The Impact of Video-Based Educational Interventions on Cervical Cancer, Pap Smear and HPV Vaccines

Background: Video-based interventions have the potential to contribute to long-lasting improvements in health-seeking behaviours. Ghana's upsurge rate of information and communication technology usage presents an opportunity to improve the awareness of HPV vaccination and screening rates of cer...

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Main Authors: Emmanuel Kwateng Drokow, Clement Yaw Effah, Clement Agboyibor, Evans Sasu, Cecilia Amponsem-Boateng, Gloria Selorm Akpabla, Hafiz Abdul Waqas Ahmed, Kai Sun
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-07-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2021.681319/full
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author Emmanuel Kwateng Drokow
Clement Yaw Effah
Clement Agboyibor
Evans Sasu
Cecilia Amponsem-Boateng
Gloria Selorm Akpabla
Hafiz Abdul Waqas Ahmed
Kai Sun
author_facet Emmanuel Kwateng Drokow
Clement Yaw Effah
Clement Agboyibor
Evans Sasu
Cecilia Amponsem-Boateng
Gloria Selorm Akpabla
Hafiz Abdul Waqas Ahmed
Kai Sun
author_sort Emmanuel Kwateng Drokow
collection DOAJ
description Background: Video-based interventions have the potential to contribute to long-lasting improvements in health-seeking behaviours. Ghana's upsurge rate of information and communication technology usage presents an opportunity to improve the awareness of HPV vaccination and screening rates of cervical cancer among women in Ghana. This research aimed to assess the impact of video-based educational intervention centred on the Health Belief and Transtheoretical Models of behavioural changes in promoting HPV vaccination, cervical carcinoma awareness and willingness to have Pap smear test (PST) among women in Ghana.Methods: To achieve the intended sample size, convenient, purposive and stratified random sampling techniques were used. SPSS v. 23.0 was used in the data analysis. Percentages and frequencies were used to represent participants' demographic characteristics, knowledge of (1) cervical carcinoma, (2) human papillomavirus vaccine, and (3) Pap smear test. The chi-square test by McNemar was employed to evaluate variations in the post- and pre-intervention responses. A p-value < 0.05 was considered statistically significant. The level of significance was adjusted owing to multiple comparisons by using the Bonferroni's correction.Results: Before the intervention, 84.2% of the participant had some knowledge or information about cervical cancer, but after the intervention, 100% of the participant became aware of cervical cancer which represents 15.8% increment at a P < .001. The willingness to have a pap smear test increased from 35.8% to 94.2% (df = 58.4%, P < .001) after the educational intervention. The willingness to be vaccinated increased from 47.5% to 81.7% (df = 34.2%, P < .001) after the educational intervention. Six months after the intervention, participants were followed-up. 253 (42.2%) participants had gone for cervical cancer screening (Pap smear test) while 347 (57.8%) participants had not been screened. In terms of HPV vaccination, 192 participants (32.0%) had begun their HPV vaccination cycle.Conclusion: The study results show that health education, using videos, may be influential in perception changing, self-efficacy improvement and the understanding of cervical carcinoma screening and HPV vaccination.
