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Trial Title: Game Changers for Cervical Cancer Prevention

NCT ID: NCT06010160

Condition: Cervical Cancer

Conditions: Official terms:
Uterine Cervical Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: Individual randomization to one of two parallel groups, the intervention or usual care (no intervention) control group

Primary purpose: Prevention

Masking: Single (Outcomes Assessor)

Masking description: The assessment interviewer will be blinded to study arm allocation of the participants at baseline only

Intervention:

Intervention type: Behavioral
Intervention name: Game Changers for Cervical Cancer Prevention
Description: The peer advocacy training sessions focus on reduction of internalized stigma, disclosure decision making, education on cervical cancer facts and myths, and building skills for cervical cancer prevention advocacy.
Arm group label: Advocacy Training Intervention

Other name: GC-CCP

Summary: This randomized controlled trial will evaluate Game Changers for Cervical Cancer Prevention (GC-CCP) for increasing cervical cancer (CC) screening advocacy among intervention recipients (index participants) towards female social network members, and uptake of CC screening among enrolled female social network members (alter participants) who have not previously been screened. The main research questions are: 1. Is the GC-CCP network-based peer advocacy intervention superior to usual care (no intervention) in improving uptake of CC screening among alter participants, across urban/rural and public/private clinics? 2. What are the mediators and moderators (among index, alter and network characteristics) of intervention effects on (a) alter CC screening; and (b) engagement in CC prevention advocacy among index participants?

Detailed description: This randomized controlled trial will evaluate Game Changers for Cervical Cancer Prevention (GC-CCP) for increasing cervical cancer (CC) screening among previously unscreened social network members. The trial will be conducted at 4 study clinics [2 public, 2 private-not-for-profit (PNFP), one each in an urban and rural location]. At each clinic, 40 women screened for CC in the past year will be enrolled in the RCT as index participants (n=160 index) and randomized to the intervention (in two groups of 10) or wait-list control. The intervention will consist of 6 weekly group sessions that focus on CC stigma reduction, sharing of CC screening experience with others, knowledge of CC facts and myths, and skills building for engagement in CC prevention advocacy with female social network members (1st degree alters). Each index will recruit up to three alters (n~440 1st degree alters) at baseline who have not screened for CC; these index and alter participants will be followed up at months 6 and 12. At month 6, half of the 1st degree alters will be asked to recruit up to female social network members (2nd degree alters) whom they have engaged in CC screening advocacy with; these 2nd degree alters will receive a single phone-based brief interview; at month 12, the other half of the 1st degree alters will be asked to recruit up to two 2nd degree alters for the same purpose.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - screened for cervical cancer in the past year (index participants only) - has shared cervical cancer screening experience with at least one adult female social network member whom is believed to not have been screening for cervical cancer; or she reports that there is at least one female social network member who has not screened and she would feel comfortable disclosing her personal screening experience to her (index participants only) - is a member of social network of enrolled participant (social network member participants only) Exclusion Criteria: - advanced stage cervical cancer (index participants only) - screened for cervical cancer in the past (1st degree social network member participants only)

Gender: Female

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: Makerere University School of Public Health

Address:
City: Kampala
Country: Uganda

Status: Recruiting

Contact:
Last name: Violet Gwokyalya

Start date: August 19, 2024

Completion date: November 30, 2025

Lead sponsor:
Agency: RAND
Agency class: Other

Collaborator:
Agency: Makerere University
Agency class: Other

Collaborator:
Agency: African Palliative Care Association
Agency class: Other

Collaborator:
Agency: Rays of Hope Hospice Jinja
Agency class: Other

Collaborator:
Agency: Indiana University, Bloomington
Agency class: Other

Source: RAND

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06010160

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