Trial Outcomes & Findings for Cervical Cancer Prevention for Black Adults (NCT NCT04927494)

NCT ID: NCT04927494

Last Updated: 2026-07-31

Results Overview

HPV self-sampling kit return

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

288 participants

Primary outcome timeframe

Baseline

Results posted on

2026-07-31

Participant Flow

Participant milestones

Participant milestones
Measure
Black Women Cervical Cancer Screening
Participants in this group with receive the Health is Wealth intervention. Health is Wealth: A Cervical Health Program: Health is Wealth: A Cervical Health Program will be introduced in a one-time 2-hour educational session, participants will be given HPV self-sampling kits, and instructional sheet that visually depicts the steps for self-sampling. The program will be culturally tailored to increase self-efficacy and knowledge while simultaneously addressing perceived health beliefs associated with cervical cancer and barriers associated with cervical cancer screening and HPV self-sampling. Content will be delivered in a group format (about 10-15 participants) by lecture, demonstration, and interactive exercises.
Phase 1 Survey
Cross-sectional survey with Black men and women to examine factors impacting cervical cancer screening.
Phase 1 Focus Group
Quantitative Health Belief Model checklist with 30 participants to guide development of a tailored intervention.
Overall Study
STARTED
60
198
30
Overall Study
COMPLETED
48
132
30
Overall Study
NOT COMPLETED
12
66
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Black Women Cervical Cancer Screening
Participants in this group with receive the Health is Wealth intervention. Health is Wealth: A Cervical Health Program: Health is Wealth: A Cervical Health Program will be introduced in a one-time 2-hour educational session, participants will be given HPV self-sampling kits, and instructional sheet that visually depicts the steps for self-sampling. The program will be culturally tailored to increase self-efficacy and knowledge while simultaneously addressing perceived health beliefs associated with cervical cancer and barriers associated with cervical cancer screening and HPV self-sampling. Content will be delivered in a group format (about 10-15 participants) by lecture, demonstration, and interactive exercises.
Phase 1 Survey
Cross-sectional survey with Black men and women to examine factors impacting cervical cancer screening.
Phase 1 Focus Group
Quantitative Health Belief Model checklist with 30 participants to guide development of a tailored intervention.
Overall Study
Lost to Follow-up
12
0
0
Overall Study
Eligibility
0
66
0

Baseline Characteristics

Cervical Cancer Prevention for Black Adults

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Black Women Cervical Cancer Screening
n=60 Participants
Participants in this group with receive the Health is Wealth intervention. Health is Wealth: A Cervical Health Program: Health is Wealth: A Cervical Health Program will be introduced in a one-time 2-hour educational session, participants will be given HPV self-sampling kits, and instructional sheet that visually depicts the steps for self-sampling. The program will be culturally tailored to increase self-efficacy and knowledge while simultaneously addressing perceived health beliefs associated with cervical cancer and barriers associated with cervical cancer screening and HPV self-sampling. Content will be delivered in a group format (about 10-15 participants) by lecture, demonstration, and interactive exercises.
Phase 1 Survey
n=132 Participants
Cross-sectional survey with Black men and women to examine factors impacting cervical cancer screening.
Phase 1 Focus Group
n=30 Participants
Quantitative Health Belief Model checklist with 30 participants to guide development of a tailored intervention.
Total
n=222 Participants
Total of all reporting groups
Age, Continuous
36.4 years
STANDARD_DEVIATION 6.5 • n=9 Participants
43.7 years
STANDARD_DEVIATION 13.6 • n=27 Participants
33.67 years
STANDARD_DEVIATION 9.03 • n=267 Participants
37.9 years
STANDARD_DEVIATION 9.0 • n=265 Participants
Sex: Female, Male
Female
60 Participants
n=9 Participants
109 Participants
n=27 Participants
30 Participants
n=267 Participants
199 Participants
n=265 Participants
Sex: Female, Male
Male
0 Participants
n=9 Participants
23 Participants
n=27 Participants
0 Participants
n=267 Participants
23 Participants
n=265 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
0 Participants
n=265 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
60 Participants
n=9 Participants
132 Participants
n=27 Participants
30 Participants
n=267 Participants
222 Participants
n=265 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
0 Participants
n=265 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
0 Participants
n=265 Participants
Race (NIH/OMB)
Asian
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
0 Participants
n=265 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
0 Participants
n=265 Participants
Race (NIH/OMB)
Black or African American
60 Participants
n=9 Participants
132 Participants
n=27 Participants
30 Participants
n=267 Participants
222 Participants
n=265 Participants
Race (NIH/OMB)
White
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
0 Participants
n=265 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
0 Participants
n=265 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
0 Participants
n=265 Participants
Region of Enrollment
United States
60 Participants
n=9 Participants
132 Participants
n=27 Participants
30 Participants
n=267 Participants
222 Participants
n=265 Participants

