BACKGROUND: Few Iranian women take the Papanicolaou test despite its important role in preventing cervical cancer. This study aimed to determine the effectiveness of an educational intervention based on the protection motivation theory (PMT) variables and implementation intentions in the first and second Pap test practice among Iranian women. MATERIALS AND METHODS: In this quasi-randomized controlled trial, 200 women who were referred to 30 primary health care clinics in Tehran were randomly selected. PMT variables and Pap test practice were measured at baseline and again after 3 and 15 months. The 4-week educational intervention program was conducted for the intervention group. RESULTS: Following the intervention, the mean scores of self-efficacy, perceived vulnerability, and behavior intention variables were significantly higher in the intervention group when compared to the control group (p<0.05). No significant differences were found in the perceived severity, response efficacy, response cost, and fear between the two groups following the intervention. Higher percent of women in the intervention group had obtained first and second Pap test compared to the controls. CONCLUSIONS: The PMT and implementation intentions provide a suitable theory-based framework for developing educational interventions regarding Pap test practice in Iran.
RCT Entities:
BACKGROUND: Few Iranian women take the Papanicolaou test despite its important role in preventing cervical cancer. This study aimed to determine the effectiveness of an educational intervention based on the protection motivation theory (PMT) variables and implementation intentions in the first and second Pap test practice among Iranian women. MATERIALS AND METHODS: In this quasi-randomized controlled trial, 200 women who were referred to 30 primary health care clinics in Tehran were randomly selected. PMT variables and Pap test practice were measured at baseline and again after 3 and 15 months. The 4-week educational intervention program was conducted for the intervention group. RESULTS: Following the intervention, the mean scores of self-efficacy, perceived vulnerability, and behavior intention variables were significantly higher in the intervention group when compared to the control group (p<0.05). No significant differences were found in the perceived severity, response efficacy, response cost, and fear between the two groups following the intervention. Higher percent of women in the intervention group had obtained first and second Pap test compared to the controls. CONCLUSIONS: The PMT and implementation intentions provide a suitable theory-based framework for developing educational interventions regarding Pap test practice in Iran.
Authors: Jonah Musa; Chad J Achenbach; Linda C O'Dwyer; Charlesnika T Evans; Megan McHugh; Lifang Hou; Melissa A Simon; Robert L Murphy; Neil Jordan Journal: PLoS One Date: 2017-09-05 Impact factor: 3.240
Authors: Mohammad Ali Morowatisharifabad; Mohammad Asadpour; Mohammad Ali Zakeri; Mahdi Abdolkarimi Journal: Biomed Res Int Date: 2021-06-22 Impact factor: 3.411
Authors: Shabnam Malmir; Majid Barati; Ali Khani Jeihooni; Saeed Bashirian; Seyed Mohammad Mehdi Hazavehei Journal: Asian Pac J Cancer Prev Date: 2018-03-27