Effects of Web-Based Decision Aid to Support Cervical Cancer Screening Decision Among Young Working Women: A Pilot Randomised Controlled Trial.

IF 2 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Dorothy Ngo Sheung Chan, Kai Chow Choi, Winnie Kwok Wei So
{"title":"Effects of Web-Based Decision Aid to Support Cervical Cancer Screening Decision Among Young Working Women: A Pilot Randomised Controlled Trial.","authors":"Dorothy Ngo Sheung Chan, Kai Chow Choi, Winnie Kwok Wei So","doi":"10.1007/s12529-024-10344-9","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Young working women who devote most of their time to jobs and household chores may experience conflicts when faced with a cervical cancer screening decision. This study aimed to assess the acceptability and feasibility of a Web-based decision aid on cervical cancer screening by young working women, and to preliminarily examine the effects of the decision aid on the knowledge level, risk perception, decisional conflicts, screening decision and screening uptake.</p><p><strong>Method: </strong>This was a pilot randomised controlled trial. A total of 158 working women aged 25-44 years who had not undergone cervical cancer screening in the past 3 years were recruited. The recruited women allocated to the intervention group received a Web-based decision aid with information about the Papanicolaou test and HPV test, whereas the control group received usual care, i.e. a fact sheet about a healthy living.</p><p><strong>Results: </strong>A total of 138 of them (72 in the intervention group and 66 in the control group) completed the study and the screening uptake assessment. The intervention group showed greater improvement in the subscale scores and the overall scores for decisional conflicts (effect size, 0.71-0.90), and a statistical significantly larger proportion of the intervention group had undergone cervical cancer screening when compared to the control group (31.9% vs 6.1%). Most interviewees were satisfied with the intervention.</p><p><strong>Conclusion: </strong>It was feasible and acceptable to implement the Web-based decision aid to young working women. The preliminary findings suggest that the decision aid could help to reduce decisional conflicts and encourage uptake of screening. Full-scale studies are needed to confirm these findings.</p><p><strong>Trial registration: </strong>This study was registered at the International Standard Randomised Controlled Trial Number Registry (ISRCTN59163820) on 4 August 2022.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Behavioral Medicine","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1007/s12529-024-10344-9","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Young working women who devote most of their time to jobs and household chores may experience conflicts when faced with a cervical cancer screening decision. This study aimed to assess the acceptability and feasibility of a Web-based decision aid on cervical cancer screening by young working women, and to preliminarily examine the effects of the decision aid on the knowledge level, risk perception, decisional conflicts, screening decision and screening uptake.

Method: This was a pilot randomised controlled trial. A total of 158 working women aged 25-44 years who had not undergone cervical cancer screening in the past 3 years were recruited. The recruited women allocated to the intervention group received a Web-based decision aid with information about the Papanicolaou test and HPV test, whereas the control group received usual care, i.e. a fact sheet about a healthy living.

Results: A total of 138 of them (72 in the intervention group and 66 in the control group) completed the study and the screening uptake assessment. The intervention group showed greater improvement in the subscale scores and the overall scores for decisional conflicts (effect size, 0.71-0.90), and a statistical significantly larger proportion of the intervention group had undergone cervical cancer screening when compared to the control group (31.9% vs 6.1%). Most interviewees were satisfied with the intervention.

Conclusion: It was feasible and acceptable to implement the Web-based decision aid to young working women. The preliminary findings suggest that the decision aid could help to reduce decisional conflicts and encourage uptake of screening. Full-scale studies are needed to confirm these findings.

Trial registration: This study was registered at the International Standard Randomised Controlled Trial Number Registry (ISRCTN59163820) on 4 August 2022.

基于网络的决策辅助支持年轻职业女性宫颈癌筛查决策的效果:一项随机对照试验
背景:年轻的职业女性将大部分时间都投入到工作和家务中,当面临宫颈癌筛查的决定时,她们可能会遇到冲突。本研究旨在评估基于网络的决策辅助对年轻职业女性宫颈癌筛查的可接受性和可行性,并初步考察决策辅助对知识水平、风险认知、决策冲突、筛查决策和筛查摄取的影响。方法:采用随机对照试验。研究共招募了158名年龄介乎25至44岁、在过去3年内未曾接受子宫颈癌普查的在职妇女。分配到干预组的招募妇女接受了基于网络的决策辅助,其中包含有关Papanicolaou测试和HPV测试的信息,而对照组则接受了常规护理,即关于健康生活的情况说明书。结果:共138人(干预组72人,对照组66人)完成了研究和筛查摄取评估。干预组在决策冲突的亚量表得分和总分上有更大的改善(效应量为0.71-0.90),并且与对照组相比,干预组接受宫颈癌筛查的比例有统计学意义上的显著提高(31.9% vs 6.1%)。大多数受访者对干预感到满意。结论:在年轻职业女性中实施基于网络的决策辅助是可行和可接受的。初步研究结果表明,决策辅助可以帮助减少决策冲突,鼓励接受筛查。需要进行全面的研究来证实这些发现。试验注册:本研究于2022年8月4日在国际标准随机对照试验编号注册中心(ISRCTN59163820)注册。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
5.20
自引率
3.70%
发文量
97
期刊介绍: The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信