Online Program

Recruiting Latinas for a cancer screening intervention in an emerging community: Lessons learned

Monday, November 4, 2013

Patricia I. Documét, MD, DrPH, Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA
Laura Macia, PhD, Department of Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, PA
Hernan Maldonado, MS, MPP, Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, PA
Jeanette M. Trauth, PhD, Behavioral and Community Health Sciences, GSPH, University of Pittsburgh, Pittsburgh, PA
Steve M. Albert, PhD, Department of Behavioral & Community Health Sciences, University of Pittsburgh, Pittsburgh, PA
Ronald E. Myers, PhD, Department of Medical Oncology, Division of Population Science, Thomas Jefferson University, Philadelphia, PA
Purpose: Recruitment of minority, low-income and low English proficiency participants to cancer screening interventions is challenging. Here we describe our experiences in recruiting a community-based sample of 106 Latino women to test a group clinic visit to screening for human papilloma virus (HPV). Methods: We trained lay women from the community as “outreach liaisons” (OLs) to recruit 21-70 year old participants into the project. The training included research integrity and ethics as well as cancer screening and project information. Outreach liaisons approached potential participants at various community sites. Results: Eleven OLs approached 177 potential participants; 106 (60%) consented to the study and completed a baseline interview. Each OL successfully recruited up to 31 participants. OLs' educational level was unrelated to recruitment success. OLs working in community organizations or who were volunteering in the community were the most successful recruiters. Consented women were of various Latino origins (Mexican: 40%; South American: 29%; Puerto Rican: 16%); 61% had completed high school; 16% had no Papanicolaou in the past 5 years. Non-consenting women preferred to go the screening alone or expressed mistrust of research. For consented women, the main barrier to attending a visit was scheduling the group appointment and remembering to show up. At 34 group visits, a total of 72 women (68% of consented women) underwent Papanicoloau screening.

Conclusions: The use of lay recruiters who are part of the target population is an effective way to enroll Latinas in HPV screening research. Group visits generated high screening rates.

Learning Areas:

Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Explain the steps to train outreach liaisons fro recruit research participants. List the characteristics of successful outreach liaisons. Discuss options to deal with supervision of outreach liaisons in the field.

Keyword(s): Cancer Screening, Methodology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Principal Investigator of this study; I have been doing research with Latinos since 1998. I conducted the first study to look at Latinos health care access in Southwestern Pennsylvania, showing that 38% of them were uninsured. I have done extensive work on breast and cervical cancer among underserved populations. Currently, I am testing an innovative method for cancer screening among Latinas: group visits.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.