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. 2022 Aug 18:1:100073.
doi: 10.1016/j.pecinn.2022.100073. eCollection 2022 Dec.

Woman-to-woman: Feasibility of a lay health advisor program for cervical cancer education in Grenada, W.I

Kamilah B Thomas-Purcell  1 , Samantha Patterson  2 , Andrew N McIntosh  3 , Christine Richards  4 , Marva Primus-Joseph  5 , Donrie J Purcell  6 , Kimlin Ashing  7
Affiliations

Woman-to-woman: Feasibility of a lay health advisor program for cervical cancer education in Grenada, W.I

Kamilah B Thomas-Purcell et al. PEC Innov. .

Abstract

Objective: The aim of this study was to evaluate the impact of Woman- to-Woman, a lay health advisor (LHA)-led educational intervention on cervical cancer and human papillomavirus (HPV) knowledge in a cohort of at-risk Grenadian women.

Methods: LHAs from high-risk parishes were trained in the administration of the intervention and administered the program to 78 local women. Participants completed a pre- and post-knowledge test and a session evaluation. LHAs participated in a process evaluation focus group.

Results: Sixty-eight percent (68%) of participants obtained higher knowledge scores following the educational intervention. The difference between the pre- and post-test scores was statistically significant (p = 0.05). Almost 94% agreed that they were taught new and useful information by credible, community informed and responsive LHAs. Ninety percent (90%) indicated great satisfaction and high motivation to recommend to others. LHAs reported on the intervention and their community interactions.

Conclusions: Results demonstrate that a LHA-led educational intervention significantly improved participants' knowledge of cervical cancer, HPV, Papanicolaou test and vaccination against HPV. Innovations: Researchers trancreated an evidenced based intervention originally designed for Latina women for Grenadian women. There is no evidence in the literature of previous LHA- cervical cancer education studies conducted in Grenada nor the Caribbean.

Keywords: Cervical Cancer; Evidence-based curriculum; Grenada; Lay Health Advisor; Theory-based curriculum; Transcreation.

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Conflict of interest statement

The Author(s) declare that there is no conflict of interest.

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