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 screeningcervical cancer screening among Hispanics
who have rarely or never had a Pap test. CDC funded a recent randomized controlled trial that
showed AMIGAS is effective in promoting cervical cancer screening
(Pap tests) among Hispanics aged 21 to 65 years.
AMIGAS is important because—
- Hispanics are less likely to get a Pap
test than non-Hispanic whites.
- Hispanics have a high incidence of cervical
- Hispanics are at high risk of dying from
- Designed for use in a variety of settings, including those with
- 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
- Provides culturally appropriate bilingual information.
- Uses naturally occurring social networks to recruit women.
AMIGAS contains several components, including—
- Promotora Instruction
Guide: Provides detailed steps for trained promotoras on
how to deliver the intervention.
- Video: Hispanic women of different ages
discuss the benefits of the Pap test and some of the barriers they
- 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.
- Message cards: An interactive way to learn how
ready a woman is to get a Pap test, and messages to help her become
- Body diagrams: Pictures of the
female reproductive system [PDF-166KB] and the Pap
- Medical instruments: Examples of medical
instruments used during a Pap test.
- Information sheets and brochures: Additional
materials provided to help inform women about cervical cancer and
the Pap test.
- Administrator's Guide: A booklet to help
administrators decide if AMIGAS is the right intervention for their
organization and how to use it.
AMIGAS is the result of collaboration of researchers and
community members including—
- Centers for Disease Control and
- Texas Tech University Paul L.
Foster School of Medicine
- University of Texas School of
- Center for Public Health
Research and Evaluation at Battelle
- Colaborativo SABER (San Diego, California)
- Lorena Sprager and Associates, LLC of the Clear Language Group
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 Womens 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
- 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
- Byrd TL, Peterson SK, Chavez R, Heckert A. Cervical cancer screening
beliefs among young Hispanic women.Preventive