OBJECTIVE: Despite high incidence rates of cervical cancer in Korea, Papanicolaou (Pap) tests are not utilized as a preventive behavior. This study examined the effects of an emotion-cognition focused program on the decision of taking Pap tests in Korean women. DESIGN: A non-equivalent control group post-test only design was utilized. SAMPLE: A convenience sample was randomly assigned to either experimental (N=48) or control group (N=48) after matching for education and age. MEASUREMENTS: Knowledge of Cervical Cancer and Pap Smear Test, Champion's Health Belief Model, and Self-Efficacy Scale were used. Intention and stage of adoption to take a Pap test were measured with single items. RESULTS: Women in the experimental group had significantly higher scores on knowledge of cervical cancer (t=6.99, p<.001) and perceived benefits of Pap tests (t=2.91, p<.05), lower scores on procedural (t=-2.45, p<.05) and cognitive (t=-2.66, p<.01) barriers to testing. Improvement in self-efficacy (t=3.38, p<.01), strong intention to have the test (t=2.99, p<.01), and advanced stages of behavior adoption (chi2=12.93, p<.01) were also found. CONCLUSIONS: Women's perspectives, attitudes of health care practitioners, and clinical environment need to be considered if change is to happen in women's preventive behavior related to Pap test screening.
RCT Entities:
OBJECTIVE: Despite high incidence rates of cervical cancer in Korea, Papanicolaou (Pap) tests are not utilized as a preventive behavior. This study examined the effects of an emotion-cognition focused program on the decision of taking Pap tests in Korean women. DESIGN: A non-equivalent control group post-test only design was utilized. SAMPLE: A convenience sample was randomly assigned to either experimental (N=48) or control group (N=48) after matching for education and age. MEASUREMENTS: Knowledge of Cervical Cancer and Pap Smear Test, Champion's Health Belief Model, and Self-Efficacy Scale were used. Intention and stage of adoption to take a Pap test were measured with single items. RESULTS:Women in the experimental group had significantly higher scores on knowledge of cervical cancer (t=6.99, p<.001) and perceived benefits of Pap tests (t=2.91, p<.05), lower scores on procedural (t=-2.45, p<.05) and cognitive (t=-2.66, p<.01) barriers to testing. Improvement in self-efficacy (t=3.38, p<.01), strong intention to have the test (t=2.99, p<.01), and advanced stages of behavior adoption (chi2=12.93, p<.01) were also found. CONCLUSIONS:Women's perspectives, attitudes of health care practitioners, and clinical environment need to be considered if change is to happen in women's preventive behavior related to Pap test screening.
Authors: Brittany M Charlton; Heather L Corliss; Stacey A Missmer; A Lindsay Frazier; Margaret Rosario; Jessica A Kahn; S Bryn Austin Journal: Am J Public Health Date: 2013-06-13 Impact factor: 9.308
Authors: Masahito Jimbo; Gurpreet K Rana; Sarah Hawley; Margaret Holmes-Rovner; Karen Kelly-Blake; Donald E Nease; Mack T Ruffin Journal: CA Cancer J Clin Date: 2013-03-15 Impact factor: 508.702