Please use this identifier to cite or link to this item: http://repositorio.cedes.org/handle/123456789/4722
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dc.contributor.authorKohler, Racquel Een_US
dc.contributor.authorArrossi, Silvinaen_US
dc.contributor.authorCuberli, Milcaen_US
dc.contributor.authorViswanath, Kasisomayajulaen_US
dc.contributor.authorPaolino, Melisaen_US
dc.contributor.authorOrellana, Liliana Cen_US
dc.contributor.authorSerra, Verónicaen_US
dc.contributor.authorFlores, Lilianaen_US
dc.contributor.authorAntelo, Victoria Sánchezen_US
dc.contributor.authorThouyaret, Lauraen_US
dc.date.accessioned2023-05-26T00:44:43Z-
dc.date.available2023-05-26T00:44:43Z-
dc.date.issued2022-05-
dc.identifier.citationArrossi 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.-
dc.identifier.issn2667-193X-
dc.identifier.urihttp://repositorio.cedes.org/handle/123456789/4722-
dc.descriptionFil: Arrosi, Silvina. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad.; Argentina.-
dc.descriptionFil: Paolino, Melisa. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.-
dc.descriptionFil: Sánchez Antelo, Victoria. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.-
dc.descriptionFil: Thouyaret, Laura. Ministerio de Salud de la Nación; Argentina.-
dc.descriptionFil: Kohler, Racquel E. State University of New Jersey. Cancer Institute of New Jersey. Cancer Health Equity; Estados Unidos.-
dc.descriptionFil: Cuberli, Milca. Instituto Nacional del Cáncer. Programa Nacional de Prevención de Cáncer Cervicouterino; Argentina.-
dc.descriptionFil: Flores, Liliana. Ministerio de Salud de la Provincia de Jujuy; Argentina.-
dc.descriptionFil: Serra, Verónica. Ministerio de Salud de la Provincia de Jujuy; Argentina.-
dc.descriptionFil: Viswanath, Kasisomayajula. Harvard University. Department of Social and Behavioral Sciences; Estados Unidos.-
dc.descriptionFil: Orellana, Liliana. Deakin University. Faculty of Health. Biostatistics Unit; Australia.-
dc.description.abstractBACKGROUND: 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.en_US
dc.formatapplication/pdf-
dc.language.isoengen_US
dc.rightsinfo:eu-repo/semantics/openAccess-
dc.rightshttps://creativecommons.org/licenses/by/4.0/-
dc.subjectAgentes Comunitarios de Saluden_US
dc.subjectCuello Uterinoen_US
dc.subjectNeoplasiasen_US
dc.subjectPrevención del Cánceren_US
dc.subjectInfecciones por Papillomavirusen_US
dc.subjectArgentinaen_US
dc.titleEffectiveness 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 trialen_US
dc.typeinfo:eu-repo/semantics/publishedVersionen_US
dc.identifier.doi10.1016/j.lana.2022.100199-
dc.identifier.pmid35655914-
dc.type.Obligatorioinfo:eu-repo/semantics/article-
dc.type.Obligatorioinfo:ar-repo/semantics/artículo-
item.grantfulltextopen-
item.fulltextWith Fulltext-
crisitem.author.deptCEDES. Centro de Estudios de Estado y Sociedad-
crisitem.author.deptÁrea de Salud, Economía y Sociedad-
crisitem.author.deptConsejo Nacional de Investigaciones Científicas y Técnicas (CONICET)-
crisitem.author.deptCEDES. Centro de Estudios de Estado y Sociedad-
crisitem.author.deptÁrea de Salud, Economía y Sociedad-
crisitem.author.deptConsejo Nacional de Investigaciones Científicas y Técnicas (CONICET)-
crisitem.author.parentorgCEDES. Centro de Estudios de Estado y Sociedad-
crisitem.author.parentorgCEDES. Centro de Estudios de Estado y Sociedad-
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