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Mobile health-delivered narrative intervention to increase cervical cancer screening among Malawian women living with HIV: A pilot randomized controlled trial.
Lee, Haeok; Mtengezo, Jasintha T; Makin, Mary Sue; Shi, Ling; Malata, Address; Fitzpatrick, Joyce; Ngoma, Jonathan; Zhang, Lingling; Larkey, Linda; Stuart-Shor, Eileen; Mlombe, Yohannie; Kim, Deogwoon.
Afiliación
  • Lee H; Rory Meyers College of Nursing, New York University, New York City, NY, USA.
  • Mtengezo JT; Rory Meyers College of Nursing, New York University, New York City, NY, USA.
  • Makin MS; Ekwendeni College of Health Sciences, Ekwendeni, Malawi.
  • Shi L; Manning Colleges of Nursing and Health Sciences, University of Massachusetts Boston, Boston, USA.
  • Malata A; Malawi University of Science and Technology, Thylolo, Malawi.
  • Fitzpatrick J; College of Nursing, Case Western Reserve University, Cleveland, USA.
  • Ngoma J; Kamazu Central Hospital, Lilongwe, Malawi.
  • Zhang L; Manning Colleges of Nursing and Health Sciences, University of Massachusetts Boston, Boston, USA.
  • Larkey L; College of Nursing and Health Innovation, Arizona State University, Phoenix, USA.
  • Stuart-Shor E; Manning Colleges of Nursing and Health Sciences, University of Massachusetts Boston, Boston, USA.
  • Mlombe Y; Hematology Unit, Pathology Department, School of Medicine and Oral Health, Kamuzu University of Health Sciences, Blantyre, Malawi.
  • Kim D; Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, USA.
Asia Pac J Oncol Nurs ; 11(5): 100448, 2024 May.
Article en En | MEDLINE | ID: mdl-38784066
ABSTRACT

Objective:

This study aimed to develop and evaluate a mobile health (mHealth)-delivered, theory-guided, culturally tailored storytelling narrative (STN) intervention to increase cervical cancer screening among Malawian women living with human immunodeficiency virus (HIV).

Methods:

This study involved two phases Phase 1 development of a theory-guided and culturally adapted STN intervention and Phase 2 a pilot randomized controlled trial was conducted. Participants were randomly assigned to one of three arms Arm 1 tablet-based video (mHealth) with STN (n = 60); Arm 2 mHealth with a video of nonnarrative educational materials (n = 59); and Arm 3 control group with only reading nonnarrative educational materials in person (n = 60). Cervical cancer screening was measured using visual inspection with acetic acid (VIA) uptakes by self-report and health passport record review at 2 and 6 months after intervention.

Results:

Both arms 1 and 2 had nearly twice the rate of VIA uptakes than those in Arm 3 (51.0% and 50.0%, respectively, vs. 35.0%, P = 0.01) at 2 months follow-up, but there were no differences among groups from 2- to 6-month follow-ups. All groups demonstrated significant improvement of knowledge about risk factors, intention, and VIA uptakes.

Conclusions:

The findings demonstrate the preliminary effectiveness of the intervention on cervical cancer screening behavior and the feasibility of the study regarding recruitment, retention, treatment fidelity, and acceptability of the single 30-min session. The feasibility and the preliminary results of the effectiveness of the proposed study indicate scaling up the STN intervention to a larger population of women to increase cervical cancer screening uptake to prevent deaths due to cervical cancer in Malawi.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Asia Pac J Oncol Nurs Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Asia Pac J Oncol Nurs Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos