Faith Moves Mountains: an Appalachian cervical cancer prevention program

Abstract

Objective: To provide a conceptual description of Faith Moves Mountains (FMM), an intervention designed to reduce the disproportionate burden of cervical cancer among Appalachian women.

Methods: FMM, a community-based participatory research program designed and implemented in collaboration with churches in rural, southeastern Kentucky, aims to increase cervical cancer screening (Pap tests) through a multiphase process of educational programming and lay health counseling.

Results: We provide a conceptual overview to key elements of the intervention, including programmatic development, theoretical basis, intervention approach and implementation, and evaluation procedures.

Conclusions: After numerous modifications, FMM has recruited and retained over 400 women, 30 churches, and has become a change agent in the community.

Figures

Figure 1

Cervical Cancer Mortality Rates by US County, 1970-1998 (Source13)

Figure 2

Summary of Factors Based on Theoretical Models Influential in Receipt of Pap Test

Figure 3

Faith Moves Mountains Intervention Sequence