Literature DB >> 29881669

Corrigendum to "Impact of a brief intervention on cervical health literacy: A waitlist control study with jailed women" [Prev. Med. Rep. 6 (2017) 314-321].

Megha Ramaswamy1, Jaehoon Lee2, Joi Wickliffe1, Molly Allison1, Amanda Emerson3, Patricia J Kelly3.   

Abstract

[This corrects the article DOI: 10.1016/j.pmedr.2017.04.003.].

Entities:  

Year:  2017        PMID: 29881669      PMCID: PMC5986980          DOI: 10.1016/j.pmedr.2017.11.011

Source DB:  PubMed          Journal:  Prev Med Rep        ISSN: 2211-3355


The authors regret an error in their original reporting of sample size, and thus the results. In the published paper, we conducted an analysis with 188 participants. The correct number should be 182. Four of the 188 women should have not been included in the analysis because they were duplicate participants (had done a pilot study and the main study that we reported on). One woman completed the study in the wrong group assignment. In addition, one woman completed the post-test four weeks after intervention completion although she should've completed it after one week. Thus, we should've excluded these six women from the analysis. Corrected Table 1, Table 2 that reflect these changes appear below.
Table 1

Participant characteristicsa.

Total (n = 182), mean ± SD or no. (%)Intervention (n = 108), mean ± SD or no. (%)Waitlist control (n = 74), mean ± SD or no. (%)p-Valueb
Age33.83 ± 9.5033.95 ± 9.5433.66 ± 9.490.838
Race0.315
 White92 (50.6)50 (46.3)42 (56.8)
 Black53 (29.1)37 (34.3)16 (21.6)
 Other33 (18.1)19 (17.6)14 (18.9)
Latina ethnicity17 (9.3)9 (8.3)8 (10.8)0.700
High school or more115 (63.2)69 (63.9)46 (62.2)0.671
Homeless or institutionalized45 (24.7)25 (23.2)20 (27.0)0.531
Employedc61 (33.5)40 (37.0)21 (28.4)0.131
Received public benefitsd87 (47.8)57 (52.8)30 (40.5)0.266
Insured71 (39.0)41 (38.0)30 (40.5)0.815
Has primary care doctor69 (37.9)44 (40.7)25 (33.8)0.352
Has medical home125 (68.7)73 (67.6)52 (70.3)0.476
Past month tobacco use147 (80.8)83 (76.9)64 (86.5)0.218
Hazardous/harmful alcohol usee94 (51.7)58 (53.7)36 (48.7)0.503
Past year drug dependencef112 (61.5)63 (58.3)49 (66.2)0.283
History of exchanging sex60 (33.0)33 (30.6)27 (36.5)0.668
History of STIsg115 (63.2)63 (58.3)52 (70.3)0.101
Past year IPVh115 (63.2)65 (60.2)50 (67.6)0.282
Child physical or sexual abusei48 (26.4)27 (25.0)21 (28.4)0.840
Mental health problemsj133 (73.1)76 (70.4)57 (77.0)0.320
Lifetime months incarcerated25.55 ± 47.7724.50 ± 43.9127.13 ± 53.310.720
Number of pregnancies to term2.61 ± 2.022.74 ± 2.102.40 ± 1.890.272
Pap screening in past three years124 (68.1)74 (68.5)50 (67.6)0.619
Abnormal Pap test history95 (52.2)48 (44.4)47 (63.5)0.028
HPV diagnosis27 (14.8)13 (12.0)14 (18.9)0.021
Cervical cancer diagnosis24 (13.2)12 (11.1)12 (16.2)0.137

Notes.

Participant characteristics are presented for the 188 participants whose data were analyzed in the intent-to-treat analysis, which included 112 participants in the intervention group (participants who completed baseline and post-intervention survey) and 76 participants in the waitlist control group (participants who completed baseline and pre-intervention survey).

p-Values < 0.05 for comparisons between groups are boldfaced.

Full-time, part-time, or on and off.

Cash assistance, food stamps, social security, or disability.

Assessed using AUDIT-C, which is scored on a scale of 0–12 (scores of 0 reflect no alcohol use). In women, a score of 3 or more is considered positive for alcohol problems (ref).

Assessed using DSM IV criteria, where If participants answer “yes” to 3 of 6 DSM-IV criteria, they were classified as drug dependent (ref).

Lifetime diagnosis by a clinician of hepatitis B or C, human immunodeficiency virus, syphilis, gonorrhea, chlamydia, trichomoniasis, herpes, or HPV.

Adapted from Verbal HITS scale, where responses dichotomized so that 1 = any IPV in past year, 0 = no IPV in past year (ref).

Adapted from Childhood Experiences of Violence Questionnaire, where responses dichotomized across categories so that 1 = any violence, 0 = no violence (ref).

Lifetime diagnosis by a clinician of depression, anxiety, bipolar disorder, or post-traumatic stress disorder.

Table 2

General linear modeling results.


