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Showing content from http://www.ncbi.nlm.nih.gov/pubmed/23280399 below:

AMIGAS: a multicity, multicomponent cervical cancer prevention trial among Mexican American women

Randomized Controlled Trial

Affiliations

• ¹ Texas Tech Paul L. Foster School of Medicine, El Paso, TX 79905, USA. theresa.byrd@ttuhsc.edu

• PMID: 23280399
• PMCID: PMC4603549
• DOI: 10.1002/cncr.27926

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Randomized Controlled Trial

Theresa L Byrd et al. Cancer. 2013.

• ¹ Texas Tech Paul L. Foster School of Medicine, El Paso, TX 79905, USA. theresa.byrd@ttuhsc.edu

• PMID: 23280399
• PMCID: PMC4603549
• DOI: 10.1002/cncr.27926

Item in Clipboard

Background: Considerable efforts have been undertaken in the United States to reduce cervical cancer incidence and mortality by increasing screening; however, disparities in screening rates continue to exist among certain racial and ethnic minority groups. The objective of the current study was to determine the effectiveness of a lay health worker-delivered intervention-AMIGAS (Ayudando a las Mujeres con Informacion, Guia, y Amor para su Salud [helping women with information, guidance, and love for their health])-to increase Papanicolaou (Pap) test screening among 3 populations of women of Mexican origin.

Methods: Six hundred thirteen women of Mexican origin in 3 treatment sites were randomized among 4 study arms: the full AMIGAS program with a video and a flip chart (n = 151), the AMIGAS program without the video (n = 154), the AMIGAS program without the flip chart (n = 155), and a usual care control group (n = 153). Six months after enrollment, women were surveyed and reported whether or not they had been screened.

Results: Women in any of the intervention arms were statistically significantly more likely to report being screened than those in the usual care group in both an intent-to-treat analysis and a per-protocol analysis. In the intent-to-treat analysis, 25% of women in the control group and 52% in the full AMIGAS program group reported having had Pap tests (P < .001); in the per-protocol analysis, the percentages were 29% and 62%, respectively (P < .001).

Conclusions: AMIGAS was effective in increasing Pap test screening among women of Mexican descent when used in a 1-to-1 setting. Future research should compare the 1-on-1 intervention with the group-based intervention.

Copyright © 2012 American Cancer Society.

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CONFLICT OF INTEREST DISCLOSURES

The authors made no disclosures.

The allocation of participants is…

The allocation of participants is illustrated for the study arms. Pap indicates Papanicolaou…

The allocation of participants is illustrated for the study arms. Pap indicates Papanicolaou test; ITT, intent-to-treat analysis; AMIGAS, Ayudando a las Mujeres con Informacion, Guia, y Amor para su Salud (helping women with information, guidance, and love for their health).

• Cervical cancer screening with AMIGAS: a cost-effectiveness analysis.

  Lairson DR, Chang YC, Byrd TL, Lee Smith J, Fernandez ME, Wilson KM. Lairson DR, et al. Am J Prev Med. 2014 Jun;46(6):617-23. doi: 10.1016/j.amepre.2014.01.020. Am J Prev Med. 2014. PMID: 24842738 Free PMC article.

• AMIGAS: building a cervical cancer screening intervention for public health practice.

  Smith JL, Wilson KM, Orians CE, Byrd TL. Smith JL, et al. J Womens Health (Larchmt). 2013 Sep;22(9):718-23. doi: 10.1089/jwh.2013.4467. Epub 2013 Aug 9. J Womens Health (Larchmt). 2013. PMID: 23930983 Free PMC article.

• Evaluation of a cervical cancer control intervention using lay health workers for Vietnamese American women.

  Taylor VM, Jackson JC, Yasui Y, Nguyen TT, Woodall E, Acorda E, Li L, Ramsey S. Taylor VM, et al. Am J Public Health. 2010 Oct;100(10):1924-9. doi: 10.2105/AJPH.2009.190348. Epub 2010 Aug 19. Am J Public Health. 2010. PMID: 20724673 Free PMC article. Clinical Trial.

• Using intervention mapping as a participatory strategy: development of a cervical cancer screening intervention for Hispanic women.

  Byrd TL, Wilson KM, Smith JL, Heckert A, Orians CE, Vernon SW, Fernandez-Esquer ME, Fernandez ME. Byrd TL, et al. Health Educ Behav. 2012 Oct;39(5):603-11. doi: 10.1177/1090198111426452. Epub 2012 Mar 1. Health Educ Behav. 2012. PMID: 22388451

• Effective lay health worker outreach and media-based education for promoting cervical cancer screening among Vietnamese American women.

  Mock J, McPhee SJ, Nguyen T, Wong C, Doan H, Lai KQ, Nguyen KH, Nguyen TT, Bui-Tong N. Mock J, et al. Am J Public Health. 2007 Sep;97(9):1693-700. doi: 10.2105/AJPH.2006.086470. Epub 2007 Feb 28. Am J Public Health. 2007. PMID: 17329652 Free PMC article. Clinical Trial.

• Developing Sustainable Cancer Education Programs: Training Public Health Students to Deliver Cancer 101 in Puerto Rico.

  Rivera YM, Moreno L, Briant KJ, Vélez H, Jiménez JC, Torres J, Vadaparampil ST, Muñoz-Antonia T, Quinn GP. Rivera YM, et al. J Cancer Educ. 2018 Feb;33(1):128-133. doi: 10.1007/s13187-016-1076-4. J Cancer Educ. 2018. PMID: 27424481 Free PMC article.

• A Culturally Targeted eLearning Module on Organ Donation (Promotoras de Donación): Design and Development.

  Alolod GP, Gardiner H, Agu C, Turner JL, Kelly PJ, Siminoff LA, Gordon EJ, Norden R, Daly TA, Benitez A, Hernandez I, Guinansaca N, Winther LR, Bergeron CD, Montalvo A, Gonzalez T. Alolod GP, et al. J Med Internet Res. 2020 Jan 13;22(1):e15793. doi: 10.2196/15793. J Med Internet Res. 2020. PMID: 31929102 Free PMC article.

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

  Thomas-Purcell KB, Patterson S, McIntosh AN, Richards C, Primus-Joseph M, Purcell DJ, Ashing K. Thomas-Purcell KB, et al. PEC Innov. 2022 Aug 18;1:100073. doi: 10.1016/j.pecinn.2022.100073. eCollection 2022 Dec. PEC Innov. 2022. PMID: 37213742 Free PMC article.

• Educational interventions for cervical cancer prevention: a scoping review.

  Mariño JM, Nunes LMP, Ali YCMM, Tonhi LDC, Salvetti MG. Mariño JM, et al. Rev Bras Enferm. 2023 Nov 27;76(5):e20230018. doi: 10.1590/0034-7167-2023-0018. eCollection 2023. Rev Bras Enferm. 2023. PMID: 38018622 Free PMC article.

• Using the Theory of Planned Behavior to Understand Cervical Cancer Screening Among Latinas.

  Roncancio AM, Ward KK, Sanchez IA, Cano MA, Byrd TL, Vernon SW, Fernandez-Esquer ME, Fernandez ME. Roncancio AM, et al. Health Educ Behav. 2015 Oct;42(5):621-6. doi: 10.1177/1090198115571364. Epub 2015 Feb 22. Health Educ Behav. 2015. PMID: 25712240 Free PMC article.

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