Evidence map›Paper›PMID 25858634›Full record

Trial reportPatient education and counseling2015

Changing knowledge, attitudes, and behaviors regarding cervical cancer screening: The effects of an educational intervention in rural Kenya.

Joelle I Rosser, Betty Njoroge, Megan J Huchko

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Patient education and counseling, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 9 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 9 syntheses or guidelines pooled it, 115 citations in OpenAlex.

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  5. The Effectiveness of Interventional Cancer Education Programs for School Students Aged 8-19 Years: a Systematic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
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  15. A Qualitative Exploration of Women's Experiences with a Community Health Volunteer-Led Cervical Cancer Educational Module in Migori County, Kenya.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 2 countries.

Joelle I RosserDepartment of Internal Medicine, University of Washington, Seattle, USA. Electronic address: joelleir@u.washington.edu.
Betty NjorogeCentre for Microbiology Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Megan J HuchkoDepartment of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Reproductive Health, University of California, San Francisco, USA.
Ibis Reproductive Health · USKenya Medical Research Institute · KEUniversity of Washington · US

Funding

CTSA: K12 COMPONENTKL2RR024130 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$19.3M
Clinical and Transtional Science InstituteKL2TR000143 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$11.9M
NCATS NIH HHS KL2 TR000143NCI NIH HHS L30 CA142334NCRR NIH HHS KL2 RR024130NCRR NIH HHS KL2-RR024130-04
6 · The paper itself

Abstract

objectiveCervical cancer screening uptake may be influenced by inadequate knowledge in resource-limited settings. This randomized trial evaluated a health talk's impact on cervical cancer knowledge, attitudes, and screening rates in rural Kenya.

methods419 women attending government clinics were randomized to an intervention (N=207) or control (N=212) group. The intervention was a brief health talk on cervical cancer. Participants completed surveys at enrollment (all), immediately after the talk (intervention arm), and at three-months follow-up (all). The primary outcomes were the change in knowledge scores and the final screening rates at three-months follow-up. Secondary outcomes were changes in awareness about cervical cancer screening, perception of personal cervical cancer risk, cervical cancer and HIV stigma, and screening acceptability.

resultsMean Knowledge Scores increased by 26.4% (8.7 points increased to 11.0 points) in the intervention arm compared to only 17.6% (8.5 points increased to 10.0 points) in the control arm (p<0.01). Screening uptake was moderate in both the intervention (58.9%; N=122) and control (60.9%; N=129) arms, with no difference between the groups (p=0.60).

conclusionA brief health talk increased cervical cancer knowledge, although it did not increase screening over simply informing women about free screening. PRACTICAL IMPLICATIONS: Screening programs can increase patient understanding with just a brief educational intervention.

Indexed as

Health Knowledge, Attitudes, PracticeAdultAgedEarly Detection of CancerFemaleHealth EducationHumansKenyaMass ScreeningMiddle AgedPatient Acceptance of Health CarePerceptionRiskRural PopulationSurveys and QuestionnairesUterine Cervical NeoplasmsBehaviorCervical cancer screeningHealth educationKnowledgeRisk perceptionSub-Saharan Africa

Identifiers

PMID25858634
PMCPMC4437717
OpenAlexW2108575464

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.