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CompletedNCT04426019Updated Oct 12, 2023

Using a Lay Health Worker Program to Increase Breast and Cervical Cancer Screening in Low-Income Hispanic Women

An interventional study of CLS Intervention and No CLS intervention in Breast Cancer and Cervical Cancer, sponsored by The University of Texas Health Science Center, Houston. Completed at 1 site in United States. Open to female participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2023-10-12.

Sponsored by The University of Texas Health Science Center, Houston · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 8 years 4 months after the study started (first participant enrolled Jan 2012, registered May 2020).
Phase
Not applicable
Study type
Interventional
Enrollment
1,025
Allocation
Randomized
Ages
21 Years and older
Sex
Female
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Study summary

The primary purpose of this study is adapt the Cultivando la Salud (CLS) intervention for a new community and priority population and to train community health workers (promotoras) from the Prosalud promotora program to implement the adapted CLS breast and cervical cancer screening program. The adaptation and delivery of the CLS intervention program focuses on meeting the needs and supporting of CHWs and Hispanic/Latina women in the Greater Houston Area. Finally, this study aims to evaluate the process and effect of the adapted CLS program (renamed Salud en Mis Manos (SEMM) on increasing mammography and cervical cancer screening.

Read the detailed description

CHWs identify women in the community in need of breast and/or cervical cancer screening. Based on their screening needs, they invite women to participate in the CLS behavioral intervention. Women are randomized to intervention and usual care comparison (delayed intervention) groups. After women are consented to participate in the study, the study team administers the baseline survey. After the baseline survey is administered, the CLS-adapted intervention (renamed Salud en Mis Manos), is delivered to participants randomized to the intervention group. After the follow-up survey is administered to the participants, women in the comparison group are offered the CLS (SEMM) intervention.

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Conditions studied

  • Breast Cancer
  • Cervical Cancer

Keywords

  • Mammogram
  • Pap test
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In context

Uterine Cervical Neoplasms

1,881 studies on the registry are indexed under Uterine Cervical Neoplasms; 567 are open to participants now.

This study's enrollment of 1,025 is above the median of 100 across 1,377 interventional studies indexed under Uterine Cervical Neoplasms.

Browse Uterine Cervical Neoplasms studies →

Lead sponsor

The University of Texas Health Science Center, Houston is the lead sponsor of 880 studies on the registry; 209 are open to participants now.

Of its 170 completed or terminated interventional studies of FDA-regulated products, 140 (82%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
21 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • women who identify as Hispanic/Latina ancestry or descent and live in the Greater Houston Area in Texas
  • no previous diagnosis of breast or cervical cancer

Exclusion criteria

Exclusion Criteria:

  • Pregnant women, and women who are adherent to screening guidelines
  • prior or current cancer diagnosis
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,025 participants (actual)

Study arms

  • Experimental
    CLS intervention

    Community health workers (CHWs) assess women's breast and/or cervical cancer screening needs and deliver behavioral education designed to increase breast and/or cervical cancer screening. After completing the education, CHWs provide women with clinic referrals to local and affordable screening services. Participants also are offered telephone-delivered navigation support, which focuses on helping women overcome logistic and personal barriers to accessing screening services.

    Behavioral: CLS Intervention

  • Active comparator
    No CLS intervention

    Community health workers (CHWs) assess women's breast and/or cervical cancer screening needs and deliver print materials to women describing cancer screening guidelines.

    Behavioral: No CLS intervention

Interventions

  • BehavioralCLS Intervention

    Community health workers (or promotoras) will deliver the CLS program either in face-to-face and/or group sessions to all women within 2 months of the baseline interview. Each session will last approximately 1 to 2 hours, and will include CLS materials adapted for this study.At the conclusion of the CLS program, promotoras will provide information about local and affordable providers delivering low-cost or free breast and cervical cancer screening services. Should a woman require follow-up for abnormal results, referrals will be given to programs,which provides assistance accessing cancer diagnostic and treatment services. Two weeks after delivering the education component of the CLS program, promotoras will call women to provide any further assistance needed. During these follow-up calls promotoras will provide on-going navigation support to women in need of mammography and Pap test screening

    Also known as: CHW-delivered education

  • BehavioralNo CLS intervention

    This control arm will receive only usual practice care (print education) and will not receive the CLS intervention. They may receive the intervention after the study has been completed

    Also known as: Usual Care

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What researchers measure

Primary outcomes

  1. The primary outcome for breast cancer screening outcome based on mammography screening behavior measured among participants using self-report.

    Outcomes based on self-report on follow-up survey

    Time frame: end of evaluation period (6 month follow-up survey, through completion of hard to follow-up period on average 10 months).

  2. The primary outcome for cervical cancer screening outcome based on Pap screening behavior measured among participants using self-report.

    Outcomes based on self-report on follow-up survey

    Time frame: end of evaluation period (6 month follow-up survey, through completion of hard to follow-up period on average 10 months).

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Study locations

1 site
  • The University of Texas Health Science Center at Houston
    Houston, Texas 77030, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 12, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04426019
Lead sponsor
The University of Texas Health Science Center, Houston
Collaborators
Cancer Prevention Research Institute of Texas
Responsible party
Lara Savas (Assistant Professor, The University of Texas Health Science Center, Houston) — Principal investigator
First posted
Jun 11, 2020
Start date
Jan 12, 2012
Primary completion
May 16, 2014
Completion
May 16, 2014
Last update
Oct 12, 2023

Study contacts

Lara Savas
principal investigator · The University of Texas Health Science Center, Houston

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2023. You cannot join it, but the record below documents what was studied.

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