Educational Interventions for Cervical Cancer Screening Behavior of Women: A Systematic Review

Marzieh Saei Ghare Naz, Nourossadat Kariman, Abbas Ebadi, Giti Ozgoli, Vida Ghasemi, Farzaneh Rashidi Fakari, Marzieh Saei Ghare Naz, Nourossadat Kariman, Abbas Ebadi, Giti Ozgoli, Vida Ghasemi, Farzaneh Rashidi Fakari

Abstract

Background: Cervical cancer is the second most common cancer in women worldwide; early detection can play a key role in reducing the associated morbidity. The objective of this study was to systematically assess the effects of educational interventions on cervical cancer screening (CCS) behavior of women. Methods: In this review the Cochrane library, Web of Science, Science Direct, PubMed, Scopus and search engine of Google scholar were searched for all interventional studies (trails, pre- and post-test or quasi-experimental) published in 2000-2017 for a systematic review, The search was based on the following keywords: cervix cancer, uterine cervical neoplasms, screening, prevention and control, Papanicolaou Test, pap test, pap smear, education, intervention, systematic review. Due to the heterogeneity of the data, a qualitative analysis was performed. Results: Thirty seven articles with 15,658 female participants in different parts of world were included in the review. About three quarters of the articles covered behavior change interventions. About one fourth of the articles were based on health education methods. The heath belief model is the most popular used framework for cervical cancer screening interventions. The results of our study showed that different health education methods (such as calls, mailed postcards, mother/daughter education. consultation sessions, picture books, videos, PowerPoint slides, small group discussions, educational brochures, radio broadcast education, lecture presentations, tailored counseling and a fact sheet, Self-learning package, face-to- face interviews and etc) are effective in modifying cervical cancer screening behavior of women. Conclusions: Our results showed that the different interventions and health behavior change frameworks provide an effective base for cervical cancer prevention. Heath providers can chose educational methods based on the particular client situations.

Keywords: Cervical cancer; screening; systematic review; prevention; Pap test; cervical neoplasm.

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Figures

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Figure 1
Flowchart of Articles Selection