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spelling doaj.art-5610a0cb26a642cb9c3bdb494479e4db2022-12-21T19:14:06ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-07-01910.3389/fpubh.2021.681319681319The Impact of Video-Based Educational Interventions on Cervical Cancer, Pap Smear and HPV VaccinesEmmanuel Kwateng Drokow0Clement Yaw Effah1Clement Agboyibor2Evans Sasu3Cecilia Amponsem-Boateng4Gloria Selorm Akpabla5Hafiz Abdul Waqas Ahmed6Kai Sun7Department of Radiation Oncology, Zhengzhou University People's Hospital and Henan Provincial People's Hospital Henan, Zhengzhou, ChinaCollege of Public Health, Zhengzhou University, Zhengzhou, ChinaSchool of Pharmaceutical Sciences, Zhengzhou University, Zhengzhou, ChinaDepartment of Radiotherapy, National Centre for Radiotherapy and Nuclear Medicine, Korle Bu Teaching Hospital, Accra, GhanaDepartment of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Internal Medicine, Tianjin Medical University, Tianjin, ChinaDepartment of Haematology, Zhengzhou University People's Hospital and Henan Provincial People's Hospital Henan, Zhengzhou, ChinaDepartment of Haematology, Zhengzhou University People's Hospital and Henan Provincial People's Hospital Henan, Zhengzhou, ChinaBackground: Video-based interventions have the potential to contribute to long-lasting improvements in health-seeking behaviours. Ghana's upsurge rate of information and communication technology usage presents an opportunity to improve the awareness of HPV vaccination and screening rates of cervical cancer among women in Ghana. This research aimed to assess the impact of video-based educational intervention centred on the Health Belief and Transtheoretical Models of behavioural changes in promoting HPV vaccination, cervical carcinoma awareness and willingness to have Pap smear test (PST) among women in Ghana.Methods: To achieve the intended sample size, convenient, purposive and stratified random sampling techniques were used. SPSS v. 23.0 was used in the data analysis. Percentages and frequencies were used to represent participants' demographic characteristics, knowledge of (1) cervical carcinoma, (2) human papillomavirus vaccine, and (3) Pap smear test. The chi-square test by McNemar was employed to evaluate variations in the post- and pre-intervention responses. A p-value < 0.05 was considered statistically significant. The level of significance was adjusted owing to multiple comparisons by using the Bonferroni's correction.Results: Before the intervention, 84.2% of the participant had some knowledge or information about cervical cancer, but after the intervention, 100% of the participant became aware of cervical cancer which represents 15.8% increment at a P < .001. The willingness to have a pap smear test increased from 35.8% to 94.2% (df = 58.4%, P < .001) after the educational intervention. The willingness to be vaccinated increased from 47.5% to 81.7% (df = 34.2%, P < .001) after the educational intervention. Six months after the intervention, participants were followed-up. 253 (42.2%) participants had gone for cervical cancer screening (Pap smear test) while 347 (57.8%) participants had not been screened. In terms of HPV vaccination, 192 participants (32.0%) had begun their HPV vaccination cycle.Conclusion: The study results show that health education, using videos, may be influential in perception changing, self-efficacy improvement and the understanding of cervical carcinoma screening and HPV vaccination.https://www.frontiersin.org/articles/10.3389/fpubh.2021.681319/fullcervical cancervideo basededucational interventionpap smear testhuman papillomavirus
spellingShingle Emmanuel Kwateng Drokow
Clement Yaw Effah
Clement Agboyibor
Evans Sasu
Cecilia Amponsem-Boateng
Gloria Selorm Akpabla
Hafiz Abdul Waqas Ahmed
Kai Sun
The Impact of Video-Based Educational Interventions on Cervical Cancer, Pap Smear and HPV Vaccines
Frontiers in Public Health
cervical cancer
video based
educational intervention
pap smear test
human papillomavirus
title The Impact of Video-Based Educational Interventions on Cervical Cancer, Pap Smear and HPV Vaccines
title_full The Impact of Video-Based Educational Interventions on Cervical Cancer, Pap Smear and HPV Vaccines
title_fullStr The Impact of Video-Based Educational Interventions on Cervical Cancer, Pap Smear and HPV Vaccines
title_full_unstemmed The Impact of Video-Based Educational Interventions on Cervical Cancer, Pap Smear and HPV Vaccines
title_short The Impact of Video-Based Educational Interventions on Cervical Cancer, Pap Smear and HPV Vaccines
title_sort impact of video based educational interventions on cervical cancer pap smear and hpv vaccines
topic cervical cancer
video based
educational intervention
pap smear test
human papillomavirus
url https://www.frontiersin.org/articles/10.3389/fpubh.2021.681319/full
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