Increasing cancer screening among women in rural and segregated areas: A multilevel intervention based on self-screening and adapted educational materials
Study Objectives In this study, we will deliver self-sampling HPV tests and FIT kits, as well as adapted cancer screening educational materials, by mail to 110 women who are out-of-date for both cervical and colorectal cancer screenings, recruited through federally qualified health centers (FQHCs) in rural, segregated counties of Pennsylvania. Additionally, we will conduct pre- and post-intervention surveys to assess short-term changes in environment- and person-level factors associated with screening, and intervention feasibility (e.g., acceptability). A control group of 110 women, also recruited through FQHCs in rural, segregated counties of Pennsylvania, will be used for comparison; these women will receive standard-of-care reminders for cancer screening and complete the pre- and post-intervention surveys.
The hypothesis is that delivering self-sampling HPV tests and FIT, as well as adapted educational materials, to women in rural, segregated areas could help overcome environment- and person-level barriers and thereby increase cancer screening, reduce geographic cancer disparities, and improve public health.