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The aim of this study is to evaluate the effect of two different health education methods (one based on motivational interviewing) on women's HPV knowledge, cervical cancer health beliefs, and screening behaviors in women aged 30-65. A total of 90 healthy women who are registered at the Incirli Family Health Center in Ankara, meet the inclusion criteria, and volunteer to participate will be randomly assigned to three groups (30 participants per group).
The control group will receive standard healthcare services. The first intervention group will receive three sessions of motivational interviewing-based health education on cervical cancer prevention through home visits, along with an informational brochure. The second intervention group will receive health education and a brochure, followed by a reminder session via phone. At the end of the study, participants in the control group will be offered the intervention of their choice.
This study aims to evaluate the effect of two different health education methods-one based on motivational interviewing-on HPV knowledge, cervical cancer health beliefs, and screening behavior in women aged 30-65. A total of 90 healthy women, registered at the Incirli Family Health Center in Ankara, who meet the inclusion criteria and provide informed consent, will be randomly assigned into three groups of 30 participants each.
The control group will receive standard healthcare services. The first intervention group will receive three face-to-face educational sessions based on motivational interviewing principles on HPV and cervical cancer prevention through home visits, along with an informational brochure. These sessions will occur during Weeks 1, 2, and 3. A final follow-up session to administer FORM II will be held in Week 8.
The second intervention group will receive a single face-to-face educational session on HPV and cervical cancer prevention (Week 1), receive a brochure, and two follow-up reminder sessions via telephone in Weeks 2 and 3. FORM II will be administered in Week 8.
After the study period, participants in the control group will be offered the opportunity to choose and receive one of the two intervention methods. All participants will complete the HPV Knowledge Scale, the Cervical Cancer and Pap Smear Test Health Belief Model Scale, and a VAS for self-assessment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 2: Health Education | Experimental | Participants will receive a face-to-face health education session and a brochure via a home visit, followed by two follow-up sessions by phone. |
|
| Arm 3: Control Group | No Intervention | Participants will receive standard healthcare services. At the end of the study, they will be offered the intervention of their choice. | |
| Arm 1: Motivational Interviewing-Based Health Education | Experimental | Participants will receive three sessions of face-to-face health education using motivational interviewing techniques through home visits, along with an informational brochure. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Motivational interviewing based health education | Behavioral | Participants will receive three sessions of face-to-face health education using motivational interviewing techniques through home visits, along with an informational brochure. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in screening behavior | Binary outcome (Yes/No) capturing whether the participant underwent screening during the follow-up period. If Yes, the result is recorded; if No, the reason for non-participation is documented. | 8 weeks after intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Change in HPV Knowledge Score Measured by the 33-item HPV Knowledge Scale | Description: The 33-item HPV Knowledge Scale (Demir & Özdemir, 2019) assesses knowledge of HPV infection, screening, and vaccination. Each item is answered Yes/No/Don't know and scored 1 (for correct) or 0 (for incorrect/unknown). Total scores range 0-33; higher scores indicate greater knowledge. | 8 weeks after intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Incirli Family Health Center | Ankara | Kecioren | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D006266 | Health Education |
| D002583 | Uterine Cervical Neoplasms |
| ID | Term |
|---|---|
| D000099060 | Adherence Interventions |
| D055118 | Medication Adherence |
| D010349 | Patient Compliance |
| D010342 | Patient Acceptance of Health Care |
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| Health education | Behavioral | Participants will receive one face-to-face health education session and a brochure, followed by two reminder sessions via phone. |
|
| Change in Health Belief About Cervical Cancer and Pap Smear as Measured by the Cervical Cancer and Pap Smear Health Belief Model Scale (35 items) | The 35-item scale (Güvenç et al., 2011) has five subscales: Benefits & Motivation (8 items), Barriers (14), Perceived Severity (7), Perceived Susceptibility (3), Health Motivation (3). Responses use a 5-point Likert scale (1 = Strongly disagree to 5 = Strongly agree). Subscale scores are summed; higher scores reflect stronger beliefs, except Barriers, where higher scores indicate more perceived barriers. | 8 weeks after intervention |
| Change in Self-Rated Knowledge About Cervical Cancer and Screening Assessed by a 0-10 Visual Analog Scale (VAS) | Description: Participants rate their knowledge on a 10-cm VAS anchored at 0 ("No knowledge") and 10 ("Completely knowledgeable"). | 8 weeks after intervention |
| Satisfaction | Satisfaction with standard care, health education, or MI-based health education assessed by VAS at 8 weeks | 8 weeks after intervention |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
| D014594 | Uterine Neoplasms |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D002577 | Uterine Cervical Diseases |
| D014591 | Uterine Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |