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

Author

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  • 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)

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.

Suggested Citation

  • Adebola Adegboyega & Gia Mudd-Martin & Nancy E. Schoenberg & Mark Dignan, 2025. "HPV Self-Sampling Promotion Among African American (AA) and Sub-Saharan African (SAI) Immigrant Women: Adaptation and Usability Testing," IJERPH, MDPI, vol. 22(3), pages 1-15, February.
    • Handle: RePEc:gam:jijerp:v:22:y:2025:i:3:p:317-:d:1595185
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    References listed on IDEAS

    as
    1. Pérez, L.M. & Martinez, J., 2008. "Community health workers: Social justice and policy advocates for community health and well-being," American Journal of Public Health, American Public Health Association, vol. 98(1), pages 11-14.
    2. Mengyue Zhang & Janet W. H. Sit & Dorothy Ngo Sheung Chan & Oluwadamilare Akingbade & Carmen W. H. Chan, 2022. "Educational Interventions to Promote Cervical Cancer Screening among Rural Populations: A Systematic Review," IJERPH, MDPI, vol. 19(11), pages 1-18, June.
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