Evaluating the stage of change model to a cervical cancer screening intervention among Ohio Appalachian women.
Women Health
; 56(4): 468-86, 2016.
Article
em En
| MEDLINE
| ID: mdl-26479700
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.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Esfregaço Vaginal
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Aceitação pelo Paciente de Cuidados de Saúde
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Neoplasias do Colo do Útero
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Conhecimentos, Atitudes e Prática em Saúde
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Programas de Rastreamento
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Agentes Comunitários de Saúde
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Teste de Papanicolaou
Tipo de estudo:
Clinical_trials
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Diagnostic_studies
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Evaluation_studies
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Guideline
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Prognostic_studies
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Screening_studies
Limite:
Adult
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Female
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Humans
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Middle aged
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article