Project CONTINUITY Supporting Underserved Women in Choosing Cervical Cancer Screening Methods and Improving Follow-Up Care

What this Trial Is About

Researchers are evaluating how to improve adherence to cervical cancer screening among women aged 25 to 65 living in high social vulnerability neighborhoods. This study compares two screening methods chosen by participants the standard in-clinic PapHPV co-testing and HPV self-sampling done outside a clinical setting. The study also addresses social factors affecting follow-up care, such as transportation barriers, by using mobile outreach clinics and support from community clinical navigators and health workers. Participants select their preferred screening method, either the standard in-clinic Pap test or the HPV self-test, which they can complete at home and return by mail or to a community worker. Alongside screening, women answer questions about their cancer history and knowledge of cervical cancer prevention. The studys follow-up includes telephone calls and text messaging support to encourage adherence to recommended care steps, including further tests like colposcopy if needed. During the study, participants provide information through surveys and utilize mobile phones or email for communication and reminders. Researchers measure adherence to the cervical cancer screening process over six months. The study involves personalized support to overcome social barriers, aiming to better understand factors influencing screening completion. Participation may include receiving messages, returning self-tests, and following up with clinical care as recommended.

Project CONTINUITY: Promoting Evidence-Based Cancer Screening Among Underserved Women