Evidence-based assessment in case management to improve abnormal cancer screen follow-up

Betsy Vourlekis, Kathleen Ell, Deborah Padgett

Research output: Contribution to journalReview articlepeer-review


The authors describe an evidence-based assessment protocol for intensive case management to improve screening diagnostic follow-up developed through a research project in breast and cervical cancer early detection funded by the Centers for Disease Control and Prevention. Three components of an evidence-based approach to assessment are presented and illustrated in the Screening Adherence Follow-up (SAFe) protocol: (1) evidence for known risks and barriers for the target population; (2) standardized assessment elements; (3) evidence for the accuracy, efficiency, and validity of the protocol in use. Testing of the assessment tool in a pilot study of more than 600 women demonstrated practical utility in matching assessed needs with service intensity and confirmed that differential amounts of service and different provider effort achieved equally satisfactory adherence results. The evidence-based components described and the types and nature of evidence on which they draw can be generalized to new settings and client concerns.

Original languageEnglish (US)
Pages (from-to)98-106
Number of pages9
JournalHealth and Social Work
Issue number2
StatePublished - May 2005


  • Cancer prevention
  • Case management
  • Evidence-based practice
  • Psychosocial assessment

ASJC Scopus subject areas

  • General Medicine


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