Patient Satisfaction & Quality Of Life in Patients With Cervical Cancer

Primary Objectives: 1. To compare levels of patient anxiety, pain, and satisfaction associated with optical spectroscopy procedures and MDC with the levels associated with colposcopically-directed biopsy in the cervical cancer diagnostic setting and with Papanicolaou smear in the screening setting. This aim will be addressed in Studies A and A' -- Procedure-Related Distress and Patient Satisfaction. 2. To evaluate differences in psychological distress, satisfaction, and adherence to treatment in the two arms of a randomized trial; one group will be diagnosed with usual care procedures (Papanicolaou smear and colposcopically-directed biopsy) plus optical spectroscopy and the second will receive usual care. Aim 2 will be accomplished in Study B -- Psychological Distress, Satisfaction, and Adherence Outcomes in a Randomized Trial of Optical Spectroscopy. 3. To assess the psychosocial and behavioral impact of a false positive screening result. This will be done in Study C -- Impact of False Positive Screening Test on Psychological Distress and Future Screening Intentions. 4. To assess provider receptivity to optical spectroscopy. Aim 4 will be accomplished in Study D -- Survey of Health Care Providers.

Sex

Female

Minimum age

18 Years

Inclusion Criteria:

1. Studies A, A', and pilot tests

   * Eligible to participate in Project 2
   * Over 18
   * Referred for an abnormal pap or has no history of abnormal pap
   * Consented to participate in the patient outcomes project.
2. Study B

   * Consented to participate in Project 3
   * Over 18
   * Referred for an abnormal pap
   * Consented to participate in the patient outcome project.
3. Study C

   * Same as Study B.
4. Study D

   * Members of the American Society for Colposcopy and Cervical Pathology (ASCCP).

Exclusion Criteria:

1. Studies A, A', and pilot tests through C:

   * Pregnancy
   * Unable to communicate in English, Spanish, or Chinese
2. Study D

   * None