The program seeks to reduce preventable cancers with free screening, same-day results


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Tests show that early detection and treatment of cancer can significantly improve health outcomes. However, Mississippi women, especially in underserved populations, experience the worst health outcomes for cervical, breast, and oropharyngeal cancer.

A new publication by Michelle Williams, an associate professor in the Department of Global and Community Health at the Faculty of Health and Human Services at George Mason University, published in Journal of Cancer Education evaluates the feasibility of offering free same day and health education to reduce “preventable cancer” disparities. Williams assessed the effects of providing access to free mammograms, Pap smears, and pelvic exams and oral cancer exams on participants ’knowledge about cancer, self-efficacy in getting medical care, and intentions to change their health behaviors.

Williams and colleagues evaluated the implementation of the evidence-based See, Test, & Treat program developed by the Foundation College of American Pathologists (CAP), which they adapted for use with people without insurance and without services in the Jacksonville metropolitan area. View, test, and treat participants received information about cancer testing during consultation with providers. Important features of the See, Test, and Treat program were that participants received screening results within 2 hours and participants who received abnormal results were able to schedule a follow-up appointment at a federally qualified health center (FQHC ) before leaving. In addition, upon arrival in the waiting room of the screening venue, participants could choose from a variety of health activities, including healthy cooking demonstrations, yoga and Zumba.

“Cancer testing is a valuable tool for the early detection of cancer, although uninsured and inattentive women may not have access to routine life-saving testing. of this program helps demonstrate that it is feasible to provide access to free cancer testing to vulnerable populations and provide same-day screening results, ”Williams said.

Most participants reported that they attended the See, Test, and Treat program because they wanted free cancer screening and could get test results the same day. Most participants reported that the program had a positive effect on their knowledge of cancer testing and their self-efficacy in seeking periodic reviews. In addition, participants reported that health education activities had a significant effect on their understanding of the cancers for which they examined, as well as on health, nutrition, and exercise.

Follow-up appointments were made for all participants who received abnormal test results, including 18 women who received abnormal mammography results. END of the 18 women obtained a diagnostic mammogram, three of which required biopsies. All biopsy results were benign. Two of the women who received the oral cancer tests had abnormal results and both were referred for treatment. None of the 44 Pap smears tested were abnormal, however, 14 women were diagnosed with trichomonas and referred for treatment.

Overall, the program was positively received by participants and successfully provided uninsured and underserved women with free cancer screening and health education. When asked what they liked most about the program, participants identified the appropriateness of the same-day screening results and that staff treated them with respect. One participant reported that the staff “didn’t make me feel like someone who didn’t have one.” “Limitations of the evaluation approach include the lack of long-term follow-up because the evaluation survey was completed anonymously. William seeks to include an interview and a follow-up survey of all participants in future iterations of the evaluation. program.

Participants learned about the program through broadcast advertising through channels such as churches, health centers, and social media. Childcare was offered to participants with young children. The American Cancer Society guidelines were used to determine eligibility for breast and cancer screening. 72 women met the eligibility requirements, 53 women were selected and 52 participants completed the evaluation survey.

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More information:
Michelle S. Williams et al, See, Test & Treat Program® of the College of American Pathologists Foundation: an Evaluation of a One-Day Cancer Screening Program Implemented in Mississippi, Journal of Cancer Education (2021). DOI: 10.1007 / s13187-021-02060-9

Citation: The program seeks to reduce preventable cancers with free screening, same day results (2021, July 19) retrieved July 19, 2021 at -same-day- results.html

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