Effects of a motivation enhancing programs for prevention on perceptions of cervical cancer prevention among women undergoing colposcopy

Authors

  • Phitchanan Suriyarat Register Nurse, Professional Level, Obstertrics-Gynaecology Clinic, Phrae Hospital
  • Siriwan Thanyaphon Lecturer, Boromarajonani College of Nursing, Phrae, Faculty of Nursing, Praboromarajchanok Institute
  • Chattaya Suwannakat Register Nurse, Professional Level, Obstertrics-Gynaecology Clinic, Phrae Hospital

Keywords:

a motivation - enhancing programs for cervical cancer prevention, Colposcopy examination, Motivation theory

Abstract

     This study aims to study the effect of a motivation enhancing program for prevention on perceptions of cervical cancer prevention among women undergoing colposcopy. The samples were women with abnormal cervical cancer screening aged 30 to 60 years who came for a colposcopy exam at the Obstetrics and Gynecology room at Phrae Hospital, from September to December 2023. A total of 80 participants were randomly selected on specified criteria and divided into two groups. The 40 participants of the experimental group received a motivation enhancing program for prevention that included a video about cervical cancer, a colposcopy procedure, and brochures on colposcopy and self-care practices. A 40 participants of the control group received standard nursing care. Data were collected using a personal information questionnaire and a cervical cancer prevention awareness questionnaire. The mean scores were compared using Wilcoxon Signed Rank test and Mann Whitney U test.

     The study found that after receiving the program, the experimental group had a statistically significant increase in the mean of cervical cancer prevention perception compared to before the experiment (p <.05). The experimental group also had significantly higher scores in the awareness of the severity of cervical cancer and the risk of developing cervical cancer compared to the control group (p < .05). However, both groups had similar scores in confidence in the outcomes of self-care practices for colposcopy and self-efficacy in performing preventive measures (p > .05). Therefore, both groups consented to undergo colposcopy in all cases (100%).

          Based on the results of this study, it is suggested that nurses can use this motivational program, which includes video and brochure materials, to promote awareness of the severity of cervical cancer, the risk of developing the disease, and preventive practices among women with abnormal cervical cancer screening results. This will help encourage women to accept colposcopy for further diagnosis of cancerous lesions.

References

Apaipim, B., Srisuriyawet, R., & Rattanagreethakul, S. (2019). The effects of cervical cancer screening promoting program on behavior of cervical cancer screening among village health volunteers. Community Health Development Quarterly Khon Kaen University, 7(3), 381-401. Retrieved from https://chdkkujournal.com/subcontent.php?id=733 [In Thai]

Chansura, P., Pinchaleaw, D., & Keskomon, T. (2021). The effects of a motivation enhancing program with line application on prevention behaviors and cervical cancer screening in Mueang Prachuap Khiri khan District, Prachuap Khiri Khan Province. Journal of Nursing Science Christian University of Thailand, 27(4), 65-76. [In Thai]

Ferlay J., Ervik, M., Lam, F., Laversanne, M., Colombet, M., Mery, L., …Bray, F. (2024). Global cancer observatory: Cancer today. Retrieved from https://gco.iarc.who.int/media/globocan/factsheets/cancers/23-cervix-uteri-fact-sheet.pdf

Jengprasert, K., & Kongrot, S. (2021). Effect of a video instruction of colposcopy procedure on knowledge and satisfaction among women with abnormal pap smear results. Thai Journal of Health Education, 44(1), 176-185. Retrieved from https://he01.tci-thaijo.org/index.php/muhed/article/view/247134/168956 [In Thai]

Juntawong, N., Tridech, P., Siri S., & Tridech, C. (2017). Factors related to receiving cervical cancer screening services among women aged 30-60 years in Muang District, Pathumthani Province. Journal of Phrapokklao Nursing College, 28(1), 63-79. [In Thai]

Kostseekiaw T. (2020). The effects of a motivation teaching program of conjunction with “mask in the world” Innovation on perception and cervical cancer screening in target group 30-60 years Mahasarakham Province. Mahasarakham Hospital Journal, 17(1), 58-70. [In Thai]

Laohutanon, P., Chaiwerawattana, A., & Imsamran, W. (2018). Screening guidelines diagnose and treat cervical cancer. Bangkok: Kositpress. [In Thai]

Maddux, J. E., & Rogers, R. W. (1983). Protection motivation and self-efficacy: A revised theory of fear appeals and attitude change. Journal of Experimental Social Psychology, 19(5), 469-479. Retrieved from https://psycnet.apa.org/record/1984-15006-001

National Cancer Institute. (2021). Cancer in Thailand 2021. Retrieved from https://www.nci.go.th/e_book/cit_x/index.html.

Opad N. (2017). The effects of a motivation-enhancing program for the prevention of illness on the perceived prevention of cervical cancer and adherence to follow-up colposcopy among women with abnormal pap test results. Master’s Thesis, Nursing, Thammasat University. Retrieved from https://ethesisarchive.library.tu.ac.th/thesis/2017/TU_2017_5714032108_7806_6610.pdf [In Thai]

Sangbuakaew, A., Jityen, O., & Kaewkhiew, P. (n.d.). Effects of a motivation promotion program on awareness of cervical cancer prevention among women with abnormal cervical cancer screening results. Retrieved from https://www.lpch.go.th/lpch/uploads/20240618142831145562.pdf [In Thai]

Strategy and Planning Division, Office of Permanent Secretary of Ministry of Public Health. (2024). Public health statistics A.D.2022-2023. Retrieved from https://spd.moph.go.th/wp-content/uploads/2022/11/Hstatistic64.pdf. [In Thai]

Sukkasem, T., & Wanaratwichit, C. (2021). Effects of protection motivation theory applying program together with social support on cervical cancers screening among 30 to 60 year-old women at Bannongkrod Health promoting Hospital, Saklake district, Phichit province. Disease Control Journal, 47(1), 859-872. Retrieved from https://doi.nrct.go.th/admin/doc/doc_594879.pdf [In Thai]

Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 71(3), 209-249. Retrieved from https://acsjournals.onlinelibrary.wiley.com/doi/10.3322/caac.21660

Wongpratate, M., & Bumrungthai, S. (2024). Cervical cancer in Thailand: 2023 update. Obstet Gynecol Sci., 67(3), 261-269. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC11099091/ [In Thai]

World Health Organization. (2024). Cervical cancer 2024. Retrieved from https://www.who.int/news-room/fact-sheets/detail/cervical-cancer?gad_source=1&gclid=Cj0KCQjwpNuyBhCuARIsANJqL9OpOcpIKNPZfLCcZBEZKXLzD4l_fzchNbRAzRiEZTQRmTQ4ysv6N7YaAnbtEALw_wcB

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Published

2024-12-30

How to Cite

Suriyarat, P., Thanyaphon, S., & Suwannakat, C. (2024). Effects of a motivation enhancing programs for prevention on perceptions of cervical cancer prevention among women undergoing colposcopy. The Journal of Faculty of Nursing Burapha University, 32(4), 39–51. retrieved from https://he02.tci-thaijo.org/index.php/Nubuu/article/view/271106