[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100481060":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":25,"centralContacts":29,"locations":34,"responsibleParty":52,"collaborators":18,"id":55,"slug":56,"hasResults":57,"nctId":58,"briefTitle":59,"officialTitle":59,"acronym":18,"eligibilityCriteria":60,"healthyVolunteers":61,"sex":62,"minAge":63,"maxAge":64,"enrollmentInfo":65,"targetDuration":18,"studyType":68,"phases":69,"briefSummary":71,"conditions":72,"keywords":18,"overallStatus":37,"whyStopped":18,"lastUpdateSubmitDate":75,"lastUpdatePostDateStruct":76,"startDateStruct":79,"completionDateStruct":81,"leadSponsor":83,"locationsCount":84},{"fullName":5,"class":6},"University of Illinois at Chicago","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Adapted Patient Navigation Program","EXPERIMENTAL","Adaptation of a patient navigation approach to effect change in cervical cancer screening uptake in Kedougou and Dakar, Senegal. Conduct a stepped-wedge randomized pragmatic trial in three districts in the Kedougou Region and three districts in Dakar to evaluate the impact of The Adapted Program. In order to conduct this trial, investigators will deploy The Adapted Program and evaluate the impact of The Adapted Program on screening uptake and time to treatment initiation (for those with abnormal screening results) within the various contexts across clusters. Investigators will also explore the effect of The Adapted Program on intrapersonal- and community-level barriers. Finally, evaluate the implementation outcomes of The Adapted Program within the context of these rural and urban districts, whereby clusters serve as their own controls as they cross over from the control to intervention group.",[13],"Behavioral: Patient Navigator Approach",{"label":15,"type":16,"description":17,"interventionNames":18},"Control","NO_INTERVENTION","Standard of care",null,[20],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":18},"BEHAVIORAL","Patient Navigator Approach","Patient navigators in collaboration with community health workers will work with women eligible for cervical cancer screening to overcome intrapersonal and community level barriers to screening in order to engage early with the health system for cervical cancer screening and follow-up of positive screens. Their support can help patients get the cancer screenings and follow-up care they need, while addressing prevalent barriers and community-level stigma associated with cancer within the Senegal context.",[9],[26],{"name":27,"affiliation":5,"role":28},"Jon A Dykens, MD, MPH","PRINCIPAL_INVESTIGATOR",[30],{"name":27,"role":31,"phone":32,"phoneExt":18,"email":33},"CONTACT","573-355-0452","jdykens@uic.edu",[35],{"facility":36,"status":37,"city":38,"state":18,"zip":18,"country":39,"countryCode":40,"cosmosGeoPoint":41,"geoPoint":46,"contacts":47},"University of Cheikh Anta Diop, Institute of Health and Development","RECRUITING","Dakar","Senegal","SN",{"type":42,"coordinates":43},"Point",[44,45],-17.44406,14.6937,{"lat":45,"lon":44},[48],{"name":49,"role":31,"phone":50,"phoneExt":18,"email":51},"Adama Faye, MD, MPH, PhD","221 77 324 63 36","adama.faye@ucad.edu.sn",{"type":28,"investigatorFullName":53,"investigatorTitle":54,"investigatorAffiliation":5,"oldNameTitle":18,"oldOrganization":18},"Jon Andrew Dykens","Associate Professor of Family and Community Medicine","100481060","adaptation-and-implementation-of-a-patient-navigation-program-for-cervical-cancer-screening-across-contexts-in-senegal-100481060",false,"NCT05544084","Adaptation and Implementation of a Patient Navigation Program for Cervical Cancer Screening Across Contexts in Senegal","Inclusion Criteria:\n\nThe inclusion criteria for samples a, b, \\& c are as follows:\n\n1\\) Senegal citizen between the ages of 25 and 69, 2) willing to participate in survey assessments;\n\nThe additional criteria apply for both women and men for the follow samples:\n\nSample a: 3) an invited member of the study National Advisory Board or Regional Implementation Resource Teams as defined above; 4) able to read and write in French.\n\nSample b: 3) employed by the state at a study site health facility as a patient navigator, clinician (nurse, midwife) who treats and educates patients, or is a community health worker at the facility or community level (Bajenu Gox - women's health educator).\n\nSample c: Women: 3) a woman living with a male partner who also agrees to participate in the study, 4) eligible to seek cervical cancer prevention services at a designated health facility in Senegal. Men: 3) a man living in a household with at least one woman eligible to seek cervical cancer prevention services at a designated health facility in Senegal.\n\nExclusion Criteria:\n\n* No additional exclusion criteria exist.",true,"ALL","25 Years","69 Years",{"count":66,"type":67},901,"ESTIMATED","INTERVENTIONAL",[70],"NA","The goal of this project is to prevent unnecessary deaths due to cervical cancer in Senegal. This mixed methods research responds to identified intrapersonal- and community-level barriers to early cervical cancer screening uptake, follow-up, and treatment among women there. Investigators will apply the Dynamic Adaptation Process (DAP) as integrated into the Exploration, Preparation, Implementation, Sustainment (EPIS) framework to study the adaptation of an evidence-based cervical cancer patient navigation program in urban and rural contexts in Senegal, measure the intervention effectiveness, and evaluate programmatic implementation outcomes. By studying the process of adaptation of a patient navigation program in a low- and middle-income country (LMIC), investigators will build new knowledge while addressing an important public health issue. The project demonstrates innovation by advancing both adaptation and implementation process knowledge of an evidence-based patient navigation intervention in various contexts within a LMIC with a particular focus on how the adaptation responds to cancer-related stigma, misinformation, and women's autonomy in healthcare decision-making. Investigators will build knowledge through local learning which will further the long-term goal to inform the national cervical cancer prevention and control programs in two areas of Senegal and other similar LMICs.",[73,74],"Cervical Cancer","Behavior","2026-05-06",{"date":77,"type":78},"2026-05-08","ACTUAL",{"date":80,"type":78},"2023-08-01",{"date":82,"type":67},"2027-08-28",{"name":5,"class":6},1]