title: Impact of different educational interventions on psychosocial well-being of women with a positive high-risk human papillomavirus and normal cervical cytology: a randomised trial.
abstract: The aim of this study was to compare the effect of two educational interventions on the psychosocial well-being of Hong Kong Chinese women who have a positive high-risk human papillomavirus (HPV) test and normal cervical cytology.
  
  
  
  Participants were randomised into either leaflet group, in which a written HPV factsheet was provided; or counselling group, in which a didactic HPV presentation in person in addition to the factsheet was provided. Women's psychological conditions were assessed by self-administered questionnaires at pre, post (within one week) and 6 months after the educational interventions. Main outcome measures were psychosocial well-being (cervical cancer worry, anxiety and depression, screening-related anxieties, HPV-related shame) and knowledge of cervical screening and HPV.
  
  
  
  Data from 121 women (52 in leaflet group; 69 in counselling group) were analysed. There was no significant difference in the psychosocial well-being between the two groups at alltime points. Irrespective of the two educational interventions, cervical cancer worry and anxiety decreased over time. The counselling group had a significantly higher score in knowledge of cervical screening and HPV compared with leaflet group (mean score 4.65 ± 0.19 versus 3.71 ± 0.23, p = 0.002) at post-educational intervention, but there was no significant difference (mean score 4.14 ± 0.22 versus 3.58 ± 0.24, p = 0.084) at 6 months.
  
  
  
  Both educational interventions were comparable in relieving adverse HPV-related psychosocial effects. Combination of counselling and leaflet were more effective than leaflet only in improving women's knowledge on cervical screening and HPV soon after educational interventions but the benefit was not apparent after 6 months.
authors.affiliation: a Department of Obstetrics and Gynaecology , The University of Hong Kong, Queen Mary Hospital , Hong Kong.
authors.forename: Siew Fei
authors.identifier: 0000-0001-8498-6724
authors.initials: SF
authors.lastname: Ngu
authors.affiliation: a Department of Obstetrics and Gynaecology , The University of Hong Kong, Queen Mary Hospital , Hong Kong.
authors.forename: Na
authors.initials: N
authors.lastname: Wei
authors.affiliation: b Research Office, Technological and Higher Education Institute of Hong Kong , Tsing Yi , Hong Kong.
authors.forename: Tracy T C
authors.initials: TTC
authors.lastname: Kwan
authors.affiliation: a Department of Obstetrics and Gynaecology , The University of Hong Kong, Queen Mary Hospital , Hong Kong.
authors.forename: Mandy M Y
authors.initials: MMY
authors.lastname: Chu
authors.affiliation: a Department of Obstetrics and Gynaecology , The University of Hong Kong, Queen Mary Hospital , Hong Kong.
authors.forename: Ka Yu
authors.initials: KY
authors.lastname: Tse
authors.affiliation: a Department of Obstetrics and Gynaecology , The University of Hong Kong, Queen Mary Hospital , Hong Kong.
authors.forename: Karen K L
authors.initials: KKL
authors.lastname: Chan
authors.affiliation: a Department of Obstetrics and Gynaecology , The University of Hong Kong, Queen Mary Hospital , Hong Kong.
authors.forename: Hextan Y S
authors.initials: HYS
authors.lastname: Ngan
mesh_terms: D000328:Adult; D003376:Counseling / Q000379:methods*; D055088:Early Detection of Cancer / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006723:Hong Kong; D006801:Humans; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010174:Pamphlets; D030361:Papillomavirus Infections / Q000523:psychology*; D010353:Patient Education as Topic / Q000379:methods*; D010549:Personal Satisfaction; D012306:Risk; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control / Q000523:psychology*
keywords: Cervical screening; education; general gynaecology; human papillomavirus; psychological well-being