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Published in: Trials 1/2020

Open Access 01-12-2020 | Cervical Cancer | Study protocol

Increasing uptake of evidence-based screening services though a community health worker-delivered multimodality program: study protocol for a randomized pragmatic trial

Authors: Olveen Carrasquillo, Julia Seay, Vasanti Jhaveri, Timothy Long, Sonjia Kenya, Emmanuel Thomas, Daniel Sussman, Dinah Trevil, Tulay Koru-Sengul, Erin Kobetz

Published in: Trials | Issue 1/2020

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Abstract

Background

Underserved ethnic minority populations experience significant disparities in HIV, hepatitis C virus (HCV), colorectal cancer (CRC), and cervical cancer incidence and mortality. Much of the excess burden of these diseases among underserved communities is due to lack of preventive care, including screening. Barriers to disease screening include low awareness, lack of access to care and health insurance, and cultural beliefs regarding disease prevention. Our current trial aims to examine community health worker (CHW)-delivered, home-based multi-modality screening for HIV, HCV, CRC, and cervical cancer simultaneously.

Design

We are conducting a randomized pragmatic trial among 900 Haitian, Hispanic, and African-American participants from diverse underserved communities in South Florida. People between the ages of 50 and 65 who have not had appropriate HIV, HCV, CRC, and cervical cancer screening per United States Preventive Services Task Force (USPSTF) recommendations are eligible for the study. Participants are recruited by CHWs and complete a structured interview to assess multilevel determinants of disease risk. Participants are then randomized to receive HIV, HCV, CRC, and cervical cancer screening via navigation to care by a CHW (Group 1) or via CHW-delivered home-based screening (Group 2). The primary outcome is completion of screening for each of these diseases within 6 months post-enrollment.

Discussion

Our trial is among the first to examine the effectiveness of a CHW-delivered, multimodality, home-based disease-screening approach. If found to be effective, this approach may represent a cost-effective strategy for disease screening within underserved and underscreened minority groups.

Trial registration

Clinical Trials.gov # NCT02970136, registered November 21, 2016.
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Metadata
Title
Increasing uptake of evidence-based screening services though a community health worker-delivered multimodality program: study protocol for a randomized pragmatic trial
Authors
Olveen Carrasquillo
Julia Seay
Vasanti Jhaveri
Timothy Long
Sonjia Kenya
Emmanuel Thomas
Daniel Sussman
Dinah Trevil
Tulay Koru-Sengul
Erin Kobetz
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Trials / Issue 1/2020
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-020-4213-7

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