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Educational Interventions for Cervical Cancer Screening Behavior of Women: A Systematic Review
Authors:Marzieh Saei Ghare Naz1Nourossadat Kariman2   3Abbas Ebadi4Giti Ozgoli2Vida Ghasemi1Farzaneh Rashidi Fakari1
Abstract:Background: Cervical cancer is the second most common cancer in women worldwide; early detection can playa key role in reducing the associated morbidity. The objective of this study was to systematically assess the effects ofeducational interventions on cervical cancer screening (CCS) behavior of women. Methods: In this review the Cochranelibrary, Web of Science, Science Direct, PubMed, Scopus and search engine of Google scholar were searched for allinterventional studies (trails, pre- and post-test or quasi-experimental) published in 2000-2017 for a systematic review,The search was based on the following keywords: cervix cancer, uterine cervical neoplasms, screening, prevention andcontrol, Papanicolaou Test, pap test, pap smear, education, intervention, systematic review. Due to the heterogeneityof the data, a qualitative analysis was performed. Results: Thirty seven articles with 15,658 female participants indifferent parts of world were included in the review. About three quarters of the articles covered behavior changeinterventions. About one fourth of the articles were based on health education methods. The heath belief model isthe most popular used framework for cervical cancer screening interventions. The results of our study showed thatdifferent health education methods (such as calls, mailed postcards, mother/daughter education. consultation sessions,picture books, videos, PowerPoint slides, small group discussions, educational brochures, radio broadcast education,lecture presentations, tailored counseling and a fact sheet, Self-learning package, face-to- face interviews and etc) areeffective in modifying cervical cancer screening behavior of women. Conclusions: Our results showed that the differentinterventions and health behavior change frameworks provide an effective base for cervical cancer prevention. Heathproviders can chose educational methods based on the particular client situations.
Keywords:Cervical cancer  Screening  Systematic review  Prevention  Pap test
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