PRIMARY outcome

Timeframe: Baseline

Population: Phase 1 survey and Phase 1 focus group participants did not receive self sampling kits. Out of the 60 participants enrolled in baseline only 35 participants opted to self-sample. Out of those 35, 25 completed and returned the self-sample kits.

HPV self-sampling kit return

Outcome measures

Outcome measures
Measure
Phase 1 Survey
Cross-sectional survey with Black men and women to examine factors impacting cervical cancer screening.
Phase 1 Focus Group
Quantitative Health Belief Model checklist with 30 participants to guide development of a tailored intervention.
Black Women Cervical Cancer Screening
n=35 Participants
Participants in this group with receive the Health is Wealth intervention. Health is Wealth: A Cervical Health Program: Health is Wealth: A Cervical Health Program will be introduced in a one-time 2-hour educational session, participants will be given HPV self-sampling kits, and instructional sheet that visually depicts the steps for self-sampling. The program will be culturally tailored to increase self-efficacy and knowledge while simultaneously addressing perceived health beliefs associated with cervical cancer and barriers associated with cervical cancer screening and HPV self-sampling. Content will be delivered in a group format (about 10-15 participants) by lecture, demonstration, and interactive exercises.
Number of Participants That Completed HPV Self-sampling
0 Participants
0 Participants
25 Participants

PRIMARY outcome

Timeframe: 6 months (Baseline, immediately post-test (up to 1 week), 6 month follow up)

Population: Phase 1 survey group and Phase 1 focus group were not given the cervical knowledge questionnaire.

Cervical cancer awareness will be assessed with Likert style scale response choices: strongly disagree (scores 1 point), disagree (scores 2 points), neutral (scores 3 points), agree (scores 4 points) and strongly agree (scores 5 points). Awareness of warning signs and risk factors will be assessed with an 11 question prompted checklist. This instrument has been found to be valid and reliable in multiple populations. Scores range from 11-55. A higher score indicates greater cervical cancer knowledge.

Outcome measures

Outcome measures
Measure
Phase 1 Survey
Cross-sectional survey with Black men and women to examine factors impacting cervical cancer screening.
Phase 1 Focus Group
Quantitative Health Belief Model checklist with 30 participants to guide development of a tailored intervention.
Black Women Cervical Cancer Screening
n=60 Participants
Participants in this group with receive the Health is Wealth intervention. Health is Wealth: A Cervical Health Program: Health is Wealth: A Cervical Health Program will be introduced in a one-time 2-hour educational session, participants will be given HPV self-sampling kits, and instructional sheet that visually depicts the steps for self-sampling. The program will be culturally tailored to increase self-efficacy and knowledge while simultaneously addressing perceived health beliefs associated with cervical cancer and barriers associated with cervical cancer screening and HPV self-sampling. Content will be delivered in a group format (about 10-15 participants) by lecture, demonstration, and interactive exercises.
Change in Cervical Cancer Knowledge
Baseline
4.60 score on a scale
Standard Deviation .19
Change in Cervical Cancer Knowledge
Follow-Up 1 (Post Test)
5.20 score on a scale
Standard Deviation .20
Change in Cervical Cancer Knowledge
Follow-Up 2 (6 Months)
4.17 score on a scale
Standard Deviation .21

PRIMARY outcome

Timeframe: 6 months (Baseline, immediately post-test (up to 1 week), 6 month follow up)

Population: Phase 1 survey group and Phase 1 focus group were not given the HPV knowledge questionnaire.

Participants will complete 16 items assessing knowledge of HPV, 6 items about HPV testing, and 7 items about the vaccination. Response options included "True," "False," and "Don't know," with scoring allocating one point for each correct response, and zero points for incorrect or "Don't know" responses, summed across items, for a potential range of 0-29. This instrument has been found to be valid and reliable in multiple populations. A higher score indicates greater knowledge on HPV.

