Effectiveness of an Intervention for Adherence to Follow-up Recommendations for Abnormal Pap Tests in Appalachian Kentucky

Overview

Journal Health Behav Policy Rev

Date 2017 Aug 2

PMID 28761895

Citations 2

Authors

Mark Dignan

Carol White

Nancy Schoenberg

Brent Shelton

Frances Feltner

Stacey Slone

Emily Van Meter

Christopher DeSimone

Gretchen Ely

Affiliations

Soon will be listed here.

Abstract

Objective: In collaboration with rural county health departments (CHDs), we developed a patient navigation intervention to increase adherence to follow-up recommendations for women with abnormal Pap tests.

Methods: Local women were recruited, trained and placed in CHDs. Navigation was tailored to the follow-up care recommended. Effectiveness was evaluated in a quasi-experimental trial that included 13 intervention CHDs and 13 comparison group CHDs. Participants were enrolled from September 2008 through July 2010.

Results: A total of 478 participants were enrolled. The proportion that received recommended follow-up care was greater in the intervention CHDs (91.6%) than in the comparison group CHDs (80.8%) (p = .01).

Conclusions: These results suggest that development of policy to promote navigation with rural health care delivery systems has great potential to improve patient outcomes.

Citing Articles

Psychological factors among Appalachian women with abnormal Pap results.

Adegboyega A, Dignan M, Sha S, Nkwonta C, Williams L J Rural Health. 2021; 38(2):382-390.

PMID: 33955052 PMC: 8571115. DOI: 10.1111/jrh.12585.

Community-Academic Partnerships: Approaches to Engagement.

Noel L, Phillips F, Tossas-Milligan K, Spear K, Vanderford N, Winn R Am Soc Clin Oncol Educ Book. 2019; 39:88-95.

PMID: 31099695 PMC: 6543849. DOI: 10.1200/EDBK_246229.

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