Effectiveness of a Cervical Cancer Stigma Reduction Intervention Program on Cancer Stigma Score and Cervical Cancer Screening Uptake in Nepal

Kathmandu University School of Medical Sciences

Status: Completed

Conditions: Screening; Stigma; Cervical Cancer

Treatments: Behavioral: "Cervical Cancer Stigma Reduction Intervention"

Study type: Interventional

Funder types: Other

Identifiers

NCT05489978

CC2022

Details and patient eligibility

About

It is a cluster randomized control trial to assess the effectiveness of the cervical cancer stigma reduction intervention on cancer stigma score and cervical cancer screening uptake in Nepal

Full description

Despite the presence of ample evidence, that stigma is one of the major reasons for low screening coverage, Nepal does not have a single stigma reduction intervention targeted among women to increase cervical cancer screening coverage. Therefore, we aim to assess the effectiveness of a stigma reduction education program on stigma score and cervical cancer screening uptake in Nepal. We will conduct a two-arm open-label cluster-interventional study in Budanilkhantha Municipality. A computer-based program will randomly allocate the 12 wards of Budanilkhantha Municipality with an allocation ratio 1:1; 6 wards in intervention group and 6 wards in control group. We will conduct a "stigma reduction education program" in the intervention group. After that we will follow up the participants for2 months to see the effectiveness of a stigma reduction education program on stigma score and cervical cancer screening uptake in Nepal. We will analyze data using STATA 14. We will use independent tests to find the mean difference between cervical cancer screening uptake and cervical cancer stigma score. The difference in mean among the two groups will actually be the difference due to intervention given. Findings from this study will help managers and stakeholders to formulate and improve strategies on screening programs and develop programs to reduce stigma on cervical cancer among women in Nepal.

Enrollment: 310 patients

Sex: Female

Ages: 30 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Women aged 30-60 years (the age range recommended for VIA screening in Nepal
• Married women
• Residents of Budanilkantha Municipality

Exclusion criteria

• Women who have already undergone screening within 5 years.
• Women with hearing or mental disorders
• Pregnant women
• Less than 6 weeks postpartum
• Mothers who had lived in the community for less than 6 months to perform seasonal work (e.g. in brick kilns) or visitors in the family.
• Women who are already diagnosed with cervical pre-cancer and cancer and have undergone hysterectomy.

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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310 participants in 2 patient groups

Intervention Arm

Experimental group

Description:

Randomization will allocate women to intervention and control arm in 1:1 ratio; with 6 wards in each group. The intervention arm will consist of 153 women who will receive "Cervical Cancer Stigma Reduction Intervention".

Treatment:

Behavioral: "Cervical Cancer Stigma Reduction Intervention"

Control Arm

No Intervention group

Description:

The control arm will consist of 153 women who would not be given any intervention.