Effect of 2 Interventions on Cervical Cancer Screening Guideline Adherence

Moscicki, Anna‐Barbara; Chang, Charlene; Vangala, Sitaram; Zhou, Xinkai; Elashoff, David; Dehlendorf, Christine; Sawaya, George F.; Kuppermann, Miriam; Durón, Ysabel; Wyand, Fred; Navarro, Sandy; Bocanegra, Heike Thiel de

doi:10.1016/j.amepre.2020.11.015

Cited by 6 publications

(8 citation statements)

References 26 publications

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“…We excluded 25 conference abstracts and 19 protocols. After reading the full text, 129 were excluded and 17 were included in the final review ( Russell et al ., 2010 ; Miller et al ., 2011 , 2018 ; Taylor et al ., 2013 ; Weinberg et al ., 2013 ; Greiner et al ., 2014 ; Jerant et al ., 2014 ; Fernández et al ., 2015 ; Gathirua-Mwangi et al ., 2016 , Lee et al ., 2017a , b , Valdez et al ., 2018 ; Denizard-Thompson et al ., 2020 ; Gabel et al ., 2020 ; Moscicki et al ., 2021 ; Rawl et al ., 2021 ).…”

Section: Resultsmentioning

confidence: 99%

Interactive or tailored digital interventions to increase uptake in cervical, breast, and colorectal cancer screening to reduce health inequity: a systematic review

Richardson-Parry¹,

Silva²,

Valderas

et al. 2023

European Journal of Cancer Prevention

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Background and objectives Significant health inequities exist in screening uptake for certain types of cancer. The review question was to identify and describe interactive, tailored digital, computer, and web-based interventions to reduce health inequity in cancer screening and review the effectiveness of such interventions in increasing screening rates versus usual care. MethodsWe searched four medical literature databases for randomized control trials (RCTs) published until 12 January 2023 that evaluated interventions aimed at increasing the percentage of breast, prostate, cervical, or colorectal cancer screening uptake. Meta-analysis was not conducted due to heterogeneity among studies. ResultsAfter screening 4200 titles and abstracts, 17 studies were included. Studies focused on colorectal (n = 10), breast (n = 4), cervical (n = 2), and prostate (n = 1) cancer screening. All were based in the USA except two. Most studies focused on ethnicity/race, while some included low-income populations. Intervention types were heterogeneous and used computer programs, apps, or web-based methods to provide tailored or interactive information to participants about screening risks and options. Some studies found positive effects for increasing cancer screening uptake in the intervention groups compared to usual care, but results were heterogeneous. ConclusionInterventions that use individual and cultural tailoring of cancer screening educational material should be further developed and investigated outside of the USA. Designing effective digital intervention strategies, with components that can be adapted to remote delivery may be an important strategy for reducing health inequities in cancer screening during the coronavirus disease 2019 pandemic.

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Section: Resultsmentioning

confidence: 99%

Interactive or tailored digital interventions to increase uptake in cervical, breast, and colorectal cancer screening to reduce health inequity: a systematic review

Richardson-Parry¹,

Silva²,

Valderas

et al. 2023

European Journal of Cancer Prevention

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“…Cancer-related knowledge and cancer literacy are important for the cancer population; having adequate knowledge results in appropriate actions, whereas a lack of knowledge leads to inappropriate actions [ 29 , 30 ]. Health education interventions were significant in terms of improving CCa literacy, self-efficacy, and taking actual activities [ 2 , 3 , 4 , 31 , 32 ]. Similarly, the present study showed that repeated health education interventions could be valuable and had positive effects on the change of behavior, partial self-efficacy of behavior, and CCa literacy among Taiwanese women with CIN.…”

Section: Discussionmentioning

confidence: 99%

Effects of Mobile Application Program (App)-Assisted Health Education on Preventive Behaviors and Cancer Literacy among Women with Cervical Intraepithelial Neoplasia

