Patient- and Practice-Centered Assessment of Self-Collection

以患者和实践为中心的自取评估

基本信息

项目摘要

Failures to screen women for cervical cancer are well documented. The current U.S. screening program fails to reach small pockets of populations living mainly in low-resource, medically underserved regions as part of a complex of diseases linked to poverty and/or racial disparities. These populations have cen/ical cancer rates that are similar to middle-income countries and contribute approximately 60% of the cervical cancer cases that occur annually in the U.S. it is reasonable to suggest that the current cervical cancer prevention program has reached its limits and innovative strategies are needed to overcome these barriers and further reduce the burden in underserved populations. HPV DNA testing offers a promising strategy to enhance cervical screening coverage and address both patient and primary care provider challenges along the care process. HPV DNA testing is highly sensitive (90-95%) for identifying women with cervical precancer and cancer when using a clinician-collected specimen, and 20-50% more sensitive than routine cytology programs. Thus, self-collection combined with HPV DNA testing can potentially be used to extend access to women who are not reached by current Pap-based programs. However, there are only limited, small studies of self-collection in the U.S. and more work is needed to determine whether self-collection is acceptable to diverse patient populations as well as potential barriers toward integration of this approach into primary care settings. This mixed method study is designed to: 1. fully describe the current cervical cancer screening and treatment care continuum, and to assess the translational potential of a promising new approach - self-collection - by conducting a three-phase sequential mixed-method translational study (Phase la): 2. involve American Indian and Hispanic women in the co-development of a culturally-appropriate approach to self-collection (Phase lb): 3. integrate practice assessment and patient findings (Aims 1 and 2) in an intervention to assess the feasibility and comparability of self-collection methods for HPV testing and routine cervical cytology with HPV co-testing in four purposefully selected primary care clinical settings: (Phase 2)
没有对妇女进行宫颈癌筛查是有充分记录的。目前美国的筛查项目

项目成果

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Andrew Louis Sussman其他文献

Andrew Louis Sussman的其他文献

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{{ truncateString('Andrew Louis Sussman', 18)}}的其他基金

Participant Engagement Unit
参与者参与单元
  • 批准号:
    10700791
  • 财政年份:
    2020
  • 资助金额:
    $ 29.77万
  • 项目类别:
Participant Engagement Unit
参与者参与单元
  • 批准号:
    10251931
  • 财政年份:
    2020
  • 资助金额:
    $ 29.77万
  • 项目类别:
Women in Survivorship Healthcare (WISH): Implementation of a Nurse Navigation Model for Medically Underserved Breast and Gynecologic Cancer Survivors using Project ECHO
女性幸存者医疗保健 (WISH):使用 ECHO 项目为医疗服务不足的乳腺癌和妇科癌症幸存者实施护士导航模型
  • 批准号:
    10021610
  • 财政年份:
    2019
  • 资助金额:
    $ 29.77万
  • 项目类别:
Patient- and Practice-Centered Assessment of Self-Collection
以患者和实践为中心的自取评估
  • 批准号:
    8555412
  • 财政年份:
    2011
  • 资助金额:
    $ 29.77万
  • 项目类别:
Participatory Research to Understand the Translation of HPV Vaccine Policy
了解 HPV 疫苗政策转化的参与式研究
  • 批准号:
    7497826
  • 财政年份:
    2008
  • 资助金额:
    $ 29.77万
  • 项目类别:
Participatory Research to Understand the Translation of HPV Vaccine Policy
了解 HPV 疫苗政策转化的参与式研究
  • 批准号:
    7690200
  • 财政年份:
    2008
  • 资助金额:
    $ 29.77万
  • 项目类别:
Community Outreach and Engagement
社区外展和参与
  • 批准号:
    10491147
  • 财政年份:
    2005
  • 资助金额:
    $ 29.77万
  • 项目类别:
Patient- and Practice-Centered Assessment of Self-Collection
以患者和实践为中心的自取评估
  • 批准号:
    8566819
  • 财政年份:
  • 资助金额:
    $ 29.77万
  • 项目类别:

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    10892489
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  • 批准号:
    10826067
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  • 批准号:
    10419967
  • 财政年份:
    2022
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Examination of evolving opioid misuse and overdose risk among American Indians
检查美洲印第安人中不断变化的阿片类药物滥用和过量风险
  • 批准号:
    10438466
  • 财政年份:
    2022
  • 资助金额:
    $ 29.77万
  • 项目类别:
Examination of evolving opioid misuse and overdose risk among American Indians
检查美洲印第安人中不断变化的阿片类药物滥用和过量风险
  • 批准号:
    10701719
  • 财政年份:
    2022
  • 资助金额:
    $ 29.77万
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Culturally Responsive Palliative Care Messaging for American Indians: An Efficacy Trial
针对美洲印第安人的文化响应姑息治疗信息:功效试验
  • 批准号:
    10431092
  • 财政年份:
    2022
  • 资助金额:
    $ 29.77万
  • 项目类别:
Culturally Responsive Palliative Care Messaging for American Indians: An Efficacy Trial
针对美洲印第安人的文化响应姑息治疗信息:功效试验
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    10709495
  • 财政年份:
    2022
  • 资助金额:
    $ 29.77万
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推进北部平原美洲印第安人的姑息治疗
  • 批准号:
    10705232
  • 财政年份:
    2022
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    $ 29.77万
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Long-term consequences of SARS-CoV-2 infection and COVID-19 disease among American Indians: an ambidirectional cohort study in the Cherokee Nation
美洲印第安人中 SARS-CoV-2 感染和 COVID-19 疾病的长期后果:切罗基族的双向队列研究
  • 批准号:
    10438443
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推进北部平原美洲印第安人的姑息治疗
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    10643600
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