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.
Faith Moves Mountains (FMM)
|Program Title||Faith Moves Mountains (FMM)|
|Purpose||Designed to increase cancer screening among underserved women. (2012)|
|Program Focus||Awareness building and Behavior Modification|
|Population Focus||Medically Underserved|
|Topic||Cervical Cancer Screening|
|Age||Adults (40-65 years)|
|Race/Ethnicity||Alaskan Native, American Indian, Asian, Black, not of Hispanic or Latino origin, Hispanic or Latino, Pacific Islander, White, not of Hispanic or Latino origin|
|Setting||Community, Home-based, Religious establishments, Rural|
|Funded by||NCI (Grant number(s): R01-CA-108696)|
|User Reviews||(Be the first to write a review for this program)|
Women are recruited to participate through their faith-based institution (e.g., church), where they complete a baseline assessment to identify their barriers to screening (e.g., transportation, lack of health insurance, attitudes regarding cervical cancer and screening). Subsequently, the LHA, who is demographically similar to participants and may be a member of the faith institution, prepares a 4-page newsletter tailored to address the screening barriers the participant identified in the baseline assessment. The LHA schedules a 2-hour home visit with the participant a month after the baseline assessment to provide education on cervical cancer and screening; review the participants barriers and strategies for overcoming them, with support from the tailored newsletter; and develop an action plan to address each of the participants screening barriers. If the participant agrees, the LHA provides assistance in contacting the participants health care provider or free or low-cost health clinics to schedule a Pap test before leaving the home. Two weeks after the home visit, the LHA contacts the participant to address any participant questions and to inquire about any progress made with the action plan.
-- 3090 minutes for interviewers to conduct the baseline assessment
-- 30 minutes for LHAs to prepare each newsletter
-- 30 minutes for LHAs to schedule the participant home visit and make the visit reminder call and follow-up calls
-- Approximately 2 hours for LHAs to conduct the home visit
-- Lay Health Advisor Training Manual
-- Newsletter and Action Plan
-- Example of Tailored Newsletters Components
For costs associated with this program, please contact the developer, Nancy Schoenberg. (See products page on the RTIPs website for developer contact information.)
Participants described their ethnicity as non-Hispanic; 95.1% were White, 4.6% were Black, and 0.3% were American Indian. The ages of participants were as follows: 20.0% were 4044, 20.0% were 4549, 23.8% were 5054, 22.9% were 5559, and 13.3% were 6064.
Eligible women were invited to an information session at the church to receive an overview of the study. Participants completed informed consent forms and a baseline assessment. Interviewers offered to administer assessment documents orally to mitigate literacy concerns. The 88-item baseline assessment measured sociodemographic and health-related characteristics; history of cervical cancer screening; cervical cancer screening knowledge, attitudes, and behaviors; and barriers to cervical cancer screening. Participants received $25 for completing the baseline assessment and any subsequent interviews. Study participants (n=345) were randomized to intervention (n=176) or wait-list control (n=169) conditions.
Study participants attended an educational lunch program at the church hosted by local project staff to learn about cervical cancer screening and prevention. Four months after baseline, an additional assessment was completed to determine how many participants received screening after the lunch. Five months after baseline, the intervention was delivered to the treatment group. Eight months after baseline, the follow-up assessment was completed, after which the wait-list control group received the intervention. Approximately 6 months after the follow-up, both groups completed an exit interview reassessing cervical cancer screening status.
The primary outcome was receipt of a Pap test at follow-up. Additional analyses investigated factors associated with obtaining a Pap test.
- A greater percentage of intervention group participants than control group participants obtained a Pap test at follow-up (p=.04).
- At the assessment conducted after the educational lunch (prior to the intervention), 6.8% of intervention group participants and 6.5% of control group participants obtained a Pap test.
- A secondary analysis that controlled for treatment group and church showed that age and screening history were associated with screening at follow-up. Higher rates of screening were found among women aged 4044 compared with those aged 5559 (p=.02) and among recently screened women compared with rarely/never screened women (p<.001).
- At exit interview, a significant proportion of wait-list control group participants who had not received a Pap test at follow-up had received one after participating in the intervention (p<.001). Further, 13.8% of intervention group participants who had not received a Pap test at follow-up had received one by exit interview.
Studts CR, Tarasenko YN, Schoenberg NE, Shelton BJ, Hatcher-Keller J, Dignan MB. (2012). A community-based randomized trial of a faith-placed intervention to reduce cervical cancer burden in Appalachia. Preventive Medicine, 54 (6), 408-414.
Schoenberg NE, Hatcher J, Dignan MB, Shelton B, Wright S, Dollarhide KF. (2009). Faith Moves Mountains: an Appalachian cervical cancer prevention program. American Journal of Health Behavior, 33 (6), 627-638.
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