About this trial
Phase I: Validating self-collection kit by comparing their results with clinical Pap smear results in a cohort of 20 patients.
Phase II: Evaluate the feasibility and acceptability of the CHW4CervicalHealth: Use of a self-collection kit to improve cervical health screening intervention aimed to promote HPV self-collection uptake among screening-eligible and under-screened ethnic minority women in the community.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Women aged 25-65 years
Scheduled for a Pap smear test appointment at Jefferson OBGYN Center City location
Willing and able to provide informed consent for participation in the study
Agree to perform an HPV self-collection collection procedure during the same visit
Disqualifiers
Current pregnancy (self-reported or confirmed)
Previous participation in an HPV self-collection study within the past 12 months
Presence of visible vaginal or cervical infection or symptoms suggestive of a current genital tract infection
Inability to comply with study procedures or follow instructions (e.g., due to language barriers or cognitive impairments)
Trial design
Parallel
Treatments tested in this trial
Evalyn® Brush
DeviceParticipants use Evalyn® Brush device to collect a cervical sample for HPV testing.
Copan Floqswab
DeviceParticipants use the Copan Floqswab device to collect a cervical sample for HPV testing.
CHW4CervicalHealth
BehavioralThe CHW4CervicalHealth intervention is a community health care worker (CHW)-led education and support program designed to promote HPV self-collection among underserved women. Trained bilingual CHWs provide culturally-tailored community workshops about cervical health and cervical cancer prevention, distribution and collection of HPV self-collection, and follow-up from results when appropriate.
Treatment groups
Trial outcomes
Primary outcomes
Diagnostic Concordance of Self-Collected vs. Clinically collected sample (Phase I)
Concordance rate between self-collection kit results and clinical Pap smear findings (measured as agreement in detection of HPV and/or abnormal cytology). Agreement between the two methods will be evaluated using Cohen's kappa statistic, with values interpreted based on standard benchmarks for strength of agreement. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) will be calculated to determine the accuracy of self-collection kits relative to the clinician-collected gold standard.
Feasibility of HPV Self-Collection: Completion of Self-Collection Kit
Feasibility will be assessed as the number of participants who proceed with HPV self-collection using the study kit out of the total number of participants enrolled in the study.
Secondary outcomes
Change in Participants' HPV-related knowledge and perceived comfort with self-collection
Paired sample t-tests will analyze changes in knowledge scores from baseline to post-intervention. Statistical analysis will be conducted using SPSS 25, with significance set at p \< .05.
Sponsors and contacts
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Thomas Jefferson University
Lead sponsor
Roche Pharma AG
Collaborator