Evaluation of Patient Needs and Patient Navigator Communication About Cervical Cancer Prevention in Appalachian Kentucky

Patient Navigation and Cervical Cancer Prevention

Datos Bibliográficos

ID20298702
AutoresElisia L Cohen (0000-0003-2039-8936, University of Kentucky), Allison M Scott (0000-0002-4806-7912, Markey Cancer Center; University of Kentucky; Lexington; KY; 40506; USA), Carol White (0009-0009-4852-574X, University of Kentucky), Carol R White (College of Medicine; University of Kentucky; Lexington; KY; 40506; USA), Mark Dignan (0000-0002-2657-6775, University of Kentucky), Mark B Dignan
Año2013
Volumen63
Número1
Páginas72-94
Fecha de publicación2013-02-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaJournal of Communication (JOURNAL)
Identificadores de la revistaISSN: 0021-9916 • E-ISSN: 1460-2466
EditorialOxford University Press (OUP) (PUBLISHER)
DOI10.1111/jcom.12002
PMID27030783
OpenAlexW1531869900
IdiomaEN
Citas recibidas1
Referencias citadas26

Few studies describe the way patient navigation processes may address disparities in treatment and follow-up care for medically underserved populations. Using a social ecological framework, we analyzed survey assessments of 519 patients completing a randomized navigation trial in Appalachia Kentucky to examine patient-reported barriers to follow-up cervical cancer care. We also analyzed in-depth interview transcripts with four lay patient navigators in the trial to identify barriers to follow-up care and to learn what communication strategies navigators use to successfully (or unsuccessfully) help patients navigate around those barriers. Our analysis provides insight into how patient navigation may improve adherence to follow-up care through assisted uncertainty management. We also discuss opportunities for improving navigator training to address disparities in clinical outcomes

Appalachia · Cancer · Cervical cancer · Family medicine · Cervical Cancer and HPV Research · Global Cancer Incidence and Screening · Medicine · Nursing · Patient-Provider Communication in Healthcare