Evidence map›Paper›PMID 26763304›Full record

ArticleJournal of primary care & community health2016

Changes in Knowledge and Beliefs About Human Papillomavirus and Cervical Cancer Screening Intervals in Low-Income Women After an Educational Intervention.

Katherine B Roland, Vicki B Benard, April Greek, Nikki A Hawkins, Lavinia Lin

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of primary care & community health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 15 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Katherine B RolandCenters for Disease Control and Prevention, Atlanta, GA, USA kroland@cdc.gov.
Vicki B BenardCenters for Disease Control and Prevention, Atlanta, GA, USA.
April GreekBattelle, Health & Analytics, Seattle, WA, USA.
Nikki A HawkinsCenters for Disease Control and Prevention, Atlanta, GA, USA.
Lavinia LinCenters for Disease Control and Prevention, Atlanta, GA, USA.
Centers for Disease Control and Prevention · USBattelle · US

Funding

Intramural CDC HHS CC999999PHS HHS 200-2002-00573
6 · The paper itself

Abstract

introductionWomen have been reluctant to adopt longer than annual intervals for cervical cancer screening, despite guidelines recommending screening every 3 to 5 years. Our study assessed patient knowledge and beliefs about human papillomavirus (HPV) and cervical cancer screening after exposure to an educational intervention, and whether there was a change in time regarding knowledge and beliefs among all study participants in an underserved population.

methodThe study was conducted in 15 clinics associated with 6 Federally Qualified Health Centers in Illinois, USA. Cervical cancer screening patients (n = 644) completed a baseline and postintervention follow-up survey. The intervention included an HPV test and an educational pamphlet. Significance testing of changes in knowledge and beliefs was conducted with multilevel, mixed-effects models adjusting for repeated measures of patients and clustering within clinics.

resultsNo significant differences in study outcomes were found between the intervention and control groups. Among all women, knowledge of HPV significantly improved over time. At follow-up, fewer women reported that having a co-test is good, wise, will give you peace of mind, will tell you whether you need to worry if Pap is abnormal, is something your doctor thinks you should have, and will give you the best care available. More women said it would be bad, useless, or worrying to wait 3 years for a Pap test at follow-up.

conclusionHPV knowledge improved over time, but the educational intervention utilized in this study was not successful in improving attitudes and beliefs about co-testing and longer screening intervals, and beliefs about HPV co-testing and 3-year screening intervals were less favorable. Having health care providers discuss the consequences of overscreening and the natural history of HPV and cervical cancer with their patients may help increase adherence to longer screening intervals. Further examination of the essential components for educational intervention in this population is warranted.

Indexed as

Health Knowledge, Attitudes, PracticePapillomaviridaeAdultAgedEarly Detection of CancerFemaleHumansIllinoisMass ScreeningMiddle AgedPamphletsPatient Acceptance of Health CarePatient Education as TopicPovertyTime FactorsUterine Cervical Neoplasmscancer screeningcervical cancerFQHCHPVmedically underserved

Identifiers

PMID26763304
PMCPMC4892115
OpenAlexW2336076131

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.