Development and validation of the cervical cancer knowledge scale and HPV testing knowledge scale in a sample of Canadian women

Haward, Ben; Tatar, Ovidiu; Zhu, Patricia; Griffin-Mathieu, Gabrielle; Perez, Samara; Shapiro, Gilla K.; McBride, Emily; Zimet, Gregory D.; Rosberger, Zeev

doi:10.1016/j.pmedr.2022.102017

Cited by 7 publications

(11 citation statements)

References 38 publications

(50 reference statements)

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“…Data collection instruments used for this study consisted of the demographic survey and other forms to measure knowledge and awareness of HPV. The following forms were adapted to measure the knowledge and awareness of HPV: HPV Infection Awareness Questions [ 21 ], HPV Infection Knowledge Questions (Scale) [ 21 , 22 ], HPV Vaccine Knowledge Questions (Scale) [ 21 , 23 ] and Cervical Cancer Awareness on OC Pills [ 24 , 25 , 26 ]. The data instrument was adapted for use in the study settings.…”

Section: Methodsmentioning

confidence: 99%

“…The following supporting information can be downloaded at: https:// www.mdpi.com/article/10.3390/healthcare12060665/s1, This section contains the survey questions included in the Human papillomavirus (HPV) and Cervical Cancer (CC) Risk Assessment (HCRA) Tool used for data collection and awareness creation of this research [13,[21][22][23][24][25][26][42][43][44][45][46].…”

Section: Supplementary Materialsmentioning

confidence: 99%

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Assessment of HPV Knowledge and Awareness among Students and Staff at IBB University, Niger State, Nigeria: Implications for Health Education and Prevention

Ogbolu,

Kozlovszky

2024

Healthcare

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In Nigeria, statistics reveal that there is a high rate of cervical cancer among women and a significant lack of awareness surrounding Human Papillomavirus (HPV), which poses a substantial risk of HPV infection. This cross-sectional survey, conducted at Ibrahim Badamasi Babangida (IBB) University, focuses on adapting and exploring the factors that influence a 20-item scale to measure HPV knowledge, evaluating knowledge-associated patterns and HPV-associated risk factors. We examined HPV vaccination rates, infection awareness, vaccine awareness, and the impact of ethnicity on HPV knowledge. Various validated forms were adapted to measure HPV awareness and knowledge. Non-parametric tests addressed non-normality. Data were presented using median and IQR and categorical data were frequency-based. Bivariate tests (Mann–Witney, Kruskal Wallis) explored knowledge-associated factors, while quantile regression (75th percentile) examined HPV knowledge factors. Variables were considered statistically significant at p < 0.05. The adapted 20-item knowledge scale revealed strong reliability (Cronbach’s alpha = 0.913), ensuring internal consistency. The median knowledge score was 0, with an interquartile range (IQR) of 0–5. Our findings revealed a significant lack of awareness and knowledge about HPV; only 34.8% of the population were aware of HPV infection and 25.0% were familiar with HPV vaccination. Furthermore, ethnicity was found to be significantly associated with knowledge of HPV. This study emphasizes the necessity for targeted interventions to enhance HPV awareness, especially within specific ethnic groups. Despite a robust knowledge scale, educational initiatives such as seminars/conferences about HPV and cervical cancer remain crucial in addressing this gap, ultimately reducing HPV infection and cervical cancer risks in Nigeria.

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Section: Methodsmentioning

confidence: 99%

Section: Supplementary Materialsmentioning

confidence: 99%

Assessment of HPV Knowledge and Awareness among Students and Staff at IBB University, Niger State, Nigeria: Implications for Health Education and Prevention

Ogbolu,

Kozlovszky

2024

Healthcare

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“…An accessible informed decision-making tool will be created based on existing tools and surveys informed by the research team, Advisory Group members with intellectual disability and experts in health literacy. The modified tool will collect data via interviews using a brief set of pre-intervention open-ended accessible questions across three domains: knowledge, attitudes to screening and intention to screen (49)(50)(51)(52). The trial will serve as a pilot study for a larger appropriately powered validation trial.…”

Section: Main Trial Designmentioning

confidence: 99%

“…The primary outcome measure is informed decision-making about cervical screening by people with intellectual disability across the domains of knowledge, attitudes to screening and intention to screen, measured by an accessible modified tool (49)(50)(51)(52). The modified tool will collect data during accessible workshops in the main trial as described in (49,50).…”

Section: Outcome Measures and Data Analysis 251 Outcome Measuresmentioning

confidence: 99%

Working together with people with intellectual disability to make a difference: a protocol for a mixed-method co-production study to address inequities in cervical screening participation

