Journal of Education and Health Promotion

Women’s decision to adopt or not adopt cervical cancer screening: Application of precaution adoption process model as the theoretical framework

. Zhila Sharifipour; . Sakineh Rakhshanderou; . Yadollah Mehrabi; . Ali Safari‑Moradabadi; . Mohtasham Ghaffari

Volume 12, Issue 10 , November 2022, , Pages 1-10

Abstract

BACKGROUND: The cancer is uncontrolled growth and spread of cells that affect almost all parts ofthe body. One of the most prevalent cancers in the female genital system is cervical ... Read More

Effect of a community‑based multicomponent intervention on cervical cancer behavior among women – A randomized controlled trial

. Jisa George T; . Kiran Batra

Volume 12, Issue 9 , October 2022, , Pages 1-9

Abstract

BACKGROUND: Cervical cancer is the leading cause of death worldwide, especially in developingcountries. More than one‑fifth of newly diagnosed cervical cancer cases are occurring ... Read More BACKGROUND: Cervical cancer is the leading cause of death worldwide, especially in developingcountries. More than one‑fifth of newly diagnosed cervical cancer cases are occurring in India. Cervicalcancer is a highly preventable and curable cancer compared with other types of cancer, if detectedat an early stage. The present study has been carried out to assess whether a community‑based,multicomponent, nurse‑led intervention program improves cervical cancer screening behavior ofwomen.MATERIALS AND METHODS: An experimental randomized controlled trial was carried out byrecruiting 419 women in the age group of 30–60 years (246 in the experimental group and 173 in thecontrol group) residing in a selected rural community (selected tribal settlements) of Idukki district ofKerala, India, using multistage cluster sampling. The intervention comprising small group educationfollowed by reinforcement session, telephonic reminders, navigation and guidance for Pap smear,and follow‑up visit by the investigator was administered to the experimental group, and the controlgroup did not receive any intervention. Knowledge, attitude, and screening behavior of women relatedto prevention of cervical cancer were assessed before and twice after the intervention.RESULTS: The experimental and control groups were homogenous in all baseline sociodemographicvariables. The community‑based intervention program was effective in improving knowledge(P< 0.001),attitude (P < 0.001), and screening behavior (P < 0.001) of women regarding the prevention of cervicalcancer. A significant moderate positive correlation was found between knowledge and screeningbehavior (r = 0.408). Significant association was found between knowledge, attitude, and practiceregarding prevention of cervical cancer with education, age at the time of marriage, and number ofpregnancies.CONCLUSION: The community‑based, multicomponent, nurse‑led intervention program waseffective in improving cervical cancer screening behavior among women. Repeated motivation andreinforcement are needed to bring behavioral change and to increase uptake of screening servicesamong rural women.

The effect of decision‑aid‑based counseling on cervical cancer screening behavior among women: An interventional study

. Elnaz Malekzadeh; . Roghaiyeh Nourizadeh; . Azizeh Farshbaf‑Khalili; . Esmat Mehrabi; . Sevil Hakimi

Volume 12, Issue 5 , June 2022, , Pages 1-8

Abstract

BACKGROUND: Performing appropriate and regular screening can effectively reduce cervical cancerand mortality rate, however, the available evidence suggests that women’s participation ... Read More BACKGROUND: Performing appropriate and regular screening can effectively reduce cervical cancerand mortality rate, however, the available evidence suggests that women’s participation in cervicalcancer screening remains low in middle‑ and low‑income countries, and that it is necessary to identifyappropriate intervention methods to change behavior. The present study was designed to determinethe effect of decision‑aid‑based counseling on cervical cancer screening behavior among women.MATERIALS AND METHODS: This trial study was conducted on 154 women with no history of Papsmear during the past 3 years and refers to Tabriz health care centers. The participants were assignedto the intervention (decision aid based counseling) and control (routine health education) groupsthrough randomized block design with block sizes of 4 and 6 and a 1:1 allocation ratio. The datawere collected using the sociodemographic and fertility characteristics, stages of change checklist,and shared decision‑making (SDM) and decisional conflict (DC) questionnaire before and 6 monthsafter the intervention by interview and then, analyzed by SPSS24 software. The independent t‑test,ANCOVA tests were used.RESULTS: A significant difference was observed between the two groups in terms of changing thestages of cervical cancer screening behavior 6 months after the intervention. As after the intervention,the frequency of individuals entered the preparation or action stage was more than the controlgroup (P = 0.001). The mean score of SDM in the intervention group was significantly higher than thecontrol group after intervention ([45.49 ± 1.18] vs. [27.56 ± 1.18] [Mean Difference (MD): 17.92; 95%confidence interval [CI]: 14.59–21.25; P < 0.001]). The mean score of DC in the intervention groupwas significantly lower than the control group after intervention ([29.16 ± 1.09] vs. [34.14 ± 1.09] [MD:−4.97; 95% CI: 1.09–8.04; P < 0.002]).CONCLUSIONS: This study revealed that evidence‑based information communicated between clientsand clinicians has very important role in clients’ health‑related behavior. It is recommended, healthcare providers apply decision‑aid‑based counseling for promoting the cervical cancer screeningbehavior among women.

