Effectiveness of a Cervical Cancer Stigma Reduction Intervention Program on Cancer Stigma Score and Cervical Cancer Screening Uptake in Nepal
Condition: Cervical Cancer; Stigma; Screening
MeSH terms: Uterine Cervical Neoplasms
Study type: Interventional

Summary: 
      It is a cluster randomized control trial to assess the effectiveness of the cervical cancer
      stigma reduction intervention on cancer stigma score and cervical cancer screening uptake in
      Nepal
    

Detailed description: 
      Despite the presence of ample evidence, that stigma is one of the major reasons for low
      screening coverage, Nepal does not have a single stigma reduction intervention targeted among
      women to increase cervical cancer screening coverage. Therefore, we aim to assess the
      effectiveness of a stigma reduction education program on stigma score and cervical cancer
      screening uptake in Nepal. We will conduct a two-arm open-label cluster-interventional study
      in Budanilkhantha Municipality. A computer-based program will randomly allocate the 12 wards
      of Budanilkhantha Municipality with an allocation ratio 1:1; 6 wards in intervention group
      and 6 wards in control group. We will conduct a "stigma reduction education program" in the
      intervention group. After that we will follow up the participants for2 months to see the
      effectiveness of a stigma reduction education program on stigma score and cervical cancer
      screening uptake in Nepal. We will analyze data using STATA 14. We will use independent tests
      to find the mean difference between cervical cancer screening uptake and cervical cancer
      stigma score. The difference in mean among the two groups will actually be the difference due
      to intervention given. Findings from this study will help managers and stakeholders to
      formulate and improve strategies on screening programs and develop programs to reduce stigma
      on cervical cancer among women in Nepal.
    

Intervention name(s): "Cervical Cancer Stigma Reduction Intervention"
Intervention type(s): Behavioral
Intervention description(s): Change in knowledge:
Cervical cancer burden in Nepal, signs and symptoms, preventive measures available, lifestyle modifications, HPV vaccination, early diagnosis, screening, and treatment.
Change in Stigma
Para-social contact
Video of a person facing cervical cancer what symptoms she got, how she dealt with it, and how she overcame it.
Experiences of a cervical cancer survivor so that women personalize the information by relating it to their own life experiences by changing their attitude and behavior.
Participatory learning techniques
Personal stories: Voluntary self-reflection of any stigma they perceive on cervical cancer or their community perceives cervical cancer.
Group Discussion: Discuss the drivers of stigma, facilitators of sigma, types of stigma prevalent in your community, and consequences of stigma.
Myths vs facts: Negative attitudes, myths, and misconceptions about cervical cancer will be contraindicated by factual information.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Screening