Papers by Christina Ferrell
Research Square (Research Square), Feb 13, 2024
Cervical screening is used to detect and treat precancers to prevent invasive cancers. However, s... more Cervical screening is used to detect and treat precancers to prevent invasive cancers. However, successful prevention also requires adequate follow-up and treatment of individuals with abnormal screening results. The aim was to investigate demographics, clinical characteristics, and follow-up status for individuals needing colposcopy after an abnormal screening result. The STRIDES (Studying Risk to Improve DisparitiES) cohort comprises individuals undergoing cervical cancer screening and management at a Mississippi Health Department or University of Mississippi clinic. Follow-up status, demographics, and clinical data were assessed from electronic health records and, if necessary, patient navigation on individuals identi ed as needing a colposcopy after an abnormal screening. Of the 1,458 individuals requiring colposcopy, 43.0% had the procedure within 4 months, 16.4% had a delayed procedure, and 39.5% had no documented follow-up, with signi cant predictors of follow-up identi ed as age and cytology diagnosis. Based on age, individuals 30 + were more likely to follow up with a colposcopy compared to individuals < 30 years (49% and 38.7%, respectively; p < .001). Individuals with cytology diagnoses of LSIL (52.9%), ASC-H (51.4%), and HSIL (62.3%) had higher percentages of adherence to follow-up colposcopy guidelines (p < .001). Despite high cervical cancer screening rates among Mississippians, a substantial portion did not have adequate next-step intervention. However, it is encouraging that highest risk individuals were more likely to have a colposcopy. Regardless, continuing to understand the underlying causes for incomplete follow-up is crucial for timely secondary targeted interventions to reduce cervical cancer burden, promote awareness, and improve health outcomes.
JBI Evidence Synthesis, 2020
JBI Database of Systematic Reviews and Implementation Reports, 2018
JBI database of systematic reviews and implementation reports, 2017
The objective of this review is to identify, appraise and synthesize the best available evidence ... more The objective of this review is to identify, appraise and synthesize the best available evidence related to registered nurses' experiences of nursing professional identity in nursing care settings.
JBI database of systematic reviews and implementation reports, Dec 1, 2017
Review question/objective: The objective of this review is to identify, appraise and synthesize t... more Review question/objective: The objective of this review is to identify, appraise and synthesize the best available evidence related to registered nurses' experiences of nursing professional identity in nursing care settings.
Circulation, Mar 19, 2024
Circulation, Mar 1, 2022
Background: Rural communities have historically been difficult to study compared to their urban c... more Background: Rural communities have historically been difficult to study compared to their urban counterparts and are underrepresented in research. There are several potential barriers to reaching rural populations; however, there remains a knowledge gap regarding participation in health research by rural people. To drive meaningful, lasting change in rural communities through research, investigators sought to understand the facilitators and barriers to conducting research among rural populations. We conducted focus group interviews to elucidate the viewpoints of the Community Advisory Board (CAB) members in Oktibbeha and Panola Counties. Objective: The purpose of this study was to identify barriers and facilitators to participation in research in Oktibbeha and Panola Counties in the Risk Underlying Rural Area Longitudinal (RURAL) Study. Method: Data were collected via focus group interviews of eight men and women with diverse economic and educational backgrounds to represent the demographics of each county best. Each interview was recorded using digital recorders and then transcribed . A thematic analysis of the data was developed from each of the transcripts, then analyzed and interpreted by three qualitative researchers. Results: Focus Group Participants (FGPs) identified the strengths of their counties that make it easy to participate in research as; progressive thinking and diversity, close-knit communities where people know each other so that the word gets out, and “where trust is key.” Barriers to participation in research were identified as limited prior exposure to research, distrust of the process, fear that data may paint their community in a negative light, and fear that the government will take something away from them as a consequence of participation in research. Reaching the target number of participants for each county is achievable according to FGPs and would mean the groundwork they have laid has been effective. Approaches for getting the word out to people in Panola and Oktibbeha Counties about the RURAL Study included use of radio and TV, social media, word-of-mouth, door-to-door, community events, churches, paper media, going into the community, community outreach, and communicating the benefits of the research. Conclusion: Investigators concluded that reaching the target number of participants for each county is meaningful to the CABs, and it is highly likely that the recruitment target will be achieved.
Circulation, Mar 1, 2022
Background: Rural communities have historically been difficult to study compared to their urban c... more Background: Rural communities have historically been difficult to study compared to their urban counterparts and are underrepresented in research. There are several potential barriers to reaching rural populations; however, there remains a knowledge gap regarding participation in health research by rural people. To drive meaningful, lasting change in rural communities through research, investigators sought to understand the facilitators and barriers to conducting research among rural populations. We conducted focus group interviews to elucidate the viewpoints of the Community Advisory Board (CAB) members in Oktibbeha and Panola Counties. Objective: The purpose of this study was to identify barriers and facilitators to participation in research in Oktibbeha and Panola Counties in the Risk Underlying Rural Area Longitudinal (RURAL) Study. Method: Data were collected via focus group interviews of eight men and women with diverse economic and educational backgrounds to represent the demographics of each county best. Each interview was recorded using digital recorders and then transcribed . A thematic analysis of the data was developed from each of the transcripts, then analyzed and interpreted by three qualitative researchers. Results: Focus Group Participants (FGPs) identified the strengths of their counties that make it easy to participate in research as; progressive thinking and diversity, close-knit communities where people know each other so that the word gets out, and “where trust is key.” Barriers to participation in research were identified as limited prior exposure to research, distrust of the process, fear that data may paint their community in a negative light, and fear that the government will take something away from them as a consequence of participation in research. Reaching the target number of participants for each county is achievable according to FGPs and would mean the groundwork they have laid has been effective. Approaches for getting the word out to people in Panola and Oktibbeha Counties about the RURAL Study included use of radio and TV, social media, word-of-mouth, door-to-door, community events, churches, paper media, going into the community, community outreach, and communicating the benefits of the research. Conclusion: Investigators concluded that reaching the target number of participants for each county is meaningful to the CABs, and it is highly likely that the recruitment target will be achieved.
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Papers by Christina Ferrell