The Effect of Face-to-face and Online Health Education on Women's Cervical Cancer Knowledge, Health Beliefs and Screening
Condition: Early Detection of Cancer
MeSH terms: Uterine Cervical Neoplasms
Study type: Interventional

Summary: 
      Aim: The aim of this study is to determine the effect of health education given by two
      different methods on women's knowledge about HPV, cervical cancer health belief and screening
      test.

      Materials and Methods: The study was conducted in a parallel groups design as a single-blind
      randomized controlled trial. The sample consisted of 126 healthy participants, 42 in each
      volunteer group, who were registered at the Martyr Zafer Çalışkan Family Health Center in
      Ankara between January and July 2023, and met the inclusion criteria. HPV Knowledge scale,
      Cervical Cancer and pap Smear Test Health Belief Model Scale and VAS for self-assessment were
      used in the study. In the study, while the control group received standard care, the
      face-to-face education group was given health education and brochures through home visits and
      a reminder interview over the phone; On the other hand, the online training group was given
      health education and a digital brochure via video call and a reminder meeting was held once.
      One-way analysis of variance and Kruskal Wallis test were used to compare the data of the
      three groups after a two-month follow-up, Tukey and Dunn test for multiple comparisons, and
      Wilcoxon test for in-group comparisons before and after. In addition, two-way analysis of
      variance and Robust ANOVA were used in group and time comparisons.
    

Detailed description: 
      In this randomized controlled trial, participants were assigned to three groups by the block
      randomization method and the study was conducted in a single-blind parallel groups design. It
      was carried out at Martyr Zafer Çalışkan Family Health Center between January 2023 and July
      2023. The eligibility of female participants between the ages of 30-65 to participate in the
      study was evaluated by the researcher. The sample size was calculated based on the rate of
      cervical cancer screening test in Kurt and Akyüz's study. G Power 3.1.9.2 package program was
      used in the calculation. Taking into account possible data loss, it was decided to add 30%
      backup participants. In this context, the sample of the study was calculated as 126
      participants, 42 in each group. The patients who volunteered to participate in the study were
      examined whether they met the inclusion criteria other than the level of drug compliance.
      Written informed consent was obtained from the participants who met the inclusion criteria
      and a questionnaire form was applied. Participants were assigned to groups using the block
      randomization method. No intervention was made in the control group. At the end of the
      following first week, face-to-face and online training was provided with the participants in
      the online training group, one-to-one home visits, face-to-face training and video calls.
      Four weeks later, a brief reminder was made by phone call. At the end of eight weeks, a
      second questionnaire was applied to all groups.
    

Intervention name(s): face to face health education; online health education
Intervention type(s): Behavioral; Behavioral
Intervention description(s): Face-to-face health education with home visit; online health education with video call
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: randomised control trial
Masking: Single (Participant)
Primary purpose: Other
Keywords: Cervical Cancer; Cervical Cancer Screening; Health Education; Online Education; Home Visit