The Effects of a Motivational Enhancement and Educational Program on Cervical Cancer Prevention Behaviors, Anxiety and Rate of Follow-Up Colposcopy Among Women with Abnormal Pap Test
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Abstract: Cervical cancer is a significant public health challenge with an increasing trend. When screening results indicate abnormalities, further diagnosis through colposcopy is required. However, the colposcopy follow-up rate among women with abnormal Pap test results remains low. This quasi-experimental study aimed to evaluate the effects of a motivational enhancement and educational program on cervical cancer prevention behaviors, anxiety levels, and colposcopy follow-up rates in women with abnormal Pap test results. Fifty-six women who met the inclusion criteria, were assigned equally into experimental group (n = 28) who received the motivational enhancement and educational program in addition to routine care and a control group (n = 28) who received routine care. Data collection instruments included the Demographic Characteristics Form, the Cervical Cancer Knowledge and the Cervical Cancer Prevention Behavior Questionnaire, and the Generalized Anxiety Disorder Questionnaire (GAD-7). Data were analyzed using descriptive statistics (frequencies, percentages, means, and standard deviations) and t-tests to evaluate the within-group and between-group differences. The results demonstrated that the experimental group had significantly higher mean scores for cervical cancer prevention behaviors and lower anxiety levels after receiving the program than before (p < .05). Comparisons between groups revealed that the experimental group had significantly better cervical cancer prevention behaviors, higher colposcopy follow-up rates, and lower anxiety levels than the control group (p < .05). Therefore, nurses should integrate this program into health promotion activities to ensure that women with abnormal cervical cell test results receive timely and appropriate treatment.
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