References

    1. Abdullah F, Su TT. Applying the transtheoretical model to evaluate the effect of a call–recall program in enhancing Pap smear practice:A cluster randomized trial. Prev Med. 2013;57:83–6.
    1. Abiodun OA, Olu-Abiodun OO, Sotunsa JO, Oluwole FA. Impact of health education intervention on knowledge and perception of cervical cancer and cervical screening uptake among adult women in rural communities in Nigeria. BMC Public Health. 2014;14:814.
    1. Armijo OS, Stiles R, Hagen NA, Biondo PD, Cummings GG. Assessment of study quality for systematic reviews:a comparison of the cochrane collaboration risk of bias tool and the effective public health practice project quality assessment tool:methodological research. J Eval Clin Pract. 2012;18:12–8.
    1. Austoker J, Bankhead C, Forbes LJL, et al. Interventions to promote cancer awareness and early presentation:systematic review. Br J Cancer. 2009;101:31–9.
    1. Baron RC, Rimer BK, Breslow RA, et al. Client-directed interventions to increase community demand for breast, cervical, and colorectal cancer screening:a systematic review. Am J Prev Med. 2008;35:34–55.
    1. Baron RC, Rimer BK, Coates RJ, et al. Methods for conducting systematic reviews of evidence on effectiveness and economic efficiency of interventions to increase screening for breast, cervical, and colorectal cancers. Am J Prev Med. 2008;35:26–33.
    1. Bebis HR, Nesrin Y, Tulay BD, Unal AB, Serkan D. Effect of health education about cervical cancer and papanicolaou testing on the behavior, knowledge, and beliefs of Turkish women. Int J Gynecol Cancer. 2012;22:1407–12.
    1. Bleggi T, Luiz F, Werner B, et al. Cervical cancer screening program of Paraná:Cost-effective model in a developing country. Diagn Cytopathol. 2003;29:49–54.
    1. Champion VL, Springston JK, Zollinger TW, et al. Comparison of three interventions to increase mammography screening in low income African American women. Cancer Detect Prev. 2006;30:535–44.
    1. Chan CWH, Choi KC, Wong RS, et al. Examining the cervical screening behaviour of women aged 50 or above and its predicting factors:A population-based survey. Int J Environ Res Public Health. 2016;13:1195.
    1. Coronado I, Evelyn A, Chidinma P, Aung M, Jolly PE. Increasing cervical cancer awareness and screening in Jamaica:Effectiveness of a theory-based educational intervention. Int J Environ Res Public Health. 2015;13:53.
    1. Daryani S, Shojaeezadeh D, Yazdani Charati J, Batebi A, Naghibi A. The effect of education based on health belief model on women's practice about pap smear test. J Cancer Policy. 2015;8:51–6.
    1. Deeks JJ, Dinnes J, D'amico R, et al. Evaluating non-randomised intervention studies. Health Technol Assess. 2003;7:1–173.
    1. Dehdari T, Hassani L, Hajizadeh E, et al. Effects of an educational intervention based on the protection motivation theory and implementation intentions on first and second pap test practice in Iran. Asian Pac J Cancer Prev. 2014;15:7257–61.
    1. Esin MN, Bulduk S, Ardic A. Beliefs about cervical cancer screening among Turkish married women. J Cancer Edu. 2011;26:510–15.
    1. Fernández E, Maria E, Cardenas TM. Cervical cancer screening among Latinas recently immigrated to the United States. Prev Med. 2004;38:529–35.
    1. Gahremani-Nasab P, Shahnazi M, Farshbaf-Khalili A, Ganbari S. Factors related to cervical cancer screening among women referring to health centers in Tabriz, Iran 2012. Iran J Obstet Gynecol Infertil. 2014;16:15–24.
    1. Gana GJ, Oche MO, Ango JT, Raji MO, Okafoagu NC. Effect of an educational program on awareness of cervical cancer and uptake of Pap smear among market women in Niger State, North Central Nigeria. J Public Health Epidemiol. 2016;8:211–19.
    1. Ghahremani L, Harami ZK, Kaveh MH, Keshavarzi S. Investigation of the role of training health volunteers in promoting pap smear test use among Iranian women based on the protection motivation theory. Asian Pac J Cancer Prev. 2016;17:1157–62.
    1. Group IARC Working. Human papilloma viruses, IARC Monograph on the evaluation of carcinogenic risks to humans. Lyon, France: International Agency for Research on Cancer; 1995. p. 65.
    1. Guvenc G, Akyu A, Açikel CH. Health belief model scale for cervical cancer and Pap smear test:psychometric testing. J Adv Nurs. 2011;67:428–37.
    1. Guvenc G, Akyuz A, Yenen MC. Effectiveness of nursing interventions to increase pap smear test screening. Res Nurs Health. 2013;36:146–57.
    1. Hanaa AA Y, EL Sayed HA. Effect of self learning package based on health belief model on cervical cancer prevention among female university students. J Nurs Health Sci. 2014;3:77–88.
    1. Health World health organization reproductive, diseases, world health organization chronic, and promotion, health. Comprehensive cervical cancer control:a guide to essential practice: World Health Organization. 2006
    1. Hou Su I. Stage of adoption and impact of direct-mail communications with and without phone intervention on Chinese women's cervical smear screening behavior. Prev Med. 2005;41:749–56.
    1. Jibaja W, Maria L, Volk RJ, et al. Tailored messages for breast and cervical cancer screening of low-income and minority women using medical records data. Patient Educ Couns. 2003;50:123–32.
    1. Johnson CE, Mues KE, Mayne SL, Kiblawi AN. Cervical cancer screening among immigrants and ethnic minorities:a systematic review using the health belief model. J Low Genit Tract Dis. 2008;12:232–41.
    1. Karimy M, Gallali M, Niknami SH, Aminshokravi F, Tavafian SS. The effect of health education program based on health belief model on the performance of Pap smear test among women referring to health care centers in Zarandieh. J Jahrom Univ Med Sci. 2012;10:53–9.
    1. Katz ML, Tatum CM, Degraffinreid CR, Dickinson S, Paskett ED. Do cervical cancer screening rates increase in association with an intervention designed to increase mammography usage? J Womens Health. 2007;16:24–35.
    1. Koliopoulos G, Nyaga VN, Santesso N, et al. Cytology versus HPV testing for cervical cancer screening in the general population. Cochrane Database Syst Rev. 2010 doi:10.1002/14651858CD008587.
    1. Krok S, Jessica L, Oliveri JM, et al. Evaluating the stage of change model to a cervical cancer screening intervention among Ohio Appalachian women. Women Health. 2016;56:468–86.
