Woman to Woman
|Program Title||Woman to Woman|
|Purpose||Designed to increase breast cancer and cervical cancer screening in the worksite setting. (2001)|
|Program Focus||Awareness building and Behavior Modification|
|Population Focus||Un- and/or Underscreened Individuals|
|Topic||Breast Cancer Screening, Cervical Cancer Screening|
|Age||Adults (40-65 years)|
|Race/Ethnicity||Hispanic or Latino, White, not of Hispanic or Latino origin|
|Funded by||NCI (Grant number(s): CA66038)|
Woman to Woman is a 16-month intervention aimed at improving adherence to screening guidelines for breast and cervical cancer among women aged 40 and older.
Volunteer advisory boards recruit and select peer health advisors (PHAs), tailor the intervention according to the needs and interests of the worksite, as well as assist in the planning and promotion of intervention activities. PHAs disseminate breast and cervical cancer information to coworkers, provide social support, and foster positive social norms for screening.
Over the course of the intervention, PHAs conduct an average of six small-group discussions on breast and cervical cancer screening. In addition, PHAs also conduct individual outreach to those who do not attend sessions while PHAs and the volunteer advisory boards implement two worksite-wide events over the intervention period.
The Implementation Guide is a resource for implementing this program. It provides important information about the staffing and functions necessary for administering this program in the user's setting. Additionally, the steps needed to carry out the research-tested program, relevant program materials, and information for evaluating the program are included. The Implementation Guide can be viewed and downloaded in the Products page.
Community Preventive Services Task Force Finding
The intervention takes 16 months.
The program requires a volunteer advisory board to coordinate promotional activities and maintain a resource center. The board meets monthly for 1-2 hours. A worksite coordinator spends 45 minutes per week on project activities, including conducting advisory board meetings, publicizing project activities, and maintaining the resource center. One PHA is needed for about every 150 female employees.
PHAs need to be recruited, in which they receive 16 hours of training before program implementation. The topic areas include the following: cancer epidemiology, early detection methods, screening guidelines, community resources. PHAs also receive training on small group education, individual counseling, and program planning.
About the Study
A randomized controlled trial of 26 worksites with 2,747 participants aged 40 and older compared worksites that implemented Woman to Woman with those receiving no intervention over the course of 16 weeks.
- Employees at Woman to Woman worksites were more likely to get Pap tests than those at comparison worksites (odds ratio=1.28).
Pre-Posttest Changes in Pap Test Screening
- The intervention did not appear to affect the likelihood of obtaining a clinical breast exam or a mammogram.
Allen, J.D., Stoddard, A.M., Mays, J., & Sorensen, G. (2001). Promoting breast and cervical cancer screening at the workplace: Results from the Woman to Woman study. American Journal of Public Health, 91, 584-590.