Bateson,

Ussher,

Strnadová

et al. 2024

Front. Public Health

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IntroductionCervical cancer is one of the most preventable cancers yet remains a disease of inequity for people with intellectual disability, in part due to low screening rates. The ScreenEQUAL project will use an integrated knowledge translation (iKT) model to co-produce and evaluate accessible cervical screening resources with and for this group.MethodsStage 1 will qualitatively explore facilitators and barriers to screening participation for people with intellectual disability, families and support people, healthcare providers and disability sector stakeholders (n ≈ 20 in each group). An accessible multimodal screening resource, accompanying supporting materials for families and support people, and trauma-informed healthcare provider training materials will then be co-produced through a series of workshops. Stage 2 will recruit people with intellectual disability aged 25 to 74 who are due or overdue for screening into a single-arm trial (n = 48). Trained support people will provide them with the co-produced resource in accessible workshops (intervention) and support them in completing pre-post questions to assess informed decision-making. A subset will participate in qualitative post-intervention interviews including optional body-mapping (n ≈ 20). Screening uptake in the 9-months following the intervention will be measured through data linkage. Family members and support people (n = 48) and healthcare providers (n = 433) will be recruited into single-arm sub-studies. Over a 4-month period they will, respectively, receive the accompanying supporting materials, and the trauma-informed training materials. Both groups will complete pre-post online surveys. A subset of each group (n ≈ 20) will be invited to participate in post-intervention semi-structured interviews.Outcomes and analysisOur primary outcome is a change in informed decision-making by people with intellectual disability across the domains of knowledge, attitudes, and screening intention. Secondary outcomes include: (i) uptake of screening in the 9-months following the intervention workshops, (ii) changes in health literacy, attitudes and self-efficacy of family members and support people, and (iii) changes in knowledge, attitudes, self-efficacy and preparedness of screening providers. Each participant group will evaluate acceptability, feasibility and usability of the resources.DiscussionIf found to be effective and acceptable, the co-produced cervical screening resources and training materials will be made freely available through the ScreenEQUAL website to support national, and potentially international, scale-up.

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“…Data collection instruments used for this study consisted of the demographic survey and other forms to measure Knowledge and awareness of HPV. The following forms were adapted and validated to measure the knowledge and awareness of HPV: HPV Infection Awareness Questions [21], HPV Infection Knowledge Questions (Scale) [21], [22], HPV Vaccine Knowledge Questions (Scale) [21], [23] and Cervical Cancer Awareness on OC Pills [24], [25], [26]. The data instrument was adapted and validated for use in the study settings.…”

Section: Instrumentmentioning

confidence: 99%

Validation of HPV Knowledge Tool and Assessment of HPV Knowledge and Awareness among Students and Staff at IBB University, Niger State, Nigeria: Implications for Health Education and Prevention

Ogbolu,

Kozlovszky

2024

Preprint

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In Nigeria, Cervical cancer (CC) and lack of Human Papillomavirus (HPV) awareness poses significant HPV infection risk among women. This study was conducted at Ibrahim Badamasi Babangida (IBB) University in Nigeria; focused on assessing HPV awareness and knowledge, particularly concerning its association with CC and oral contraceptive (OC) pills among students and staff. We adapted and validated a 20-item HPV knowledge scale and explored factors influencing knowledge, vaccination rates, awareness, and the impact of ethnicity on HPV knowledge. Also, due to the non-normality of the knowledge score, non-parametric tests were done. Data were summarized using median and interquartile range (IQR), while categorical data were presented in frequency and percentage distribution. We established the reliability of the 20-item knowledge scale with a strong Cronbach's alpha coefficient of 0.913, indicating internal consistency. However, it revealed a concerning lack of awareness and knowledge about HPV, only 34.8% of participants were aware of HPV infection, and only 25.0% knew about HPV vaccine. Additionally, ethnicity was identified as a significant factor affecting HPV knowledge. Considering these findings, this study emphasizes the need for targeted interventions to enhance HPV awareness and knowledge, particularly among specific ethnic groups. Despite the development and validation of a reliable knowledge scale, the study underscores the importance of educational initiatives to address this knowledge gap, ultimately reducing the risk of HPV infection and CC in Nigeria.

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Development and validation of the cervical cancer knowledge scale and HPV testing knowledge scale in a sample of Canadian women

Cited by 7 publications

References 38 publications

Assessment of HPV Knowledge and Awareness among Students and Staff at IBB University, Niger State, Nigeria: Implications for Health Education and Prevention

Assessment of HPV Knowledge and Awareness among Students and Staff at IBB University, Niger State, Nigeria: Implications for Health Education and Prevention

Working together with people with intellectual disability to make a difference: a protocol for a mixed-method co-production study to address inequities in cervical screening participation

Validation of HPV Knowledge Tool and Assessment of HPV Knowledge and Awareness among Students and Staff at IBB University, Niger State, Nigeria: Implications for Health Education and Prevention

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