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dc.contributor.author
Arrossi, Silvina
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dc.contributor.author
Paolino, Melisa Delia
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Sánchez Antelo, Victoria Inés María
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Thouyaret, Laura
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Kohler, Racquel
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dc.contributor.author
Cuberli, Milca
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Flores, Liliana
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Serra, Verónica
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Viswanath, Kasisomayajula
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dc.contributor.author
Orellana, Liliana
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dc.date.available
2024-01-03T09:59:59Z
dc.date.issued
2022-05
dc.identifier.citation
Arrossi, Silvina; Paolino, Melisa Delia; Sánchez Antelo, Victoria Inés María; Thouyaret, Laura; Kohler, Racquel; et al.; 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; Elsevier; The Lancet Regional Health - Americas; 9; 100199; 5-2022; 1-18
dc.identifier.issn
2667-193X
dc.identifier.uri
http://hdl.handle.net/11336/222102
dc.description.abstract
Background: 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. Funding: National Cancer Institute of the National Institutes of Health (USA) under Award Number R01CA218306.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Elsevier
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.subject
ARGENTINA
dc.subject
CERVICAL CANCER
dc.subject
COMMUNITY HEALTH WORKERS
dc.subject
HPV SELF-COLLECTION
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IMPLEMENTATION SCIENCE
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MHEALTH
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PREVENTION
dc.subject.classification
Políticas y Servicios de Salud
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Ciencias de la Salud
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CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
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
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2024-01-02T11:42:22Z
dc.journal.volume
9
dc.journal.number
100199
dc.journal.pagination
1-18
dc.journal.pais
Países Bajos
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dc.journal.ciudad
Amsterdam
dc.description.fil
Fil: Arrossi, Silvina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Centro de Estudio de Estado y Sociedad; Argentina
dc.description.fil
Fil: Paolino, Melisa Delia. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Centro de Estudio de Estado y Sociedad; Argentina
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Fil: Sánchez Antelo, Victoria Inés María. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Centro de Estudio de Estado y Sociedad; Argentina
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Fil: Thouyaret, Laura. Ministerio de Salud de la Nación; Argentina
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Fil: Kohler, Racquel. State University of New Jersey; Estados Unidos
dc.description.fil
Fil: Cuberli, Milca. Instituto Nacional del Cáncer; Argentina
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Fil: Flores, Liliana. Gobierno de la Provincia de Jujuy. Ministerio de Salud; Argentina
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Fil: Serra, Verónica. Gobierno de la Provincia de Jujuy. Ministerio de Salud; Argentina
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Fil: Viswanath, Kasisomayajula. Harvard University. Harvard School of Public Health; Estados Unidos
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Fil: Orellana, Liliana. Deakin University; Australia
dc.journal.title
The Lancet Regional Health - Americas
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/https://doi.org/10.1016/j.lana.2022.100199
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S2667193X22000163
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