Human Papillomavirus (HPV) Self-Sampling Options to Promote Equity

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age30-64
SponsorUniversity of Arizona

About this trial

This study is testing a new way to help people who are unhoused get screened for cervical cancer. Cervical cancer can often be prevented if it is found early. Many people who lack stable housing usually do not receive regular screenings.

Through this project, the investigators will bring screening to community locations in Tucson, Arizona, using a mobile health unit (MHU) from the University of Arizona (UA) and El Rio Health. At these sites, participants will receive easy-to-understand education about cervical cancer, learn how to collect their own sample for human papillomavirus (HPV) testing, and get follow-up care if needed.

The study has two goals:

* First, the investigators will see if this community-based approach helps more people complete cervical cancer screening. * Second, the investigators will ask participants, clinicians, and outreach staff for their opinions about the program and its practicality and acceptability.

By testing this approach, the investigators hope to find a way to make cervical cancer screening more accessible and effective for unhoused individuals.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Women or transgender men with a cervix

Ages 30-64 years

No Pap test in the past 3 years, or

No human papillomavirus (HPV) test in the past 5 years

Disqualifiers

History of cervical cancer

HIV positive

History of total hysterectomy

Known pregnancy

Trial design

Design model

Parallel

Treatments tested in this trial

  • Human papillomavirus Self-collection

    Other intervention

    The individual will receive both verbal instruction on self-collection from trained health educators in the mobile health unit, as well as adapted educational materials on human papillomavirus self-collection and information about follow-up care in the case of abnormal results. Individuals will be provided with a safe and private space in the Mobile Health Unit to self-collect.

  • Usual Care

    Other intervention

    Usual care, will involve reminders about overdue Cervical Cancer screening and support with scheduling clinic appointments for screening, arranging for transportation, and addressing other barriers to attendance

Treatment groups

100 Participants
are divided into 2 treatment groups
Group A: Human papillomavirus self-collection for Cervical Cancer ScreeningExperimental treatment 1 intervention
Group B: Usual CareActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Cervical Cancer Screening Completion

Cervical cancer screening completion will be defined as the completion of any form of cervical cancer screening permitted according to the U.S. Preventive Services Task Force (USPSTF) guidelines, including Pap tests, Pap tests with high-risk human papillomavirus tests (cotesting), or high-risk human papillomavirus testing alone. The primary outcome will be assessed within 2 months of the street medicine team's patient contact during the trial period to account for the time required for scheduling a clinic appointment.

Time frame
From enrollment to the end of treatment at 8 weeks

Secondary outcomes

1

Follow-up adherence

The secondary outcome will be follow-up adherence for abnormal screening results ascertained via electronic health record review within six months of the abnormal result

Time frame
From identification of abnormal results to 6 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Arizona

Lead sponsor

National Cancer Institute (NCI)

Collaborator

El Rio Santa Cruz Neighborhood Health Center

Collaborator

This trial is not recruiting at the moment. You can still explore other options: