Please note: These materials are being revised to reflect the cervical cancer screening recommendations released by the United States Preventive Services Task Force in August 2018. Learn more about cervical cancer screening tests.
AMIGAS stands for “Ayudando a Las Mujeres con Información, Guía y Amor para su Salud.” In English, this means “Helping Women with Information, Guidance, and Love for Their Health.” AMIGAS is a bilingual educational outreach intervention designed to help promotoras (community health workers) and other lay health educators increase cervical cancer screening among Hispanics who have rarely or never had a Pap test. CDC funded a randomized controlled trial that showed AMIGAS is effective in promoting cervical cancer screening (Pap tests) among Hispanics between ages 21 and 65 years.
AMIGAS is important because Hispanics have a high incidence of cervical cancer.
- Designed for use in a variety of settings, including those with lower resources.
- Developed in conjunction with the community.
AMIGAS is a proven health education model that—
- Is built on the recommendation from the Community Preventive Services Task Force that one-on-one education increases Pap test use.
- Works with women who are experienced promotoras in their communities to deliver the education.
- Stresses how information and skills learned in the intervention will help women, their families, and their communities stay healthy.
- Provides culturally appropriate bilingual information.
- Uses naturally occurring social networks to recruit women.
Do you have questions about AMIGAS or success stories to share? Tell us how you are using AMIGAS in your community! Please send us an e-mail.
AMIGAS contains several components, including—
- Administrator’s Guide: A booklet to help administrators decide if AMIGAS is the right intervention for their organization and how to use it. Several informational appendices are included for the Administrators Guide.
- Promotora Instruction Guide: Provides detailed steps for trained promotoras or community health workers on how to deliver the AMIGAS intervention.
- Bilingual Flip Chart: An illustrated document in English and Spanish that presents information about cervical cancer and the Pap test, as well as short stories about real women.
- Contact Sheet: A form for promotoras or community health workers that provides information about every woman who participated in the AMIGAS intervention.
- Promise to Myself: A personalized form that outlines the specific actions a woman has committed to towards getting a Pap test.
- Resource Sheet: A form that each program can use to share specific information about Pap testing facilities, hours, and local transportation.
- Evaluation Form: A form that allows promotoras or community health workers to gather feedback from women who have participated in the AMIGAS intervention.
- Handout: Additional materials provided to help inform women about cervical cancer and the Pap test and the AMIGAS intervention.
- Body Diagrams: Pictures of the female reproductive system and the Pap test.
AMIGAS is the result of collaboration of researchers and community members including—
- Centers for Disease Control and Prevention
- Texas Tech University Paul L. Foster School of Medicine
- University of Texas School of Public Health
- Center for Public Health Research and Evaluation at Battelle
- Colaborativo SABER (San Diego, California)
- Lorena Sprager and Associates, LLC of the Clear Language Group (Oregon)
- Nuestra Comunidad Sana (Our Healthy Community) from The Next Door, Inc.
- Yakima Valley Farm Workers Clinic (Yakima, Washington)
These researchers have years of experience working with the Hispanic community and have published several articles about their work on the AMIGAS intervention.
- Lairson DR, Chang YC, Byrd TL, Lee Smith J, Fernandez ME, Wilson KM. Cervical cancer screening with AMIGAS: a cost-effectiveness analysis. American Journal of Preventive Medicine 2014;46(6):617–623.
- Smith JL, Wilson KM, Orians CE, Byrd TL. AMIGAS: Building a cervical cancer screening intervention for public health practice. Journal of Women’s Health 2013;22(9):718–723.
- Byrd TL, Wilson KM, Smith JL, Coronado GD, Vernon SW, Fernandez-Esquer ME, Thompson B, Ortiz M, Lairson D, Fernandez ME. AMIGAS: A multi-city, multi-component cervical cancer prevention trial among Mexican-American women. Cancer 2013;119(7):1365–1372.
- Byrd TL, Wilson KM, Smith JL, Heckert A, Orians CE, Vernon SW, Fernandez-Esquer ME, Fernandez ME. Using intervention mapping as a participatory strategy: development of a cervical cancer screening intervention for Hispanic women. Health Education and Behavior 2012;39(5):603–611.
- Byrd TL, Chavez R, Wilson KM. Barriers and facilitators of cervical cancer screening among Hispanic women. Ethnicity and Disease 2007;17:129–134.
- Wilson KM, Orians CE. Considerations in recruiting underscreened women to focus groups on screening for cervical cancer. Health Promotion Practice 2005;6(4):379–384.
- Byrd TL, Peterson SK, Chavez R, Heckert A. Cervical cancer screening beliefs among young Hispanic women. Preventive Medicine 2004;38(2):92–197.