Outcome
Type |
Measure |
Description |
Time frame |
Safety issue |
Other |
Percentage of participants achieving primary outcome in different demographic categories |
We will assess whether there are differences in the percentage of patients that complete cervical cancer screening by categories of age (e.g., younger than 45 vs. 45+), income, race, and educational level, measures collected at baseline |
Throughout data collection period (average of 6 months per participant, approximately 3.5 years of study implementation) |
|
Other |
Prevalence of HPV mRNA (messenger ribonucleic acid) detection in self- and clinic-collected samples, abnormal cytology detected in clinic samples, and high-grade lesions (CIN2+) as detected in follow-up colposcopy screening (as indicated) |
Prevalence of HPV infection (as determined by presence of hrHPV mRNA in self- and clinic samples), abnormal cytology (ASCUS+ per NCI Bethesda system), and high-grade lesions (CIN2+, as determined by follow-up colposcopic inspection with biopsy as indicated) will be determined from medical records (as permitted by HIPAA authorization) and compared between the arms |
Throughout data collection period (average of 6 months per participant, approximately 3.5 years of study implementation) |
|
Other |
Percentage of patients referred to and completing colposcopy |
Referral to and completion of colposcopy will be determined from medical records (as permitted by HIPAA authorization) and compared between the arms |
Throughout data collection period (average of 6 months per participant, approximately 3.5 years of study implementation) |
|
Other |
Number of patients referred to and completing colposcopy |
Referral to and completion of colposcopy will be determined from medical records (as permitted by HIPAA authorization) and compared between the arms |
Throughout data collection period (average of 6 months per participant, approximately 3.5 years of study implementation) |
|
Other |
Number of patients referred to and completing treatment |
Referral to and completion of treatment will be determined from medical records (as permitted by HIPAA authorization) and compared between the arms |
Throughout data collection period (average of 6 months per participant, approximately 3.5 years of study implementation) |
|
Other |
Percentage of patients referred to and completing treatment |
Referral to and completion of treatment will be determined from medical records (as permitted by HIPAA authorization) and compared between the arms |
Throughout data collection period (average of 6 months per participant, approximately 3.5 years of study implementation) |
|
Other |
Attitudes towards HPV, cervical cancer, and cervical cancer screening |
Attitudes will include multiple components measured by post-intervention questionnaire, including perceived barriers to screening, perceived benefits to screening, defensive processing of risk information, and subjective norms about screening |
1-5 weeks after completion of self-collection or screening invitation |
|
Primary |
Percent of participants that complete cervical cancer screening |
Completion of cervical cancer screening is defined as (a) testing HPV negative by self-collection, or (b) completing in-clinic screening by i. HPV/Pap co-testing or ii. Pap smear alone. |
Six months after enrollment |
|
Secondary |
Levels of risk appraisal with regards to cervical cancer and screening |
Risk appraisal will include multiple components measured by post-intervention questionnaire: Worry; Likelihood; Severity; Embodiment of risk (2 measures); "Gist" risk; Anticipated regret, action; Anticipated regret, inaction |
1-5 weeks after completion of self-collection or screening invitation |
|
Secondary |
Costs to payers |
Incremental cost to payer (public or private) per additional woman screened |
Throughout data collection period (average of 6 months per participant, approximately 3.5 years of study implementation) |
|
Secondary |
Level of intention to complete cervical cancer screening |
As measured in post-intervention questionnaire |
1-5 weeks after completion of self-collection or screening invitation |
|
Secondary |
Level of self-efficacy to complete cervical cancer screening |
As measured in post-intervention questionnaire |
1-5 weeks after completion of self-collection or screening invitation |
|
Secondary |
Percentage of participants who schedule a clinic appointment to get cervical cancer screening |
Percent of participants that agree to schedule a clinic appointment to get a Pap smear or Pap/HPV co-testing |
1-5 weeks after completion of self-collection or screening invitation |
|