Outcome measures

Outcome measures
Measure
Phase 1 Survey
Cross-sectional survey with Black men and women to examine factors impacting cervical cancer screening.
Phase 1 Focus Group
Quantitative Health Belief Model checklist with 30 participants to guide development of a tailored intervention.
Black Women Cervical Cancer Screening
n=60 Participants
Participants in this group with receive the Health is Wealth intervention. Health is Wealth: A Cervical Health Program: Health is Wealth: A Cervical Health Program will be introduced in a one-time 2-hour educational session, participants will be given HPV self-sampling kits, and instructional sheet that visually depicts the steps for self-sampling. The program will be culturally tailored to increase self-efficacy and knowledge while simultaneously addressing perceived health beliefs associated with cervical cancer and barriers associated with cervical cancer screening and HPV self-sampling. Content will be delivered in a group format (about 10-15 participants) by lecture, demonstration, and interactive exercises.
Change in Human Papillomavirus (HPV) Knowledge
Follow-Up 1 (Post Test)
7.51 score on a scale
Standard Deviation 0.33
Change in Human Papillomavirus (HPV) Knowledge
Follow Up 2 (6 months)
6.83 score on a scale
Standard Deviation 0.35
Change in Human Papillomavirus (HPV) Knowledge
Baseline
4.21 score on a scale
Standard Deviation 0.31

PRIMARY outcome

Timeframe: 6 months (Baseline, immediately post-test (up to 1 week), 6 month follow up)

Population: Phase 1 survey group and Phase 1 focus group were not given the self-efficacy questionnaire.

Self-efficacy will be assessed with 10 items measured on a five-point Likert style scale response choices: strongly disagree (scores 1 point), disagree (scores 2 points), neutral (scores 3 point)s, agree (scores 4 points) and strongly agree (scores 5 points). Score ranges from 10-50. A higher score indicates a greater perceived ability to complete steps for a pap test. This is a well validated and reliable instrument.

Outcome measures

Outcome measures
Measure
Phase 1 Survey
Cross-sectional survey with Black men and women to examine factors impacting cervical cancer screening.
Phase 1 Focus Group
Quantitative Health Belief Model checklist with 30 participants to guide development of a tailored intervention.
Black Women Cervical Cancer Screening
n=60 Participants
Participants in this group with receive the Health is Wealth intervention. Health is Wealth: A Cervical Health Program: Health is Wealth: A Cervical Health Program will be introduced in a one-time 2-hour educational session, participants will be given HPV self-sampling kits, and instructional sheet that visually depicts the steps for self-sampling. The program will be culturally tailored to increase self-efficacy and knowledge while simultaneously addressing perceived health beliefs associated with cervical cancer and barriers associated with cervical cancer screening and HPV self-sampling. Content will be delivered in a group format (about 10-15 participants) by lecture, demonstration, and interactive exercises.
Change in Self-Efficacy in Completing Pap Test
Baseline
28.51 score on a scale
Standard Deviation 0.77
Change in Self-Efficacy in Completing Pap Test
Follow-Up 1 (Post Test)
29.62 score on a scale
Standard Deviation 0.79
Change in Self-Efficacy in Completing Pap Test
Follow-Up 2 (6 Months)
29.03 score on a scale
Standard Deviation 0.81

PRIMARY outcome

Timeframe: 6 months (Baseline, immediately post-test (up to 1 week), 6 month follow up)

Population: Phase 1 survey group and Phase 1 focus group were not given the barriers questionnaire.

Barriers to screening will be assessed with 14 items measured on a five-point Likert style scale response choices: strongly disagree (scores 1 point), disagree (scores 2 points), neutral (scores 3 points), agree (scores 4 points) and strongly agree (scores 5 points). Scores range from 14-70. A higher score indicates a greater perceived barrier to screening.

