1. Evaluating the stage of change model to a cervical cancer screening intervention among Ohio Appalachian women.
- Author
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Krok-Schoen, Jessica L., Oliveri, Jill M., Young, Gregory S., Katz, Mira L., Tatum, Cathy M., and Paskett, Electra D.
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BEHAVIOR modification , *HEALTH attitudes , *HEALTH promotion , *HEALTH services accessibility , *MEDICAL appointments , *MEDICAL care use , *PAP test , *RANDOMIZED controlled trials , *TRANSTHEORETICAL model of change , *DESCRIPTIVE statistics , *EARLY detection of cancer ,TUMOR prevention ,CERVIX uteri tumors - Abstract
Cervical cancer incidence and mortality rates are disproportionally high among women living in Appalachia Ohio. This study used the Transtheoretical Model to examine screening barriers before and after a lay health advisor (LHA) intervention (2005–2009) to increase cervical cancer screening rates. Ohio Appalachian women (n = 90) who were in need of a Pap test, based on risk-appropriate guidelines, were randomized to a 10-month LHA intervention and received two in-person visits, two phone calls, and four mailed postcards targeted to the participant’s stage of change. Findings revealed that 63% had forward stage movement 10 months after the intervention. The most frequently reported screening barriers were time constraints, forgetting to make an appointment, and cost. Women who reported the following barriers—doctor not recommending the test; being unable to afford the test; and being embarrassed, nervous, or afraid of getting a Pap test—were less likely to be in the action stage. Understanding the stages of change related to Pap testing and reported barriers among this underserved population may help inform researchers and clinicians of this population’s readiness for change and how to set realistic intervention goals. [ABSTRACT FROM PUBLISHER]
- Published
- 2016
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