A cross‑sectional study on assessment of perceived threat to cervical cancer using health belief model among women in a slum area of Kolkata

. Akanksha Yadav; . Madhumita Dobe; . Bobby Paul; . Chandrashekhar Taklikar

Volume 12, Issue 4 , April 2022, , Pages 1-6

Abstract

BACKGROUND: Despite the implementation of various cervical cancer preventive strategies by the Government of India, there is a scarcity of knowledge and consequent low utilization ... Read More

Knowledge and attitude regarding cervical cancer and its prevention among young female adults in Kuantan, Malaysia

. Munawara Burhan; . Nor Azlina A. Rahman; . Mainul Haque

Volume 11, Issue 8 , September 2021, , Pages 1-9

Abstract

BACKGROUND: Cervical cancer is the second‑most common female cancer in Malaysia after breastcancer. This study intended to investigate the knowledge and attitude regarding cervical ... Read More

A questionnaire on factors affecting the precaution adoption process model for cervical cancer – Psychometric properties

. Seyed Saeed Mazloomy Mahmoodabad,; . Ali Asadian; . Hossein Fallahzadeh; . Minoo Rajaei

Volume 10, Issue 10 , October 2020, , Pages 1-10

Abstract

BACKGROUND: Implementing a cervical cancer prevention program requires an exploration ofcertain behaviors concerning this disease. This study is aimed to evaluate the psychometrics ... Read More BACKGROUND: Implementing a cervical cancer prevention program requires an exploration ofcertain behaviors concerning this disease. This study is aimed to evaluate the psychometrics of aquestionnaire that enquired about the factors involved in Precaution Adoption Process Model (PAPM)for cervical cancer among suburban women in Bandar Abbas, south of Iran.MATERIALS AND METHODS: The primary draft of the questionnaire was developed with a reviewof the related literature on cervical cancer and the constructs affecting PAPM, with 68 items. Theface validity, content validity ratio (CVR), and content validity index (CVI) of the questionnairewere approved by a panel of 10 experts. The internal consistency and test‑retest reliability of thequestionnaire were estimated too. Field testing sample included 300 women recruited from a women’shealthcare center in suburban areas of Bandar Abbas in the south of Iran. Exploratory factor analysiswas used to evaluate validity, and Cronbach’s alpha coefficient was estimated for reliability.RESULTS: After the face validation, 11 items were eliminated. Once CVR was estimated, two itemswere discarded. The remaining items had a CVR >0.79. All had a CVI >0.79. Six items were eliminatedin the factor analysis. The final questionnaire included 49 items organized in 8 factors includingawareness, perceived susceptibility, perceived severity, perceived benefits, perceived barriers,social norms, fear, and self‑efficacy. Principal component analysis with varimax rotation indicatedeight main components that explained 56.25% of the variance. Reliability assessment showed agood internal consistency for all subscales and the Cronbach’s alpha score ranged between 0.82and 0.90. The test‑retest reliability showed that the correlation coefficients (between 0.81 and 0.89)were significant at the 0.01 level for all sub‑scales.CONCLUSIONS: The final questionnaire was a new instrument comprised the effective constructsof PAPM and had a high reliability and validity. Thus, this questionnaire is recommended to be usedto explore and enhance preventive behaviors of cervical cancer.

Challenges of health promotion and education strategies to prevent cervical cancer in India: A systematic review

. Jissa Vinoda Thulaseedharan; . Kirstin Grosse Frie; . Rengaswamy Sankaranarayanan

Volume 9, Issue 11 , November 2019, , Pages 1-12

Abstract

BACKGROUND: Although there is a reduction in cervical cancer incidence over the years, it keepsthe second position of the most common cancers among females in India. The aim of this ... Read More

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Keywords = cervical cancer

Women’s decision to adopt or not adopt cervical cancer screening: Application of precaution adoption process model as the theoretical framework

Abstract

Effect of a community‑based multicomponent intervention on cervical cancer behavior among women – A randomized controlled trial

Abstract

The effect of decision‑aid‑based counseling on cervical cancer screening behavior among women: An interventional study

Abstract

A cross‑sectional study on assessment of perceived threat to cervical cancer using health belief model among women in a slum area of Kolkata

Abstract

Knowledge and attitude regarding cervical cancer and its prevention among young female adults in Kuantan, Malaysia

Abstract

A questionnaire on factors affecting the precaution adoption process model for cervical cancer – Psychometric properties

Abstract

Challenges of health promotion and education strategies to prevent cervical cancer in India: A systematic review

Abstract