Mail-in HPV Screening Program in NJ
A Mail-based HPV Sampling Program to Increase Cervical Cancer Screening in New Jersey
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Ana Tergas, MD, MPH
- Numero di telefono: 973-972-5055
- Email: ana.tergas@rutgers.edu
Backup dei contatti dello studio
- Nome: Yenny Tavarez, MPH
- Email: yenny.tavarez@rutgers.edu
Luoghi di studio
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New Jersey
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Newark, New Jersey, Stati Uniti, 07103
- Rutgers New Jersey Medical School
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Women, transgender men, and nonbinary individuals aged 30 to 75 who have a cervix.
- No history of hysterectomy or cervical cancer.
- No documented cervical cancer screening within guideline-recommended intervals: specifically, no Pap test in the past 3.5 years, no Pap/HPV co-test in the past 5.5 years, and no standalone HPV test results in the past 5.5 years. (A 6-month grace period is included to allow time for response to usual care outreach.)
- At least two visits to University Hospital ambulatory care over the past five years, ensuring opportunity for follow-up and continuity of care.
Exclusion Criteria:
- History of cervical dysplasia within the past 3.5 years, reflecting those likely under active surveillance or treatment protocols.
- Currently pregnant, due to differing screening recommendations and clinical considerations.
- Prior or current diagnosis of cervical cancer or ongoing treatment for cervical neoplasia.
- Physical, cognitive, or functional limitations that would preclude use of the mailed self-sampling kit without assistance. Examples include severe arthritis or significant impairment affecting self-collection capability.
- Lack of a telephone number or reliable mailing address on file.
- Inability to communicate in English or Spanish, given study materials and staffing capabilities. Use of additional language services is not available.
- Current enrollment in other cervical cancer screening or intervention studies that may interfere with participation or outcomes.
- Inability to provide informed consent or comprehend study procedures based on cognitive capacity, as assessed by the Research Coordinator during initial contact.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Selezione
- Assegnazione: Non randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
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Comparatore attivo: Standard Pap Smear
Participants will have the option to choose a standard pap smear for cervical cancer screening
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Healthcare provider collected (in a hospital or clinical setting) cervicovaginal sample
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Sperimentale: HPV Self-Sampling Test
Participants are able to opt-in for an at-home self-sampling HPV test for cervical cancer screening
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Self-collected cervicovaginal sample
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Completion of CC screening within 6 months of initial outreach.
Lasso di tempo: Outcome will be measured at 6 months post-initial outreach call.
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Defined as either (a) return of a valid HPV self-sample kit to the processing laboratory, or (b) attendance for a clinic-based Pap test documented in the medical record.
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Outcome will be measured at 6 months post-initial outreach call.
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Screening Pathway Choices and Performance
Lasso di tempo: From enrollment to the end of participation at 9 months
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Proportion of participants selecting self-sampling vs clinic-based Pap test (percentage of women choosing each modality after initial outreach)
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From enrollment to the end of participation at 9 months
|
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Screening Pathway Choices and Performance
Lasso di tempo: From enrollment to the end of participation at 9 months
|
Timeliness of screening completion (measured as days from outreach to Pap attendance or kit return).
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From enrollment to the end of participation at 9 months
|
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Screening Pathway Choices and Performance
Lasso di tempo: From enrollment to the end of participation at 9 months
|
Screening test result distribution (categorized as negative, positive, or inadequate, stratified by modality).
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From enrollment to the end of participation at 9 months
|
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Screening Pathway Choices and Performance
Lasso di tempo: From enrollment to the end of participation at 9 months
|
HPV genotype distribution among positive samples (individual and group reporting per lab protocol)
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From enrollment to the end of participation at 9 months
|
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Clinical Follow-Up and Downstream Outcomes
Lasso di tempo: From enrollment to the end of participation at 9 months
|
Clinical follow-up completion after abnormal results (attendance at colposcopy or initiation of treatment).
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From enrollment to the end of participation at 9 months
|
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Clinical Follow-Up and Downstream Outcomes
Lasso di tempo: From enrollment to the end of participation at 9 months
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Detection of histologically confirmed cervical intraepithelial neoplasia grade 2 or higher (CIN2+) or invasive cervical cancer.
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From enrollment to the end of participation at 9 months
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Clinical Follow-Up and Downstream Outcomes
Lasso di tempo: From enrollment to the end of participation at 9 months
|
Treatment initiation and completion rates among those diagnosed with CIN2+ or cancer.
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From enrollment to the end of participation at 9 months
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Exploratory and Patient-Reported Outcomes
Lasso di tempo: From enrollment to the end of participation at 9 months
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Associations between demographic/clinical factors and screening completion (e.g., race/ethnicity, insurance status, education, prior screening history).
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From enrollment to the end of participation at 9 months
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Exploratory and Patient-Reported Outcomes
Lasso di tempo: From enrollment to the end of participation at 9 months
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Patient-reported experiences including satisfaction, ease of kit use, clarity of instructions, stress/anxiety during self-sampling, trust in results, and willingness to undergo self-sampling in future screening.
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From enrollment to the end of participation at 9 months
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Altre misure di risultato
Altre misure di risultato
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Reach and Adoption
Lasso di tempo: From enrollment to the end of participation at 9 months
|
Proportion of eligible participants successfully contacted and offered the intervention.
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From enrollment to the end of participation at 9 months
|
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Reach and Adoption
Lasso di tempo: From enrollment to the end of participation at 9 months
|
Participant acceptance vs refusal rates, stratified by screening modality.
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From enrollment to the end of participation at 9 months
|
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Reach and Adoption
Lasso di tempo: From enrollment to the end of participation at 9 months
|
Equity assessment: Differences in screening uptake across demographic and socioeconomic subgroups.
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From enrollment to the end of participation at 9 months
|
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Feasibility and Fidelity
Lasso di tempo: From enrollment to the end of participation at 9 months
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Return rate of mailed self-sampling kits (valid, invalid, and late returns).
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From enrollment to the end of participation at 9 months
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Feasibility and Fidelity
Lasso di tempo: From enrollment to the end of participation at 9 months
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Proportion requiring replacement kits.
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From enrollment to the end of participation at 9 months
|
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Feasibility and Fidelity
Lasso di tempo: From enrollment to the end of participation at 9 months
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Staff adherence to outreach protocol (number, spacing, and mode of call attempts and reminders per protocol).
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From enrollment to the end of participation at 9 months
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Acceptability and Sustainability
Lasso di tempo: From enrollment to the end of participation at 9 months
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Barriers and facilitators to participation identified via telephone structured surveys.
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From enrollment to the end of participation at 9 months
|
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Acceptability and Sustainability
Lasso di tempo: From enrollment to the end of participation at 9 months
|
Acceptability of self-sampling as routine care (participant endorsement of future use of mail-based HPV kits).
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From enrollment to the end of participation at 9 months
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Acceptability and Sustainability
Lasso di tempo: From enrollment to the end of participation at 9 months
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Institutional ability to sustain or scale implementation strategies (assessed through staff feedback and system-level considerations).
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From enrollment to the end of participation at 9 months
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Collaboratori e investigatori
Sponsor
Sponsor
Investigatori
Investigatori
- Investigatore principale: Ana Tergas, MD, MPH, Rutgers, The State University of New Jersey
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- Pro2025001687
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