Effectiveness of an mHealth intervention to increase adherence to triage of HPV DNA positive women who have performed self-collection (the ATICA study): A hybrid type I cluster randomised effectiveness-implementation trial

Fil: Arrosi, Silvina. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad.; Argentina.

Guardado en:
Detalles Bibliográficos
Autores principales: Kohler, Racquel E, Arrossi, Silvina, Cuberli, Milca, Viswanath, Kasisomayajula, Paolino, Melisa, Orellana, Liliana C, Serra, Verónica, Flores, Liliana, Sánchez Antelo, Victoria, Thouyaret, Laura
Formato: Artículo
Publicado: 2023
Materias:
Agentes Comunitarios de Salud
Cuello Uterino
Neoplasias
Prevención del Cáncer
Infecciones por Papillomavirus
Argentina
Acceso en línea:http://repositorio.cedes.org/handle/123456789/4722
Aporte de:
Respositorio Digital CRIS del CEDES - Centro de Estudios de Estado y Sociedad de Centro de Estudios de Estado y Sociedad (CEDES)
id I61-R167-123456789-4722
record_format dspace
spelling I61-R167-123456789-47222025-07-15T16:12:15Z Effectiveness of an mHealth intervention to increase adherence to triage of HPV DNA positive women who have performed self-collection (the ATICA study): A hybrid type I cluster randomised effectiveness-implementation trial Kohler, Racquel E Arrossi, Silvina Cuberli, Milca Viswanath, Kasisomayajula Paolino, Melisa Orellana, Liliana C Serra, Verónica Flores, Liliana Sánchez Antelo, Victoria Thouyaret, Laura Agentes Comunitarios de Salud Cuello Uterino Neoplasias Prevención del Cáncer Infecciones por Papillomavirus Argentina Fil: Arrosi, Silvina. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad.; Argentina. BACKGROUND: Human Papillomavirus (HPV) self-collection offered by community health workers (CHWs) during home visits has been hampered by low levels of triage Pap among HPV-positive women. We investigated effectiveness of a mHealth intervention to increase adherence to triage Pap. METHODS: We conducted a hybrid type I cluster randomised effectiveness-implementation trial in Jujuy, Argentina. CHWs (clusters) were eligible if actively offering HPV self-collection and served at least 26 women aged 30 years and over. Women were eligible if they conducted self-collection and provided a mobile phone number. 260 CHWs were randomly allocated (3:2 ratio) to a multi-component intervention (Up to four SMS messages sent to HPV-positive women, and one SMS message to CHWs to prompt a visit of women with no triage Pap 60 days after a positive-test), or control group (Usual care: Women instructed to attend their health centre 30 days after HPV self-collection to pick-up results). The primary effectiveness outcome was percentage of HPV-positive women with triage 120 days after the HPV-test result. We evaluated implementation of the intervention using the RE-AIM framework. FINDINGS: 221 CHWs (132 intervention, 89 control group) contacted 5389 women; and 5351 agreed to participate (3241 intervention, 2110 control group). In total 314/445 (70·5%) HPV-positive women of the intervention group had triage at 120 days after the HPV result, compared to 163/292 (55·1%) in the control group: 15·5% point improvement; 95%CI: 6·8-24·1; relative risk: 1·28; 95%CI: 1·11-1·48. 97·2% of women accepted the intervention and 86·9% of CHWs agreed to its adoption. INTERPRETATION: The multicomponent mHealth intervention was effective in increasing the percentage of HPV-positive women who had triage Pap, allowing for many more women at risk of cervical cancer to receive timely follow-up. 2023-05-26T00:44:43Z 2023-05-26T00:44:43Z 2022-05 info:eu-repo/semantics/article info:ar-repo/semantics/artículo Arrossi S, Paolino M, Antelo VS, Thouyaret L, Kohler RE, Cuberli M, Flores L, Serra V, Viswanath K, Orellana L; ATICA Study team. Effectiveness of an mHealth intervention to increase adherence to triage of HPV DNA positive women who have performed self-collection (the ATICA study): A hybrid type I cluster randomised effectiveness-implementation trial. Lancet Reg Health Am. 2022 May;9:100199. doi: 10.1016/j.lana.2022.100199. Disponible en: http://repositorio.cedes.org/handle/123456789/4722. 2667-193X http://repositorio.cedes.org/handle/123456789/4722 10.1016/j.lana.2022.100199 35655914 info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by/4.0/ application/pdf
institution Centro de Estudios de Estado y Sociedad (CEDES)
institution_str I-61
repository_str R-167
collection Respositorio Digital CRIS del CEDES - Centro de Estudios de Estado y Sociedad
topic Agentes Comunitarios de Salud
Cuello Uterino
Neoplasias
Prevención del Cáncer
Infecciones por Papillomavirus
Argentina
spellingShingle Agentes Comunitarios de Salud
Cuello Uterino
Neoplasias
Prevención del Cáncer
Infecciones por Papillomavirus
