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Randomized Controlled Trial
. 2010 Oct;100(10):1924-9.
doi: 10.2105/AJPH.2009.190348. Epub 2010 Aug 19.

Evaluation of a cervical cancer control intervention using lay health workers for Vietnamese American women

Victoria M Taylor  1 , J Carey Jackson, Yutaka Yasui, Tung T Nguyen, Erica Woodall, Elizabeth Acorda, Lin Li, Scott Ramsey
Affiliations
Randomized Controlled Trial

Evaluation of a cervical cancer control intervention using lay health workers for Vietnamese American women

Victoria M Taylor et al. Am J Public Health. 2010 Oct.

Abstract

Objectives: We conducted a trial to evaluate the effectiveness of a cervical cancer control intervention for Vietnamese American women that used lay health workers.

Methods: The study group included 234 women who had not received a Papanicolaou (Pap) test in the last 3 years. Experimental group participants received a lay health worker home visit. Our trial endpoint was Pap test receipt within 6 months of randomization. Pap testing completion was ascertained through women's self-reports and medical record reviews. We examined intervention effects among women who had ever received a Pap test (prior to randomization) and women who had never received a Pap test.

Results: Three quarters of the women in the experimental group completed a home visit. Ever-screened experimental group women were significantly more likely to report Pap testing (P < .02) and to have records verifying Pap testing (P < .04) than were ever-screened control group women. There were no significant differences between the trial arms for women who had never been screened.

Conclusions: Our findings indicate that lay health worker-based interventions for Vietnamese American women are feasible to implement and can increase levels of Pap testing use among ever-screened women but not among never-screened women.

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Figures

FIGURE 1
FIGURE 1
Overview of a cervical cancer control intervention using lay health workers: Vietnamese American women, Seattle, WA, 2006–2007.
See this image and copyright information in PMC

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