Video-Based Patient Navigation to Support Cervical Cancer Screening Among Black Women (mNav)

ISA Associates, Inc.

Status: Enrolling

Conditions: Uterine Cervical Neoplasms

Treatments: Behavioral: Educational Video; Behavioral: mNav Interactive Video + Navigator

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT07011836

MD015221

5R44MD015221-04 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The goal of this clinical trial is to test whether an interactive, video-based patient navigation program can improve cervical cancer screening among African American women who are currently overdue for screening.

The main questions it aims to answer are:

Can an interactive video navigation tool (mNav), when paired with in-person navigation, improve screening adherence compared to a standard educational video alone?

Does the intervention improve knowledge, reduce barriers, and increase intentions to get screened?

Researchers will compare participants who receive both the interactive video (guided by an on-screen navigator) and in-person navigation to those who receive only a standard educational video to see if the tailored support increases screening rates.

Participants will:

Complete two phone surveys (one at the beginning and one six months later)

Be randomly assigned to one of two groups:

One group will receive an interactive video experience tailored to their concerns plus support from an in-person navigator

The other group will receive a standard educational video designed for African American women

Have their clinic records reviewed six months later to check for cervical cancer screening completion

Enrollment: 288 estimated patients

Sex: Female

Ages: 21 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Black or African American woman
• Nonadherent to USPSTF cervical cancer screening guidelines (no Pap test in the past 3 years or no HPV test in the past 5 years)
• Age 21 to 65 years old
• Not currently pregnant
• No history of hysterectomy
• Access to a mobile phone capable of receiving text messages and watching video content

Exclusion criteria

*None

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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288 participants in 2 patient groups

Intervention Group

Experimental group

Description:

Participants use an interactive, personalized video-based navigation tool (mNav) and receive navigator support.

Treatment:

Behavioral: mNav Interactive Video + Navigator

Education Control Group

Active Comparator group

Description:

Participants view a general cervical cancer education video made for Black women, without personalized content or navigator support.

Treatment:

Behavioral: Educational Video