Argentina
Kohler, Racquel E
Arrossi, Silvina
Cuberli, Milca
Viswanath, Kasisomayajula
Paolino, Melisa
Orellana, Liliana C
Serra, Verónica
Flores, Liliana
Sánchez Antelo, Victoria
Thouyaret, Laura
Effectiveness of an mHealth intervention to increase adherence to triage of HPV DNA positive women who have performed self-collection (the ATICA study): A hybrid type I cluster randomised effectiveness-implementation trial
topic_facet Agentes Comunitarios de Salud
Cuello Uterino
Neoplasias
Prevención del Cáncer
Infecciones por Papillomavirus
Argentina
description Fil: Arrosi, Silvina. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad.; Argentina.
format Artículo
Artículo
author Kohler, Racquel E
Arrossi, Silvina
Cuberli, Milca
Viswanath, Kasisomayajula
Paolino, Melisa
Orellana, Liliana C
Serra, Verónica
Flores, Liliana
Sánchez Antelo, Victoria
Thouyaret, Laura
author_facet Kohler, Racquel E
Arrossi, Silvina
Cuberli, Milca
Viswanath, Kasisomayajula
Paolino, Melisa
Orellana, Liliana C
Serra, Verónica
Flores, Liliana
Sánchez Antelo, Victoria
Thouyaret, Laura
author_sort Kohler, Racquel E
title Effectiveness of an mHealth intervention to increase adherence to triage of HPV DNA positive women who have performed self-collection (the ATICA study): A hybrid type I cluster randomised effectiveness-implementation trial
title_short Effectiveness of an mHealth intervention to increase adherence to triage of HPV DNA positive women who have performed self-collection (the ATICA study): A hybrid type I cluster randomised effectiveness-implementation trial
title_full Effectiveness of an mHealth intervention to increase adherence to triage of HPV DNA positive women who have performed self-collection (the ATICA study): A hybrid type I cluster randomised effectiveness-implementation trial
title_fullStr Effectiveness of an mHealth intervention to increase adherence to triage of HPV DNA positive women who have performed self-collection (the ATICA study): A hybrid type I cluster randomised effectiveness-implementation trial
title_full_unstemmed Effectiveness of an mHealth intervention to increase adherence to triage of HPV DNA positive women who have performed self-collection (the ATICA study): A hybrid type I cluster randomised effectiveness-implementation trial
title_sort effectiveness of an mhealth intervention to increase adherence to triage of hpv dna positive women who have performed self-collection (the atica study): a hybrid type i cluster randomised effectiveness-implementation trial
publishDate 2023
url http://repositorio.cedes.org/handle/123456789/4722
work_keys_str_mv AT kohlerracquele effectivenessofanmhealthinterventiontoincreaseadherencetotriageofhpvdnapositivewomenwhohaveperformedselfcollectiontheaticastudyahybridtypeiclusterrandomisedeffectivenessimplementationtrial
AT arrossisilvina effectivenessofanmhealthinterventiontoincreaseadherencetotriageofhpvdnapositivewomenwhohaveperformedselfcollectiontheaticastudyahybridtypeiclusterrandomisedeffectivenessimplementationtrial
AT cuberlimilca effectivenessofanmhealthinterventiontoincreaseadherencetotriageofhpvdnapositivewomenwhohaveperformedselfcollectiontheaticastudyahybridtypeiclusterrandomisedeffectivenessimplementationtrial
AT viswanathkasisomayajula effectivenessofanmhealthinterventiontoincreaseadherencetotriageofhpvdnapositivewomenwhohaveperformedselfcollectiontheaticastudyahybridtypeiclusterrandomisedeffectivenessimplementationtrial
AT paolinomelisa effectivenessofanmhealthinterventiontoincreaseadherencetotriageofhpvdnapositivewomenwhohaveperformedselfcollectiontheaticastudyahybridtypeiclusterrandomisedeffectivenessimplementationtrial
AT orellanalilianac effectivenessofanmhealthinterventiontoincreaseadherencetotriageofhpvdnapositivewomenwhohaveperformedselfcollectiontheaticastudyahybridtypeiclusterrandomisedeffectivenessimplementationtrial
AT serraveronica effectivenessofanmhealthinterventiontoincreaseadherencetotriageofhpvdnapositivewomenwhohaveperformedselfcollectiontheaticastudyahybridtypeiclusterrandomisedeffectivenessimplementationtrial
AT floresliliana effectivenessofanmhealthinterventiontoincreaseadherencetotriageofhpvdnapositivewomenwhohaveperformedselfcollectiontheaticastudyahybridtypeiclusterrandomisedeffectivenessimplementationtrial
AT sanchezantelovictoria effectivenessofanmhealthinterventiontoincreaseadherencetotriageofhpvdnapositivewomenwhohaveperformedselfcollectiontheaticastudyahybridtypeiclusterrandomisedeffectivenessimplementationtrial
AT thouyaretlaura effectivenessofanmhealthinterventiontoincreaseadherencetotriageofhpvdnapositivewomenwhohaveperformedselfcollectiontheaticastudyahybridtypeiclusterrandomisedeffectivenessimplementationtrial
_version_ 1840496262619594752

Ejemplares similares