza-Kashesya J, Luyirika E, Wanyenze RK. Increased Knowledge Mediates the Effect of Game Changers for Cervical Cancer Prevention on Diffusion of Cervical Cancer Screening Advocacy Among Social Network Members in a Pilot Trial. Int J Behav Med. 2024 Oct;31(5):753-763. doi: 10.1007/s12529-023-10217-7. Epub 2023 Sep 1.
PMID: 37656308DERIVEDWanyenze RK, Matovu JKB, Bouskill K, Juncker M, Namisango E, Nakami S, Beyeza-Kashesya J, Luyirika E, Wagner GJ. Social network-based group intervention to promote uptake of cervical cancer screening in Uganda: study protocol for a pilot randomized controlled trial. Pilot Feasibility Stud. 2022 Dec 7;8(1):247. doi: 10.1186/s40814-022-01211-z.
PMID: 36476609DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Rhoda Wanyenze, MD
Makerere University
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 25, 2021
First Posted
July 14, 2021
Study Start
August 30, 2021
Primary Completion
April 25, 2022
Study Completion
April 25, 2022
Last Updated
April 27, 2022
Record last verified: 2022-04