HPV Self-Sampling Promotion Among African American (AA) and Sub-Saharan African (SAI) Immigrant Women: Adaptation and Usability Testing

Adebola Adegboyega (), Gia Mudd-Martin, Nancy E. Schoenberg and Mark Dignan
Additional contact information
Adebola Adegboyega: College of Nursing, University of Kentucky, Lexington, KY 40536-0232, USA
Gia Mudd-Martin: College of Nursing, University of Kentucky, Lexington, KY 40536-0232, USA
Nancy E. Schoenberg: Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington, KY 40536-0298, USA
Mark Dignan: Department of Internal Medicine, College of Medicine, University of Kentucky, Lexington, KY 40536-0298, USA

IJERPH, 2025, vol. 22, issue 3, 1-15

Abstract: Background: Cervical cancer (CC) rates have declined nationally but rates remain high in Black women with most cases occurring among unscreened and under-screened women. This paper describes the adaptation, acceptability, and useability of an education intervention, “Health is Wealth: A Cervical Health Intervention”, to promote cervical screening and reduce perceived barriers to CC screening among two subgroups of Black women: African American (AA) and sub-Saharan African immigrant (SAI) women. Methods: In this paper, we describe the process of adapting the Health is Wealth intervention using the Barrera and Castro adaptation framework. The iterative adaptation process included formative focus groups (n = 30 participants) to gather information, expert feedback (n = 4), and usability testing (n = 7). Results: The systematic process resulted in the modification of educational intervention components. Several aspects of the intervention were modified, and core elements of the original intervention were preserved. The usability testing findings suggest the intervention would support the objective of promoting cervical cancer screening uptake among AA and SAI women. Conclusions: Adaptation of an evidence-based intervention is necessary to ensure contextually and culturally appropriateness for target populations, particularly for minoritized populations. We demonstrated that an evidence-based intervention for Pap screening can be adapted for HPV-self-sampling promotion with target community input.

Keywords: cervical cancer; screening; human papillomavirus self-sampling; education; African American; sub-Saharan African immigrant (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2025
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/22/3/317/pdf (application/pdf)
https://www.mdpi.com/1660-4601/22/3/317/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:22:y:2025:i:3:p:317-:d:1595185

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().