title: Changing knowledge, attitudes, and behaviors regarding cervical cancer screening: The effects of an educational intervention in rural Kenya.
abstract: OBJECTIVE
  Cervical cancer screening uptake may be influenced by inadequate knowledge in resource-limited settings. This randomized trial evaluated a health talk's impact on cervical cancer knowledge, attitudes, and screening rates in rural Kenya.
  
  
  METHODS
  419 women attending government clinics were randomized to an intervention (N=207) or control (N=212) group. The intervention was a brief health talk on cervical cancer. Participants completed surveys at enrollment (all), immediately after the talk (intervention arm), and at three-months follow-up (all). The primary outcomes were the change in knowledge scores and the final screening rates at three-months follow-up. Secondary outcomes were changes in awareness about cervical cancer screening, perception of personal cervical cancer risk, cervical cancer and HIV stigma, and screening acceptability.
  
  
  RESULTS
  Mean Knowledge Scores increased by 26.4% (8.7 points increased to 11.0 points) in the intervention arm compared to only 17.6% (8.5 points increased to 10.0 points) in the control arm (p<0.01). Screening uptake was moderate in both the intervention (58.9%; N=122) and control (60.9%; N=129) arms, with no difference between the groups (p=0.60).
  
  
  CONCLUSIONS
  A brief health talk increased cervical cancer knowledge, although it did not increase screening over simply informing women about free screening.
  
  
  CONCLUSIONS
  Screening programs can increase patient understanding with just a brief educational intervention.
authors: Department of Internal Medicine, University of Washington, Seattle, USA. Electronic address: joelleir@u.washington.edu.
authors: Joelle I
authors: JI
authors: Rosser
authors: Centre for Microbiology Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
authors: Betty
authors: B
authors: Njoroge
authors: Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Reproductive Health, University of California, San Francisco, USA.
authors: Megan J
authors: MJ
authors: Huchko
mesh_terms: D000328:Adult; D000368:Aged; D055088:Early Detection of Cancer / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007630:Kenya; D008403:Mass Screening / Q000379:methods / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010465:Perception; D012306:Risk; D012424:Rural Population / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000517:prevention & control*
keywords: Behavior; Cervical cancer screening; Health education; Knowledge; Risk perception; Sub-Saharan Africa