DV = KNOWLEDGE (post)
DV = BENEFIT (post)
DV = BARRIERS (post)
DV = SERIOUSNESS (post)
DV = SUSCEPTIBILITY (post)
DV = MOTIVATION (post)
DV = SELF-EFFICACY (post)
DV = CONFIDENCE (post)
ParameterEstimateSEtpEstimateSEtpEstimateSEtpEstimateSEtpEstimateSEtpEstimateSEtpEstimateSEtpEstimateSEtp
Intercept2.530.337.580.0003.270.2811.730.0001.010.185.470.0001.920.267.300.0001.520.246.400.0001.310.216.200.0001.060.176.350.0001.220.225.670.000
Pre-test score0.370.075.360.0000.330.056.080.0000.520.068.160.0000.420.075.980.0000.460.076.770.0000.590.078.830.0000.710.0513.950.0000.580.0610.200.000
High school or more0.410.123.330.0010.080.100.790.4300.070.080.900.370− 0.140.11− 1.300.192− 0.050.12− 0.420.675− 0.090.12− 0.730.4660.010.090.110.9140.000.120.020.981
Insured− 0.050.13− 0.410.6840.000.10− 0.040.965− 0.010.08− 0.120.9040.040.110.340.731− 0.020.12− 0.130.8980.090.120.740.462− 0.090.09− 1.020.3060.080.120.700.484
Has medical home0.060.130.420.6720.190.111.800.072− 0.030.08− 0.350.723− 0.180.12− 1.570.117− 0.140.13− 1.110.2680.070.130.520.6000.010.100.140.892− 0.030.12− 0.210.836
GROUP (intervention)0.230.121.970.0480.160.091.670.096− 0.200.07− 2.730.006− 0.300.10− 2.890.004− 0.260.11− 2.320.0200.220.121.850.0640.240.082.880.0040.060.110.520.604

Note. p-Values < 0.05 are boldfaced.

Participant characteristicsa. Notes. Participant characteristics are presented for the 188 participants whose data were analyzed in the intent-to-treat analysis, which included 112 participants in the intervention group (participants who completed baseline and post-intervention survey) and 76 participants in the waitlist control group (participants who completed baseline and pre-intervention survey). p-Values < 0.05 for comparisons between groups are boldfaced. Full-time, part-time, or on and off. Cash assistance, food stamps, social security, or disability. Assessed using AUDIT-C, which is scored on a scale of 0–12 (scores of 0 reflect no alcohol use). In women, a score of 3 or more is considered positive for alcohol problems (ref). Assessed using DSM IV criteria, where If participants answer “yes” to 3 of 6 DSM-IV criteria, they were classified as drug dependent (ref). Lifetime diagnosis by a clinician of hepatitis B or C, human immunodeficiency virus, syphilis, gonorrhea, chlamydia, trichomoniasis, herpes, or HPV. Adapted from Verbal HITS scale, where responses dichotomized so that 1 = any IPV in past year, 0 = no IPV in past year (ref). Adapted from Childhood Experiences of Violence Questionnaire, where responses dichotomized across categories so that 1 = any violence, 0 = no violence (ref). Lifetime diagnosis by a clinician of depression, anxiety, bipolar disorder, or post-traumatic stress disorder. General linear modeling results. Note. p-Values < 0.05 are boldfaced. The error also necessitates the following corrections to the text: Abstract: When controlling for covariates, the intervention group had greater knowledge, less barriers, perceptions of seriousness, susceptibility to disease, and increased self-efficacy for cervical health screening and follow-up, compared to the control group (all p < 0.05). Results: Participants were on average 34 years old (SD = 9.50) (see Table 1). Half were White (n = 92, 50.6%), and a third were Black (n = 53, 29.1%). < 10% (n = 17) of women reported Latina ethnicity. Two-thirds (n = 115, 63.2%) had completed high school or more education, but only 18.9% (n = 34) were employed full-time prior to incarceration. Less than half of the participants had health insurance (n = 71, 39.0%), but most had access to a medical home or usual place of care (n = 125, 68.7%). Two-thirds of women (n = 124, 68.1%) reported a Pap screening in the past three years. Over half (n = 95, 52.2%) had a lifetime abnormal Pap test history, 14.8% (n = 27) had ever been diagnosed with HPV, and 13.2% (n = 24) had received a cervical cancer diagnosis in the past. Comparisons of cervical health literacy pre- and post-intervention showed that the intervention group experienced significant changes for seven out of eight domains, including increased knowledge about cervical health (p < 0.001, Cohen's d = 0.33), more perceived benefits to screening (p < 0.01, d = 0.26), reduced barriers to screening (p < 0.001, d = 0.40), reduced perception of seriousness (p < 0.001, d = 0.37), reduced susceptibility to disease (p < 0.01, d = 0.37), and greater motivation (p < 0.001, d = 0.34) and self-efficacy (p < 0.001, d = 0.59) for seeking out cervical health screening and follow-up care (see Fig. 3). The control group only improved in terms of motivation for seeking out screening (p < 0.01, d = 0.36) at post-test. The changes were significantly different between the groups for knowledge (p < 0.5, d = 0.33), reduced barriers (p < 0.05, d = 0.32), perception of the disease's seriousness (p < 0.05, d = 0.36), susceptibility to disease (p < 0.05, d = 0.36), and self-efficacy (p < 0.05, d = 0.36). When controlling for covariates (pre-test cervical health literacy scores, education, health insurance, and access to medical home or usual place of care), the intervention and control groups were significantly different on five outcomes: increased knowledge (p < 0.05, partial η2 = 0.03); reduced barriers (p < 0.01, partial η2 = 0.05), perception of seriousness (p < 0.01, partial η2 = 0.05), susceptibility to disease (p < 0.05, partial η2 = 0.04), and increased self-efficacy for cervical health screening and follow-up (p < 0.01, partial η2 = 0.05) (see Table 2).
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