Outcome measures

Outcome measures
Measure
Phase 1 Survey
Cross-sectional survey with Black men and women to examine factors impacting cervical cancer screening.
Phase 1 Focus Group
Quantitative Health Belief Model checklist with 30 participants to guide development of a tailored intervention.
Black Women Cervical Cancer Screening
n=60 Participants
Participants in this group with receive the Health is Wealth intervention. Health is Wealth: A Cervical Health Program: Health is Wealth: A Cervical Health Program will be introduced in a one-time 2-hour educational session, participants will be given HPV self-sampling kits, and instructional sheet that visually depicts the steps for self-sampling. The program will be culturally tailored to increase self-efficacy and knowledge while simultaneously addressing perceived health beliefs associated with cervical cancer and barriers associated with cervical cancer screening and HPV self-sampling. Content will be delivered in a group format (about 10-15 participants) by lecture, demonstration, and interactive exercises.
Change in Perceived Barriers to Screening
Baseline
33.23 score on a scale
Standard Deviation 0.93
Change in Perceived Barriers to Screening
Follow Up 1 (post test)
33.91 score on a scale
Standard Deviation 0.98
Change in Perceived Barriers to Screening
Follow Up 2 (6 months)
32.66 score on a scale
Standard Deviation 1.01

SECONDARY outcome

Timeframe: 6 months (Baseline, immediately post-test (up to 1 week), 6 month follow up)

Population: Phase 1 survey group and Phase 1 focus group were not given the benefits questionnaire.

Perceived benefits of getting a pap test will be assessed with 4 items measured on a five-point Likert style scale response choices: strongly disagree (scores 1 point), disagree (scores 2 points), neutral (scores 3 points), agree (scores 4 points) and strongly agree (scores 5 points). Scores range from 4-20. A higher scores indicates greater perceived benefits of getting a pap test.

Outcome measures

Outcome measures
Measure
Phase 1 Survey
Cross-sectional survey with Black men and women to examine factors impacting cervical cancer screening.
Phase 1 Focus Group
Quantitative Health Belief Model checklist with 30 participants to guide development of a tailored intervention.
Black Women Cervical Cancer Screening
n=60 Participants
Participants in this group with receive the Health is Wealth intervention. Health is Wealth: A Cervical Health Program: Health is Wealth: A Cervical Health Program will be introduced in a one-time 2-hour educational session, participants will be given HPV self-sampling kits, and instructional sheet that visually depicts the steps for self-sampling. The program will be culturally tailored to increase self-efficacy and knowledge while simultaneously addressing perceived health beliefs associated with cervical cancer and barriers associated with cervical cancer screening and HPV self-sampling. Content will be delivered in a group format (about 10-15 participants) by lecture, demonstration, and interactive exercises.
Change in Perceived Benefits of Pap Test
Follow Up 2 (6 months)
11.85 score on a scale
Standard Deviation 0.38
Change in Perceived Benefits of Pap Test
Baseline
12.16 score on a scale
Standard Deviation 0.35
Change in Perceived Benefits of Pap Test
Follow Up 1 (post test)
12.17 score on a scale
Standard Deviation 0.37

SECONDARY outcome

Timeframe: 6 months (Baseline, immediately post-test (up to 1 week), 6 month follow up)

Population: Phase 1 survey group and Phase 1 focus group were not given the susceptibility questionnaire.

Perceived susceptibility will be assessed with 4 items measured on a five-point Likert style scale response choices: strongly disagree (scores 1 point), disagree (scores 2 points), neutral (scores 3 points), agree (scores 4 points) and strongly agree (scores 5 points). Score ranges from 4-20. A higher scores indicates greater perceived susceptibility to cervical cancer.

Outcome measures

Outcome measures
Measure
Phase 1 Survey
Cross-sectional survey with Black men and women to examine factors impacting cervical cancer screening.
Phase 1 Focus Group
Quantitative Health Belief Model checklist with 30 participants to guide development of a tailored intervention.
Black Women Cervical Cancer Screening
n=60 Participants
Participants in this group with receive the Health is Wealth intervention. Health is Wealth: A Cervical Health Program: Health is Wealth: A Cervical Health Program will be introduced in a one-time 2-hour educational session, participants will be given HPV self-sampling kits, and instructional sheet that visually depicts the steps for self-sampling. The program will be culturally tailored to increase self-efficacy and knowledge while simultaneously addressing perceived health beliefs associated with cervical cancer and barriers associated with cervical cancer screening and HPV self-sampling. Content will be delivered in a group format (about 10-15 participants) by lecture, demonstration, and interactive exercises.
Change in Perceived Susceptibility to Cervical Cancer
Baseline
6.52 score on a scale
Standard Deviation 0.32
Change in Perceived Susceptibility to Cervical Cancer
Follow Up 1 (post-test)
7.85 score on a scale
Standard Deviation 0.34
Change in Perceived Susceptibility to Cervical Cancer
Follow Up 2 (6 months)
7.13 score on a scale
Standard Deviation 0.35

SECONDARY outcome

Timeframe: 6 months (Baseline, immediately post-test (up to 1 week), 6 month follow up)

Population: Phase 1 survey group and Phase 1 focus group were not given the seriousness questionnaire.