    1. Love GD, Tanjasiri SP. Using entertainment-education to promote cervical cancer screening in Thai women. J Cancer Edu. 2012;27:585–90.
    1. Lu M, Moritz S, Lorenzetti D, et al. A systematic review of interventions to increase breast and cervical cancer screening uptake among Asian women. BMC Public Health. 2012;12:413.
    1. Marek E, Dergez T, Rebek-Nagy G, et al. Effect of an educational intervention on Hungarian adolescents'awareness, beliefs and attitudes on the prevention of cervical cancer. Vaccine. 2012;30:6824–32.
    1. Maxwell AE, Bastani R, Vida P, Warda US. Results of a randomized trial to increase breast and cervical cancer screening among Filipino American women. Prev Med. 2003;37:102–9.
    1. Mc Farland DM. Cervical cancer and pap smear screening in Botswana:knowledge and perceptions. Int Nurs Rev. 2003;50:167–75.
    1. Mishra GA, Pimple SA, Shastri SS. An overview of prevention and early detection of cervical cancers. Indian Indian J Med Paediatr Oncol. 2011;32:125.
    1. Moodi MM, Baladi M, Sharifirad GR, et al. Evaluation of breast self-examination program using Health Belief Model in female students. J Isfahan Univ Med Sci. 2011;16:316.
    1. Nuno T, Martinez ME, Harris R, Garcia F. A promotora-administered group education intervention to promote breast and cervical cancer screening in a rural community along the U.S.-Mexico border:a randomized controlled trial. Cancer Causes Control. 2011;22:367–74.
    1. Nwankwo KC, Aniebue UU, Aguwa EN, Anarado AN, Agunwah E. Knowledge attitudes and practices of cervical cancer screening among urban and rural Nigerian women:a call for education and mass screening. Eur J Cancer Care. 2011;20:362–7.
    1. O'Brien MJ, Halbert CH, Bixby R, et al. Community health worker intervention to decrease cervical cancer disparities in Hispanic women. J Gen Intern Med. 2010;25:1186–92.
    1. Obulaney PA, Gilliland I, Cassells H. Increasing cervical cancer and human papillomavirus prevention knowledge and HPV vaccine uptake through mother/daughter education. J Community Health Res. 2016;33:54–67.
    1. Organization World Health. Strategic framework for the comprehensive control of cancer cervix in South-East Asia Region. 2015
    1. Park S, Chang SB, Chung CW. Effects of a cognition-emotion focused program to increase public participation in Papanicolaou smear screening. Public Health Nurs. 2005;22:289–98.
    1. Partridge EE, Abu-Rustum N, Giuliano A, et al. Cervical cancer screening. J Natl Compr Canc Netw. 2014;12:333–41.
    1. Perkins RB, Langrish S, Stern LJ, Simon CJ. A community-based education program about cervical cancer improves knowledge and screening behavior in Honduran women. Rev Panam Salud Publica. 2007;22:187–93.
    1. Peterson JJ, Suzuki R, Walsh ES, Buckley DI, Krahn GL. Improving cancer screening among women with mobility impairments:Randomized controlled trial of a participatory workshop intervention. Am J Health Promot. 2012;26:212–16.
    1. Pirzadeh AM, Maryam A. The effect of education on women's practice based on the health belief model about pap smear test. Int J Prev Med. 2012;3:585–90.
    1. Reis N, Bebis H, Kose S, et al. Knowledge, behavior and beliefs related to cervical cancer and screening among Turkish women. Asian Pac J Cancer Prev. 2012;13:1463–70.
    1. Roncancio AM, Ward KK, Fernandez ME. Understanding cervical cancer screening intentions among Latinas using an expanded theory of planned behavior model. Int J Behav Med. 2013;39:66–72.
    1. Rosser JI, Njoroge B, Huchko MJ. Changing knowledge, attitudes, and behaviors regarding cervical cancer screening:The effects of an educational intervention in rural Kenya. Patient Educ Couns. 2015;98:884–9.
    1. Ryan P. Integrated theory of health behavior change:background and intervention development. Clin Nurse Spec. 2009;23:161.
    1. Sabates R, Feinstein L. The role of education in the uptake of preventative health care:the case of cervical screening in Britain. Soc Sci Med. 2006;62:2998–3010.
    1. Shobeiri F, Javad MT, Parsa P, Roshanaei G. Effects of group training based on the health belief model on knowledge and behavior regarding the pap smear test in Iranian women:a quasi-experimental study. Asian Pac J Cancer Prev. 2016;17:2871–6.
    1. Shojaeizadeh D, Hashemi SZ, Moeini B, Poorolajal J. The effect of educational program on increasing cervical cancer screening behavior among women in Hamadan, Iran:Applying health belief model. J Res Health Sci. 2011;11:20–5.
    1. shoorijeh L, Taghi-Pour S, Abedini LH, Ghanbarnejad A. The impact of educational interventions based on the health belief model (Hbm) pap smear test in women referred to health centers of Bandar Abbas. I JABER. 2015;13:3579–90.
    1. Soares MBO, Silva SRd. Interventions that facilitate adherence to Pap smear exam:integrative review. Rev Bras Enferm. 2016;69:404–14.
    1. Spadea T, Bellini S, Kunst A, Stirbu I, Costa G. The impact of interventions to improve attendance in female cancer screening among lower socioeconomic groups:a review. Prev Medi. 2010;50:159–64.
    1. Taylor VM, Hislop TG, Jackson JC, et al. A randomized controlled trial of interventions to promote cervical cancer screening among Chinese women in North America. J Nat Cancer Inst. 2002;94:670–7.
    1. Thomas BH, Ciliska D, Dobbins M, Micucci S. A process for systematically reviewing the literature:providing the research evidence for public health nursing interventions. Worldviews Evid Based Nurs. 2004;1:176–84.
    1. Thompson B, Carosso EA, Jhingan E, et al. Results of a randomized controlled trial to increase cervical cancer screening among rural Latinas. Cancer. 2017;123:666–74.
    1. Wallace J, Byrne C, Clarke M. Improving the uptake of systematic reviews:a systematic review of intervention effectiveness and relevance. BMJ Open. 2014;4:e005834.
    1. Wright KO, Kuyinu YA, Faduyile FA. Community education on cervical cancer amongst market women in an urban area of Lagos, Nigeria. Asian Pac J Cancer Prev. 2010;11:137–40.
    1. Yabroff KR, Mangan P, Mandelblatt J. Effectiveness of interventions to increase Papanicolaou smear use. J Am Board Fam Pract. 2003;16:188–203.

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