Dissemination of Cervical Cancer Screening to Primary Care Physicians in Underserved Communities
The specific aims of this proposal are:
1. To test the hypothesis that an intervention, multi-component academic detailing, will
increase the rate of physician cervical cancer screening at 3- and 6-months
post-randomization, compared to the rate observed in a service-as-usual control.
2. To develop models predicting which physician offices are most and least likely to adopt
the intervention, and to generate hypotheses about tailoring the dissemination of
cervical cancer screening guidelines to different physician subgroups.
3. To conduct a cost-effectiveness analysis comparing the incremental societal costs and
effects (in lives saved, life-years saved, and quality-of-life-years saved) of the
cervical cancer intervention implemented in physicians' offices.
The long-term goal of this project therefore is to reduce cervical cancer risks among ethnic
and racial minorities, by influencing the screening behaviors of their primary care
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Outcomes Assessor), Primary Purpose: Screening
Number of asymptomatic female patients age 18-85 who receive or are referred for a recto-pelvic bimanual examination with the collection of the Pap smear (per ACS guidelines); collected via medical chart review
Sherri Sheinfeld Gorin, PhD
United States: Institutional Review Board
|Columbia University||New York, New York 10032-3784|