Effects of a peer advocacy intervention on cervical cancer screening among social network members: results of a randomized controlled trial in Uganda.
Cervical cancer (CC) is the most common cancer among women in Uganda, yet lifetime CC screening is as low as 5%. Training women who have screened for CC to engage in peer advocacy could increase uptake of CC screening in social networks. We conducted a randomized controlled trial of a peer-facilitat...
| Published in: | Journal of Behavioral Medicine Vol. 46; no. 6; pp. 930 - 940 |
|---|---|
| Main Authors: | , , , , , , , , , , |
| Format: | research tables/charts randomized controlled trial Journal Article |
| Published: |
Springer Nature
Dec2023
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172971204&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172971204 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01607715 JBM jtl: Journal of Behavioral Medicine issn: 01607715 maglogo: N pubinfo: dt: Dec2023 vid: 46 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 172971204 171916549 172971204 172971204 10.1007/s10865-023-00418-6 172971204 ppf: 930 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Effects of a peer advocacy intervention on cervical cancer screening among social network members: results of a randomized controlled trial in Uganda. aug: au: Wagner, Glenn J. Matovu, Joseph K. B. Juncker, Margrethe Namisango, Eve Bouskill, Kathryn Nakami, Sylvia Beyeza-Kashesya, Jolly Luyirika, Emmanuel Bogart, Laura M. Green, Harold D. Wanyenze, Rhoda K. affil: https://ror.org/00f2z7n96 RAND Corporation, 1776 Main Street, 90407, Santa Monica, CA, USA sug: subj: Cervix Neoplasms Prevention and Control Cancer Screening Uganda Social Networks Patient Advocacy Peer Group Human Randomized Controlled Trials Random Assignment Funding Source Uganda Multiple Regression Multivariate Analysis Odds Ratio Confidence Intervals ab: Cervical cancer (CC) is the most common cancer among women in Uganda, yet lifetime CC screening is as low as 5%. Training women who have screened for CC to engage in peer advocacy could increase uptake of CC screening in social networks. We conducted a randomized controlled trial of a peer-facilitated, manualized, 7-session group intervention to train women to engage in CC prevention advocacy. Forty women recently screened for CC (index participants) enrolled and were assigned to receive the intervention (n = 20) or wait-list control (n = 20). Each index was asked to recruit up to three female social network members (alters) who had not been screened for CC (n = 103 enrolled alters). All index and alter participants were assessed at baseline and month-6 follow-up. All but one (n = 39; 98%) index and 98 (95%) alter participants completed the month 6 assessment. In multivariate regression models controlling for baseline outcome measures and demographic covariates, intervention alters were more likely to have been screened for CC at month 6 [67% vs. 16%; adjusted OR (95% CI) = 12.13 (4.07, 36.16)], compared to control alters. Data also revealed significant increased engagement in CC prevention advocacy, among both index and alter participants in the intervention group at month 6, compared to the control group. The intervention was highly effective in increasing CC screening uptake among social network members, and engagement in CC prevention advocacy among not only intervention recipients, but also targets of advocacy, suggesting the potential for wide dissemination of CC knowledge. Trial Registration. NIH Clinical Trial Registry NCT04960748 (clinicaltrials.gov). pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|