Perceived seriousness will be assessed with 7 items measured on a five-point Likert Style scale response choices: strongly disagree (scores 1 point), disagree (scores 2 points), neutral (scores 3 points), agree (scores 4 points) and strongly agree (scores 5 points). Scores range from 7-35. A higher score indicates a greater perceived seriousness of cervical cancer.

Outcome measures

Outcome measures
Measure
Phase 1 Survey
Cross-sectional survey with Black men and women to examine factors impacting cervical cancer screening.
Phase 1 Focus Group
Quantitative Health Belief Model checklist with 30 participants to guide development of a tailored intervention.
Black Women Cervical Cancer Screening
n=60 Participants
Participants in this group with receive the Health is Wealth intervention. Health is Wealth: A Cervical Health Program: Health is Wealth: A Cervical Health Program will be introduced in a one-time 2-hour educational session, participants will be given HPV self-sampling kits, and instructional sheet that visually depicts the steps for self-sampling. The program will be culturally tailored to increase self-efficacy and knowledge while simultaneously addressing perceived health beliefs associated with cervical cancer and barriers associated with cervical cancer screening and HPV self-sampling. Content will be delivered in a group format (about 10-15 participants) by lecture, demonstration, and interactive exercises.
Change in Perceived Seriousness to Cervical Cancer
Follow Up 2 (6 months)
18.89 score on a scale
Standard Deviation 0.50
Change in Perceived Seriousness to Cervical Cancer
Baseline
19.75 score on a scale
Standard Deviation 0.45
Change in Perceived Seriousness to Cervical Cancer
Follow Up 1 (post-test)
19.90 score on a scale
Standard Deviation 0.47

SECONDARY outcome

Timeframe: 6 months (Baseline, immediately post-test (up to 1 week), 6 month follow up)

Population: Phase 1 survey group and Phase 1 focus group were not given the questionnaire.

Perceived cervical cancer risk will be assessed with 11 items measured on a five-point Likert style scale response choices: strongly disagree (scores 1 point), disagree (scores 2 points), neutral (scores 3 points), agree (scores 4 points) and strongly agree (scores 5 points). Scores range from 11-55. A higher scores indicates a greater knowledge of cervical cancer risk factors.

Outcome measures

Outcome measures
Measure
Phase 1 Survey
Cross-sectional survey with Black men and women to examine factors impacting cervical cancer screening.
Phase 1 Focus Group
Quantitative Health Belief Model checklist with 30 participants to guide development of a tailored intervention.
Black Women Cervical Cancer Screening
n=60 Participants
Participants in this group with receive the Health is Wealth intervention. Health is Wealth: A Cervical Health Program: Health is Wealth: A Cervical Health Program will be introduced in a one-time 2-hour educational session, participants will be given HPV self-sampling kits, and instructional sheet that visually depicts the steps for self-sampling. The program will be culturally tailored to increase self-efficacy and knowledge while simultaneously addressing perceived health beliefs associated with cervical cancer and barriers associated with cervical cancer screening and HPV self-sampling. Content will be delivered in a group format (about 10-15 participants) by lecture, demonstration, and interactive exercises.
Change in Perceived Cervical Cancer Risk Factors
Baseline
33.89 score on a scale
Standard Deviation 0.93
Change in Perceived Cervical Cancer Risk Factors
Follow Up 1 (post-test)
39.18 score on a scale
Standard Deviation 0.98
Change in Perceived Cervical Cancer Risk Factors
Follow Up 2 (6 months)
35.65 score on a scale
Standard Deviation 1.01

Adverse Events

Black Women Cervical Cancer Screening

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Phase 1 Survey

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Phase 1 Focus Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Adebola Adegboyega

University of Kentucky

Phone: 859-323-5196

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place