Christina R. Studts|Yelena N. Tarasenko|Nancy E. Schoenberg|Brent J. Shelton|Jennifer Hatcher-Keller|Mark Dignan
A community-based randomized trial of a faith-placed intervention to reduce cervical cancer burden in Appalachia
University of Kentucky|University of Kentucky|University of Kentucky|Markey Cancer Center|University of Kentucky|University of Kentucky|Markey Cancer Center|University of Kentucky
faith moves mountains assessed effectiveness faithplaced lay health advisor lha intervention increase papanicolaou pap test use among middleaged older women region disproportionately affected cervical cancer low screening rates regionally 68 screened prior 3 years communitybased rct conducted four appalachian kentucky counties december 2005june 2008 women aged 4064 overdue screening recruited churches individually randomized treatment n 176 waitlist control n 169 intervention provided lha home visits newsletters addressing barriers screening selfreported pap test receipt primary outcome intentiontotreat analyses revealed treatment group participants 176 screened twice odds waitlist controls 112 screened reporting pap test receipt postintervention 256 95 ci 103638 p 004 independent group recently screened participants last pap 1 5 years ago significantly higher odds obtaining screening study rarely never screened participants last pap 5 years ago 250 95 ci 148425 p 0001 intervention associated increased cervical cancer screening faithplaced lha addressing barriers comprises novel approach reducing cervical cancer disparities among appalachian women