title: Evaluation of Entertainment Education Strategies to Promote Cervical Cancer Screening and Knowledge in Colombian Women.
abstract: Cervical cancer is considered to be a major health problem for women in developing countries, but it is also problematic for more developed countries as global migration increases and health behaviors move from the countries of origin to new places of residence. We designed and produced a testimonial video and a fotonovela (printed short story) to educate women about cervical cancer and screening. The development of the materials included formative research, production, pretesting, dissemination, and evaluation. The evaluation included 100 women that completed a pretest and a posttest at eight health clinics in Medellin. The pretest and posttest were analyzed using McNemar's test for categorical variables and paired t test for continuous variables. Women in the study had a high initial Stage of Change as defined by the Transtheoretical Model and a high baseline knowledge of HPV and cervical cancer, with the caveat of specific knowledge deficiencies especially for HPV. While not statistically significant, postintervention Transtheoretical Model status in both interventions changed towards higher stages, specifically, from Precontemplation to Contemplation and Preparation. Women who participated in the study liked the educational materials and their knowledge increased, especially for HPV. However, the perception of risk did not change.
authors.affiliation: School of Public Health and Tropical Medicine, Tulane University, 1440 Canal Street, New Orleans, LA, USA.
authors.forename: Roland Lincoln Boyden
authors.initials: RLB
authors.lastname: Lamb
authors.affiliation: School of Public Health, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín, Colombia.
authors.forename: Sara Milena
authors.initials: SM
authors.lastname: Ramos Jaraba
authors.affiliation: School of Public Health, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín, Colombia.
authors.forename: Valentina
authors.initials: V
authors.lastname: Graciano Tangarife
authors.affiliation: Epidemiology Group, School of Public Health, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín, Colombia. isabelgarcesp@gmail.com.
authors.forename: Isabel C
authors.identifier: 0000-0003-0531-276X
authors.initials: IC
authors.lastname: Garcés-Palacio
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003105:Colombia; D055088:Early Detection of Cancer / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D009042:Motivation; D033262:Narration; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic / Q000379:methods*; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000208:ethnology / Q000517:prevention & control; D014741:Video Recording; D055815:Young Adult
keywords: Cervical cancer; Entertainment education; Latinas