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Overview of the CDC Cervical Cancer (Cx3) Study: an educational intervention of HPV testing for cervical cancer screening.
- Source :
-
Journal of women's health (2002) [J Womens Health (Larchmt)] 2014 Mar; Vol. 23 (3), pp. 197-203. Date of Electronic Publication: 2013 Dec 31. - Publication Year :
- 2014
-
Abstract
- Background: The recommended screening interval when using the Papanicolaou (Pap) and human papillomavirus (HPV) test (co-testing) is 5 years. However because providers are reluctant to extend the screening interval, we launched a study to identify barriers to appropriate use of the co-test and to implement an educational intervention to promote evidence-based screening practices. This article provides an overview of the study including the multi-component intervention and participant demographics.<br />Methods: The study was conducted in 15 clinics associated with 6 Federally Qualified Health Centers (FQHCs) in Illinois. Each clinic received HPV tests to administer with routine Pap tests among enrolled patients (n=2,246) and was assigned to a study arm: intervention arm (n=7) received a multi-component educational intervention (small media, academic detailing, and website) for providers and printed educational materials for patients, and control arm (n=8) received printed copies of general guidelines. Clinic coordinators (n=15), providers (n=98), and patients (n=984) completed baseline surveys to assess screening practices.<br />Results: Providers reported an average age of 41.3 years and were predominately female, non-Hispanic, and white. Patients reported an average age of 45.0 years and nearly two-thirds were Hispanic or black. Of the 2,246 patients, 89% had a normal co-test. Lessons learned from the study included the importance of buy-in at a high level in the organization, a champion provider, and a clinical coordinator devoted to the study.<br />Conclusion: Materials from this study can be adapted to educate providers and patients on appropriate use of the co-test and encourage extended screening intervals as a safe and effective practice.
- Subjects :
- Centers for Disease Control and Prevention, U.S.
Female
Humans
Illinois
Papillomavirus Infections diagnosis
Practice Guidelines as Topic
Practice Patterns, Physicians' standards
Time Factors
United States
Early Detection of Cancer
Health Personnel education
Mass Screening methods
Papanicolaou Test
Patient Education as Topic
Vaginal Smears methods
Subjects
Details
- Language :
- English
- ISSN :
- 1931-843X
- Volume :
- 23
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of women's health (2002)
- Publication Type :
- Academic Journal
- Accession number :
- 24380501
- Full Text :
- https://doi.org/10.1089/jwh.2013.4655