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A Mixed-Methods Approach to Understanding Factors Associated With Cervical Cancer Screening Utilization Among Low-Income, HIV-Positive Women


N/A
18 Years
N/A
Open (Enrolling)
Female
Cancer Prevention, Cervix

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Trial Information

A Mixed-Methods Approach to Understanding Factors Associated With Cervical Cancer Screening Utilization Among Low-Income, HIV-Positive Women


Cognitive Interviews:

If you agree to take part in this study, you will be take part in a cognitive interview. A
cognitive interview is a process that helps researchers test out questions on a few people
so the questions can improved.

During the interview, a research staff member will use a questionnaire to ask you about many
different health and social topics.

As the questions are read to you, please answer them, but also tell the research staff
member what you're thinking. Please try to think out loud and say everything that comes to
mind, whether it seems important or not. You will be asked how you came up with your
answers and how you understood the questions. If any question seems unclear or hard to
answer, please tell the research staff member. A member of the research staff will be
taking notes during the interview.

The cognitive interview should take up to 45 minutes to complete.

Length of Study:

Your participation in this study will be over after you complete the cognitive interview.

This is an investigational study.

Up to 10 participants will be enrolled in this part of the study. All will take part at
Thomas Street Health Center.

Phase I:

If you agree to take part in this study, you will complete a questionnaire about your age,
education level, income, and general health behaviors. This questionnaire should take about
20 minutes to complete.

After completing the questionnaire, you will take part in a focus group discussion with
other women who are patients at Thomas Street Health Center. There will be up to 8 women in
each of the 5 groups.

In the focus group, you will be asked questions about personal and clinic-related factors
that might make it more difficult to receive pap smear screenings. You will also be asked
to discuss what might make it easier or encourage women to receive pap smear screenings.
The focus group discussion should last 60-90 minutes.

The information discussed in the focus groups may be sensitive, so you will be asked to keep
the information discussed in the group private.

Length of Study:

Your participation in this study will be over after you complete the questionnaire and
participate in the focus group discussion.

This is an investigational study.

Up to 40 participants will be enrolled in this part of the study. All will take part at
Thomas Street Health Center.

Phase II:

If you agree to take part in this study, you will complete 2 questionnaires. The first
questionnaire will ask about your age, education level, income, and general health
behaviors. This questionnaire should take about 20 minutes to complete.

The second questionnaire will ask about many different health and social topics. This
questionnaire should take up to 45 minutes to complete.

Length of Study:

Your participation in this study will be over after you complete the 2 questionnaires.

This is an investigational study.

Up to 200 participants will be enrolled in this part of the study. All will take part at
Thomas Street Health Center.


Inclusion Criteria:



1. English speaking

2. Patient receiving HIV/AIDS care at Thomas Street Health Center

3. Female

4. 18 years of age or older

5. Able to provide written informed consent to participate

Exclusion Criteria:

1. Physically deemed ineligible based on medical (HIV related or other condition) or
psychiatric condition

2. Undergone a partial or total hysterectomy

Type of Study:

Observational

Study Design:

Observational Model: Cohort, Time Perspective: Prospective

Outcome Measure:

HIV Positive Women's Perceived Barriers to Cervical Cancer Screening

Outcome Description:

Participants rank Nominal Group Technique (NGT) items (cervical cancer screening barriers and strategies to improve screening) from 1-5 (1-least important: 5-most important). Once two coders have calculated rankings, the 5 items receiving the highest number of points will be deemed the 5 barriers to cervical cancer screening. Similarly, the 5 strategy-based items receiving highest number of points will be deemed essential strategies to improving cervical cancer screening at Thomas Street Health Center (TSHC).

Outcome Time Frame:

1 day

Safety Issue:

No

Principal Investigator

Damon Vidrine, MS, DRPH, BA

Investigator Role:

Principal Investigator

Investigator Affiliation:

UT MD Anderson Cancer Center

Authority:

United States: Institutional Review Board

Study ID:

2012-0240

NCT ID:

NCT01605656

Start Date:

October 2012

Completion Date:

Related Keywords:

  • Cancer Prevention
  • Cervix
  • Cancer Prevention
  • Cervix
  • Questionnaires
  • Focus groups
  • Surveys
  • Interviews
  • Uterine Cervical Neoplasms
  • HIV Seropositivity

Name

Location

Thomas Street Health Center, Harris County Hospital DistrictHouston, Texas  77009