Assessing the Acceptability, Feasibility, and Effectiveness of a Tablet-Based Cervical Cancer Educational Intervention

Caster, Michelle; Norris, AH; Butao, C.; Reese, Patricia Carr; Chemey, Elly; Phuka, John; Turner, A Norris

doi:10.1007/s13187-015-0953-6

Cited by 23 publications

(49 citation statements)

References 22 publications

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“…Uptake was poor at post-intervention phase for both groups ( p = .45). Good Caster 2017 [ 71 ] Assess the acceptability, feasibility and effectiveness of a tablet-based cervical cancer educational intervention Malawi Unspecified screening Educate: 30-min tablet-based education Acceptability: participants’ preference for tablet vs. in-person education Feasibility: ease of tablet use, number of times participants need assistance with tablet Adoption: intention to screen The median pretest score was 11 out of 20 and the median posttest score was 18 ( p < 0.001). 226 participants (93%) stated that they would like to obtain cervical cancer screening Fair Chigbu 2017 [ 72 ] Determine the impact of trained community health educators on the uptake of cervical and breast cancer screening and HPV vaccine in rural communities Nigeria HPV vaccine Educate: house-to-house education given on a one-on-one basis by community health workers on cervical and breast cancer prevention Penetration: screening and HPV vaccination coverage Of the 1327 enrolled women, 42 (3.2%) had undergone screening pre-intervention and 897 (67.6%) received screening afterwards ( p < .0001).…”

Section: Resultsmentioning

confidence: 99%

Implementation strategies to improve cervical cancer prevention in sub-Saharan Africa: a systematic review

et al. 2018

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BackgroundDeveloped countries, such as the USA, have achieved significant decreases in cervical cancer burden since the introduction of Pap smear-based programs in the 1960s. Due to implementation barriers and limited resources, many countries in sub-Saharan Africa (SSA) have been unable to attain such reductions. The purpose of this review is to evaluate implementation strategies used to improve the uptake and sustainability of cervical cancer prevention programs in SSA.MethodsA reviewer (LJ) independently searched PubMed, Ovid/MEDLINE, Scopus, and Web of Science databases for relevant articles with the following search limits: English language, peer reviewed, and published between 1996 and 2017. The 4575 search results were screened for eligibility (CJ, LJ) to identify original research that empirically evaluated or tested implementation strategies to improve cervical cancer prevention in SSA. Fifty-three articles met criteria for inclusion in the final review. AA, CJ, and LJ abstracted the included articles for implementation-related content and evaluated them for risk of bias according to study design with the National Heart, Lung, and Blood Institute’s (NHLBI) Quality Assessment Tools. Results were reported according to PRISMA guidelines.ResultsThe 53 included studies are well represented among all sub-Saharan regions: South (n = 16, 30.2%), West (n = 16, 30.2%), East (n = 14, 26.4%), and Middle (n = 7, 13.2%). There are 34 cross-sectional studies (64.2%), 10 pre-posttests (18.9%), 8 randomized control trials (15.1%), and one nonrandomized control trial (1.9%). Most studies are “fair” quality (n = 22, 41.5%). Visual inspection with acetic acid (VIA) (n = 19, 35.8%) was used as the main prevention method more frequently than HPV DNA/mRNA testing (n = 15, 28.3%), Pap smear (n = 13, 24.5%), and HPV vaccine (n = 9, 17.0%). Effectiveness of strategies to improve program implementation was measured using implementation outcomes of penetration (n = 33, 62.3%), acceptability (n = 15, 28.3%), fidelity (n = 14, 26.4%), feasibility (n = 8, 15.1%), adoption (n = 6, 11.3%), sustainability (n = 2, 3.8%), and cost (n = 1, 1.9%). Education strategies (n = 38, 71.7%) were used most often but have shown limited effectiveness.ConclusionThis systematic review highlights the need to diversify strategies that are used to improve implementation for cervical cancer prevention programs. While education is important, implementation science literature reveals that education is not as effective in generating change. There is a need for additional organizational support to further incentivize and sustain improvements in implementation.Electronic supplementary materialThe online version of this article (10.1186/s13012-018-0718-9) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Implementation strategies to improve cervical cancer prevention in sub-Saharan Africa: a systematic review

et al. 2018

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“…Self-administered tablet-based approaches have successfully educated patients on a broad range of health topics, including self-tests. 37,38 Leveraging group counseling activities or automated patient education approaches to provide information on self-tests is another approach that could help streamline self-test delivery within routine settings. The PrIYA Program offered free HIVST to women at no cost to the health system.…”

