title: Impact of a Video Intervention for Rural Peruvian Women With Cervical Neoplasia Before Loop Excisional Procedures.
abstract: OBJECTIVE
  Indigenous Peruvian women have very high rates of cervical cancer. This study assessed the impact of an educational video on impoverished rural Peruvian women seeking loop excision surgery.
  
  
  METHODS
  Women completed baseline, postvideo and postsurgery questionnaires that assessed knowledge and attitudes about the procedure. Differences between groups were examined using repeated measures analysis of variance.
  
  
  RESULTS
  Women who watched the video were significantly more calm (2.6, 2.6, and 2.3, respectively; P = 0.04), relaxed (2.5, 2.5, and 2.1, respectively; P = 0.02), and content (3.4, 3.4, and 2.4, respectively, P < 0.01) at postvideo and postsurgery assessments compared with mean results at the baseline assessment. The same women were also significantly more tense (2.5, 2.0, and 2.0, respectively; P = 0.01), upset (1.6, 1.1, and 1.1, respectively; P = 0.01), and worried (3.0, 2.0, and 2.0, respectively; P = 0.01) at baseline compared with postvideo and postsurgery results. Approximately 93% of women believed that other women scheduled to have loop excision surgery should also watch the video.
  
  
  CONCLUSIONS
  Dissemination of culturally sensitive video information minimizes adverse emotional responses associated with loop excision procedures before surgery. Such an intervention quickly improves the psychological well-being of women eventually subjected to surgical management of cervical neoplasia.
authors: 1Department of Obstetrics and Gynecology, Georgia Regents University Cancer Center, 2Department of Biostatistics, Georgia Regents University, Augusta, Georgia; 3CerviCusco, Cusco, Peru; and 4Karolinska Institute, Stockholm, Sweden.
authors: Daron G
authors: DG
authors: Ferris
authors: Wendy Shulay Guevara
authors: WS
authors: Condorhuaman
authors: Jennifer
authors: J
authors: Waller
authors: Anneliese
authors: A
authors: Lilienthal
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D004644:Emotions; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods / Q000523:psychology*; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007199:Indians, South American / Q000523:psychology*; D008875:Middle Aged; D017060:Patient Satisfaction; D010568:Peru; D012424:Rural Population; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000523:psychology* / Q000601:surgery; D014741:Video Recording; D016387:Women's Health / Q000208:ethnology