Promoting Access to Health Services Study

The purpose of this study was to test the Promoting Access To Health Services (PATHS) intervention for women with mobility impairments. PATHS was designed to promote mammography and Papanicolou (Pap) testing among women with mobility impairments overdue for screenings.  The PATHS program consists of a 90-minute participatory small-group workshop, followed by six months of structured telephone support. 


Women aged 35 – 64 years with mobility impairments who reported not receiving a Pap test in the past three years and/or mammogram (if age >40 years) in the last two years were eligible for the study. 


A total of 211 women were randomized to the PATHS intervention or a control group.  Of these, 156 women completed the study.  Most of the women were unemployed and reported an annual income of less than $10,000.

  • At follow-up, 58% of the intervention group was current for at least one clinical preventive service for which they had not been current at baseline.
  • A higher proportion of the intervention group was current for Papnicolau testing at follow-up compared to the control group.

Further Reading About New Measure

Promoting Access to Health Services (PATHS) Brief from the 2008 State of the Science Conference Proceedings

Journal Articles

Suzuki R, Krahn G, Small E, Peterson-Besse JJ. Multi-level barriers to obtaining mammograms for women with mobility limitations: Post workshop evaluation. American Journal of Health Behavior 2013;37(5):711-718.

Peterson JJ, Suzuki R, Walsh ES, Buckley D, Krahn GL. Improving cancer screening among women with mobility impairments: Trial of a participatory workshop intervention. American Journal of Health Promotion 2012;26(4):212-216.

Suzuki R, Peterson JJ, Weatherby A, Buckley D, Walsh ES, Kailes JI, Krahn GL. Using Intervention mapping to promote the receipt of clinical preventive services among women with physical disabilities. Health Promotion Practice 2010. Published on-line: doi: 10.1177/1524839910382624