The overall objective of this study is to conduct formative research and pilot test the provider-level and patient-level components of the My Self-Sampling for HPV Awareness, Results, and Empowerment (MySHARE+) intervention. MySHARE+ aims to harness the power of technology and apply a multilevel approach to promote the adoption of cervical cancer screening (HPV self-sampling; Pap triage adherence) among under/never-screened women living with HIV (WLH). The specific aims are to 1) identify facilitators and barriers to implementing a healthcare provider prompt in a primary care setting and 2) conduct a pilot randomized controlled trial (RCT) to examine the feasibility, acceptability, and preliminary efficacy of a mHealth educational intervention in promoting cervical cancer awareness and HPV self-sampling among WLH. Under aim 1: Providers of healthcare and/or social services to WLH will complete an online survey to identify barriers to implementing a healthcare provider prompt in a primary care setting and participate in semi-structured interviews to provide feedback on drafted prompts. Prompts will be piloted at one local clinic to improve patient-provider communication about cervical cancer screening, followed with semi-structured interviews with providers involved. Under aim 2: Participants will be enrolled in a text messaging intervention and sent an HPV self-sampling test kit to return via mail. Participants in the intervention group will receive the full mHealth intervention while the control group will receive more generic text messages and reminders over the course of the study.
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Proportion of participants who received and used the mailed HPV self-sampling kit.
Timeframe: 1 month, 3 months, and 6 months
Proportion of participants who reported the presence of technical issues with the MySHARE+ messages.
Timeframe: 1 month, 3 months, and 6 months
Proportion of participants who received all text messages and engaged with the MySHARE+ educational program.
Timeframe: 6 months
Proportion of participants who were satisfied with the HPV self-sampling test.
Timeframe: 1 month, 3 months, and 6 months
Proportion of participants who were satisfied with the MySHARE+ text-messaging program
Timeframe: 1 month, 3 months, and 6 months
Proportion of participants who unsubscribed from the MySHARE+ text-messaging program.
Timeframe: 1 month, 3 months, and 6 months
Proportion of participants who returned the HPV self-sampling test within three months of enrollment.
Timeframe: 1 month, 3 months