Document Type : Original Article
Authors
Physical Medicine and Rehabilitation Research Centre, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
Abstract
BACKGROUND: Performing appropriate and regular screening can effectively reduce cervical cancer
and mortality rate, however, the available evidence suggests that women’s participation in cervical
cancer screening remains low in middle‑ and low‑income countries, and that it is necessary to identify
appropriate intervention methods to change behavior. The present study was designed to determine
the 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 Pap
smear during the past 3 years and refers to Tabriz health care centers. The participants were assigned
to the intervention (decision aid based counseling) and control (routine health education) groups
through randomized block design with block sizes of 4 and 6 and a 1:1 allocation ratio. The data
were collected using the sociodemographic and fertility characteristics, stages of change checklist,
and shared decision‑making (SDM) and decisional conflict (DC) questionnaire before and 6 months
after 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 the
stages 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 control
group (P = 0.001). The mean score of SDM in the intervention group was significantly higher than the
control 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 group
was 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 clients
and clinicians has very important role in clients’ health‑related behavior. It is recommended, health
care providers apply decision‑aid‑based counseling for promoting the cervical cancer screening
behavior among women.
Keywords
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