Section: Discussionmentioning

confidence: 99%

Acceptability and outcomes of distributing HIV self-tests for male partner testing in Kenyan maternal and child health and family planning clinics

Pintye

Drake

Begnel

et al. 2019

Aids

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Background: Providing HIV self-tests to women for distribution to male partners may provide a unique opportunity to increase male partner and couples testing among women in HIV high-burden settings. Methods: Between November 2017 and June 2018, we offered self-tests for at-home couples or partner HIV-testing to HIV-uninfected women seeking routine maternal child health (MCH) and family planning (FP) services at 8 facilities in Kisumu, Kenya. Women accepting self-tests were offered ≥2 self-tests (OraQuick) to take to their partner(s) with instructions on use. HIV self-testing (HIVST) outcomes were evaluated using available programmatic data. Results: Overall, 3620 women were offered self-tests for at-home male partner HIV testing. The median age was 24 years (IQR 21–28) and 81% were in monogamous marriages. Overall, 1422 (39%) women reported having a partner of unknown HIV status, of whom 755 (53%) accepted self-tests. Among women with partners of unknown HIV status who declined self-tests (n=667), 49% reported needing to consult their partner. Pregnant women were more likely to accept HIVST than non-pregnant women (prevalence ratio=1.2, 95%CI 1.0–1.4, p=0.013). Self-testing outcomes were ascertained for 389 (44%) women who accepted self-tests. Among these women, 93% offered HIVSTs to their male partner; of these, 95% reported their male partners used the self-test and 99% used a self-test with their partner. Conclusions: Among women attending routine MCH and FP services who had male partners of unknown HIV status, over half accepted self-tests for partner testing. Most women with outcomes ascertained reported that male partners accepted and used self-tests and that couples testing occurred.

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“…In a Chinese study, a short animated cartoon called ‘The Magic Glasses’ was shown to halve infection rates of parasitic worms in school-aged children (8.4–4.1%, P<0.0001), and observed occurrence of handwashing increased from 54% to 98.9% (P<0.0001) in the intervention group compared to the control group [31]. Tablet-based educational interventions have also been successful at raising awareness and changing behaviors for prevention of other, non-parasitic diseases, including cervical cancer and human papilloma-virus infections [32].…”

Section: Discussionmentioning

confidence: 99%

Effects of ‘The Vicious Worm’ educational tool on Taenia solium knowledge retention in Zambian primary school students after one year

et al. 2019

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Background Taenia solium is a neglected zoonotic parasite endemic throughout many low-income countries worldwide, including Zambia, where it causes human and pig diseases with high health and socioeconomic burdens. Lack of knowledge is a recognized risk factor, and consequently targeted health educational programs can decrease parasite transmission and disease occurrence in endemic areas. Preliminary assessment of the computer-based education program ‘The Vicious Worm’ in rural areas of eastern Zambia indicated that it was effective at increasing knowledge of T . solium in primary school students. The aim of this study was to evaluate the impact of ‘The Vicious Worm’ on knowledge retention by re-assessing the same primary school students one year after the initial education workshops. Methodology/Principal findings Follow-up questionnaires were administered in the original three primary schools in eastern Zambia in 2017, 12 months after the original workshops. In total, 86 pupils participated in the follow-up sessions, representing 87% of the initial workshop respondents. Knowledge of T . solium at ‘follow-up’ was significantly higher than at the initial ‘pre’ questionnaire administered during the Vicious Worm workshop that took place one year earlier. While some specifics of the parasite’s life cycle were not completely understood, the key messages for disease prevention, such as the importance of hand washing and properly cooking pork, remained well understood by the students, even one year later. Conclusions/Significance Results of this study indicate that ‘The Vicious Worm’ may be an effective tool for both short- and long-term T . solium education of rural primary school students in Zambia. Inclusion of educational workshops using ‘The Vicious Worm’ could be recommended for integrated cysticercosis control/elimination programs in sub-Saharan Africa, particularly if the content is simplified to focus on the key messages for prevention of disease transmission.

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Assessing the Acceptability, Feasibility, and Effectiveness of a Tablet-Based Cervical Cancer Educational Intervention

Cited by 23 publications

References 22 publications

Implementation strategies to improve cervical cancer prevention in sub-Saharan Africa: a systematic review

Implementation strategies to improve cervical cancer prevention in sub-Saharan Africa: a systematic review

Acceptability and outcomes of distributing HIV self-tests for male partner testing in Kenyan maternal and child health and family planning clinics

Effects of ‘The Vicious Worm’ educational tool on Taenia solium knowledge retention in Zambian primary school students after one year

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