This multilevel randomized behavioral study evaluates participant- and provider-level stigma-reduction interventions in Zambia. Participant-level intervention: Women living with cervical cancer and HIV (WLC+H ) are randomized in a 2×2 factorial design of storytelling versus neutral videos and storytelling versus neutral disclosure interventions to assess effects on quality of life, anxiety, and depressive symptoms. Provider-level intervention: Healthcare workers are randomized to storytelling or neutral videos to assess changes in stigma and compassion. The study also evaluates participant -reported stigma and satisfaction with care before and after implementation of the provider intervention.
Inclusion Criteria:
Patient-level intervention
Provider-level intervention
1. Employment at the Cancer Disease Hospital in Lusaka, Zambia
Exclusion Criteria:
Patient-level intervention
1.Inability to provide informed consent and presence of a major mental health disorder (e.g., schizophrenia or bipolar disorder), as determined by participant records or self-report.
Provider-level intervention
1. Inability to provide informed consent
qlu@mdanderson.org(713) 745-8324
Participants and outcomes assessors
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