Lee¹,

Huang

Chen

et al. 2021

IJERPH

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Objective: This study aimed (1) to study the effects of health education on preventive behaviors and cancer literacy among women with cervical intraepithelial neoplasia (CIN); (2) to compare the effects of mobile application program (App)-assisted health education with traditional book-form health education. Participants: A total of 132 women ages 20 to 69 years women. Methods: This prospective longitudinal study enrolled 132 CIN women who were evaluated three times. Propensity score matching was used by controlling subjects’ age strata, body mass index, education level, occupation, and type of surgery. Results: The influences of various educational tools were investigated. Four domains were assessed, including health behavior, attitude towards behavior change, self-efficacy of behavior, and cervical cancer (CCa) literacy. Significant improvements in behavior change and CCa literacy due to a health education program were observed (p ≤ 0.002). The App combined with a traditional booklet had the highest score for behavior change and was significantly greater than the booklet-only learning (p = 0.002). The App-assisted form, either App alone or combined with booklet, had a significantly better impact on health promotion when compared to the booklet alone (p = 0.045 and 0.005, respectively). App-only learning had the highest score of CCa literacy (p = 0.004). Conclusion: Health education interventions can have positive effects in terms of change of behavior and CCa literacy. App-assisted learning could be used as a supportive technology, and App learning alone or combined with a traditional booklet may be an innovative model of clinical health promotion for women with CIN.

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“…This cross-sectional study was conducted as part of an evaluation of a patient education tool which was administered in a clustered randomized study of Family PACT clinics from January 2015 to December 2016 [ 31 ]. Participating clinics served at least 200 female clients under 30 years of age per year since the tool was specifically targeting this age group.…”

Section: Methodsmentioning

confidence: 99%

Impact of an educational tool on young women’s knowledge of cervical cancer screening recommendations

Bocanegra

Dehlendorf

Kuppermann

et al. 2022

Cancer Causes Control

Self Cite

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Purpose Current cervical cancer screening guidelines recommend 3-year screening intervals, in contrast to the previous recommendation of annual screening, to prevent over screening and overtreatment. We evaluated the impact of viewing a tablet-based educational tool prior to seeing a clinician on young women’s knowledge and understanding of cervical cancer screening, HPV vaccination follow-up of abnormal pap smears, and comfort in communicating with their providers. Methods This cross-sectional study was part of a cluster-randomized study of fourteen primary care clinics from January 2015 to December 2016. We developed the cervical cancer education tool in English and Spanish using a community-based approach that included formative work and cognitive interviewing. Clinics were randomized to use the intervention (tablet-based patient education tool) or to participate as a control group. We administered surveys to a convenience sample of 229 English- or Spanish-speaking women aged 19 to 35 years in these clinics. We used descriptive analyses and logistic regression models with cluster-robust standard errors to compare differences among the two groups. Results Compared to women seen in control clinics, women seen in intervention clinics demonstrated greater knowledge regarding human papilloma virus (HPV (p = 0.004) and understanding (p < 0.001) of cervical cancer screening. Comfort in communicating with providers was not statistically different (p = 0.053). Women in the intervention group felt that the tool helped them understand that an abnormal Pap smear does not require immediate treatment (61.5%). Conclusion Innovative online patient education that is offered prior to patients’ interaction with their clinicians can improve their knowledge about cervical cancer prevention and treatment.

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Effect of 2 Interventions on Cervical Cancer Screening Guideline Adherence

Cited by 6 publications

References 26 publications

Interactive or tailored digital interventions to increase uptake in cervical, breast, and colorectal cancer screening to reduce health inequity: a systematic review

Interactive or tailored digital interventions to increase uptake in cervical, breast, and colorectal cancer screening to reduce health inequity: a systematic review

Effects of Mobile Application Program (App)-Assisted Health Education on Preventive Behaviors and Cancer Literacy among Women with Cervical Intraepithelial Neoplasia

Impact of an educational tool on young women’s knowledge of cervical cancer screening recommendations

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