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Effects of a Cognition‐Emotion
Focused Program to Increase
Public Participation in
Papanicolaou Smear Screening
Author(s) -
Park SoMi,
Chang SoonBok,
Chung ChaeWeon
Publication year - 2005
Publication title -
public health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 55
eISSN - 1525-1446
pISSN - 0737-1209
DOI - 10.1111/j.0737-1209.2005.220404.x
Subject(s) - pap test , cervical cancer , medicine , papanicolaou stain , cognition , test (biology) , health belief model , public health , incidence (geometry) , family medicine , gynecology , health education , cervical cancer screening , cancer , nursing , psychiatry , paleontology , physics , optics , biology
Objective: Despite high incidence rates of cervical cancer in Korea, Papanicolaou (Pap) tests are not utilized as a preventive behavior. This study examined the effects of an emotion‐cognition focused program on the decision of taking Pap tests in Korean women. Design : A non‐equivalent control group post‐test only design was utilized. Sample : A convenience sample was randomly assigned to either experimental (N = 48) or control group (N = 48) after matching for education and age. Measurements : Knowledge of Cervical Cancer and Pap Smear Test, Champion's Health Belief Model, and Self‐Efficacy Scale were used. Intention and stage of adoption to take a Pap test were measured with single items. Results : Women in the experimental group had significantly higher scores on knowledge of cervical cancer (t = 6.99, p < .001) and perceived benefits of Pap tests (t = 2.91, p < .05), lower scores on procedural (t = −2.45, p < .05) and cognitive (t = −2.66, p < .01) barriers to testing. Improvement in self‐efficacy (t = 3.38, p < .01), strong intention to have the test (t = 2.99, p < .01), and advanced stages of behavior adoption (χ 2 = 12.93, p < .01) were also found. Conclusions : Women's perspectives, attitudes of health care practitioners, and clinical environment need to be considered if change is to happen in women's preventive behavior related to Pap test screening.