{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:48:15Z","timestamp":1791892095712,"version":"4.3.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:00:00Z","timestamp":1448928000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>As part of the Patient Navigation Research Program, we examined the effect of patient navigation versus usual care on timely diagnostic follow-up, defined as clinical management for women with cervical abnormalities within accepted time frames.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Participants from four Patient Navigation Research Program centers were divided into low- and high-risk abnormality groups and analyzed separately. Low-risk participants (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20092088) were those who enrolled with an initial Pap test finding of atypical squamous cells of undetermined significance (ASCUS) with a positive high-risk human papillomavirus (HPV) serotype, atypical glandular cells, or low-grade squamous intraepithelial lesion (LGSIL). High-risk participants were those with an initial finding of high-grade squamous intraepithelial lesion (HGSIL) (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009229). A dichotomous outcome of timely diagnostic follow-up within 180 days was used for the low-risk abnormality group and timely diagnostic follow-up within 60 days for the high-risk group, consistent with treatment guidelines. A logistic mixed-effects regression model was used to evaluate the intervention effect using a random effect for study arm within an institution. A backward selection process was used for multivariable model building, considering the impact of each predictor on the intervention effect.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Low-risk women in the patient navigation arm showed an improvement in the odds of timely diagnostic follow-up across all racial groups, but statistically significant effects were only observed in non-English-speaking Hispanics (OR 5.88, 95% CI 2.81\u201312.29). No effect was observed among high-risk women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>These results suggest that patient navigation can improve timely diagnostic follow-up among women with low-risk cervical abnormalities, particularly in non-English-speaking Hispanic women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2014.5094","type":"journal-article","created":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T16:17:38Z","timestamp":1448986658000},"page":"15-21","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":40,"title":["Impact of Patient Navigation Interventions on Timely Diagnostic Follow Up for Abnormal Cervical Screening"],"prefix":"10.1177","volume":"25","author":[{"given":"Electra D.","family":"Paskett","sequence":"first","affiliation":[{"name":"Ohio State University"},{"name":"Ohio State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald","family":"Dudley","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center at San Antonio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory S.","family":"Young","sequence":"additional","affiliation":[{"name":"Ohio State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany M.","family":"Bernardo","sequence":"additional","affiliation":[{"name":"Ohio State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen J.","family":"Wells","sequence":"additional","affiliation":[{"name":"San Diego State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Calhoun","sequence":"additional","affiliation":[{"name":"University of Illinois at Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Fiscella","sequence":"additional","affiliation":[{"name":"University of Rochester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven R.","family":"Patierno","sequence":"additional","affiliation":[{"name":"George Washington University Cancer Institute"},{"name":"Duke Cancer Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Warren-Mears","sequence":"additional","affiliation":[{"name":"Northwest Tribal Epidemiology Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy A.","family":"Battaglia","sequence":"additional","affiliation":[{"name":"Boston University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the PNRP Investigators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,12,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199007000-00009"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.1995.4.179"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/15246090050147754"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000266396.25244.68"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2012.3900"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-010-1450-6"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2407-12-170"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1037\/a0032722"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1207\/s15430154jce2101s_4"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.23960"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-12-0538"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-07-0091"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2011.3224"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-12-0523"},{"key":"e_1_3_3_16_2","first-page":"2","article-title":"Chronic disease management: What will it take to improve care for chronic illness?","volume":"1","author":"Wagner EH","year":"1998","unstructured":"Wagner EH. 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