Skip to main content

Advertisement

SpringerLink
Log in

Evaluation of Entertainment Education Strategies to Promote Cervical Cancer Screening and Knowledge in Colombian Women

  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray, F. 2013 GLOBOCAN 2012 v1.0, cancer incidence and mortality worldwide: IARC CancerBase No. 11 [Internet]. Lyon, France: International Agency for Research on Cancer. Available from: http://globocan.iarc.fr, accessed on 02/08/2016.

  2. Bruni L, Diaz M, Castellsagué X, Ferrer E, Bosch FX, de Sanjosé S (2010) Cervical human papillomavirus prevalence in 5 continents: meta-analysis of 1 million women with normal cytological findings. J Infect Dis 202(12):1789–1799

    Article  Google Scholar 

  3. Fernández ME, Le YL, Fernández-Espada N, Calo WA, Savas LS, Vélez C et al (2014) Knowledge, attitudes, and beliefs about human papillomavirus (HPV) vaccination among Puerto Rican mothers and daughters, 2010: a qualitative study. Prev Chronic Dis 11:140171

    Article  Google Scholar 

  4. Howlader N, Noone AM, Krapcho M, Miller D, Bishop K, Altekruse SF, Kosary CL, Yu M, Ruhl J, Tatalovich Z, Mariotto A, Lewis DR, Chen HS, Feuer EJ, Cronin KA (eds). SEER cancer statistics review, 1975–2013, National Cancer Institute. Bethesda, MD, http://seer.cancer.gov/csr/1975_2013/, based on November 2015 SEER data submission, posted to the SEER web site, April 2016

  5. National Institutes of Health consensus development conference statement: cervical cancer; 1996 1–3 [Online]. Available https://consensus.nih.gov/1996/1996cervicalcancer102html.

  6. Garcés-Palacio IC, Rubio Leon DC, Ramos Jaraba SM (2014) Barreras y facilitadores del sistema de salud relacionadas con el seguimiento de anormalidades citológicas, Medellín-Colombia. Revista Gerencia Y Politicas De Salud 13(27):200–211

    Google Scholar 

  7. Garcés-Palacio, IC, Ramos Jaraba SM, Rubio Leon DC Health beliefs associated with the follow-up of Pap smear abnormalities among low-income women in Medellín, Colombia. Journal of Cancer Education. Under review

  8. Yancey AK, Tanjasiri SP, Klein M, Tunder J (1995) Increased cancer screening behavior in women of color by culturally sensitive video exposure. Prev Med 24(2):142–148

    Article  CAS  Google Scholar 

  9. Prochaska JO, DiClemente CC (1982) Transtheoretical therapy: toward a more integrative model of change. Psychotherapy: Theory, Research & Practice 19(3):276–288

    Article  Google Scholar 

  10. Garcés-Palacio IC, Altarac M, Kirby RS, McClure LA, Mulvihill B, Scarinci IC (2010) Contribution of health care coverage in cervical cancer screening follow-up: findings from a cross-sectional study in Colombia. Int J Gynecol Cancer 20(7):1232–1239

    Article  Google Scholar 

  11. Ramos Jaraba SM, Garcés-Palacio IC (2013) Factores asociados a la práctica de la citología de cuello uterino, en mujeres desplazadas y población receptora en un asentamiento en Antioquia, Colombia, 2011. Revista Facultad Nacional De Salud Pública 31(3):311–318

    Google Scholar 

  12. Sood S (2002) Audience involvement and entertainment-education. Communication Theory 12(2):153–172

    Google Scholar 

  13. Ruggiero L (1998) Transtheoretical model: applications in the prevention and treatment of cancer. Med Pediatr Oncol 30:69–74

    Article  Google Scholar 

  14. Partin MR, Slater JS (2003) Promoting repeat mammography use: insights from a systematic needs assessment. Health Educ Behav 30(1):97–112

    Article  Google Scholar 

  15. Unger JB, Cabassa LJ, Molina GB, Contreras S, Baron M (2013) Evaluation of a fotonovela to increase depression knowledge and reduce stigma among Hispanic adults. J Immigr Minor Health 15(2):398–406. doi:10.1007/s10903-012-9623-5

    Article  PubMed  PubMed Central  Google Scholar 

  16. Drewry J, Garcés-Palacio IC, Scarinci I (2010) Awareness and knowledge about human papillomavirus among Latina immigrants. Ethnicity & Disease 20(4):327–333

    Google Scholar 

  17. Hunter, Jennifer L (2005) Cervical cancer educational pamphlets: do they miss the mark for Mexican immigrant women’s needs? Cancer Control

  18. Valdez, A., Napoles, A.M., Stewart, S.L. et al. A randomized controlled trial of a cervical cancer education intervention for Latinas delivered through interactive multimedia kiosks,J Canc Educ (2016). doi:10.1007/s13187-016-1102-6.

    Article  Google Scholar 

  19. Profamilia, Ministerio de Salud. Encuesta Nacional de Demografía y Salud: ENDS (2015). Resumen ejecutivo.[Internet]http://profamilia.org.co/docs/Libro%20RESUMEN%20EJECUTIVO.pdf, accessed on 15/12/2016

  20. Encuesta Nacional de Demografía y Salud: ENDS 2010 (2011) Ojeda, Gabriel, Myriam Ordonez, and Luis Hernando Ochoa. [Internet] http://www.dhsprogram.com/publications/publication-FR246-DHS-Final-Reports.cfm, accessed on 15/10/2016

  21. Fernandez A, Lipschitz JM, Larson HE, Amoyal NR (2013) Disease prevention without relapse: processes of change for HPV vaccination. Open Journal of Preventive Medicine 03(03):301–309

    Article  Google Scholar 

  22. Borrayo EA (2004) Where’s Maria? A video to increase awareness about breast cancer and mammography screening among low-literacy Latinas. The Institute for Cancer Prevention and Elsevier Inc. doi:10.1016/j.ypmed.2004.03.024

    Article  Google Scholar 

  23. Chan A, Brown B, Sepulveda E, Teran-Clayton L (2015) Evaluation of fotonovela to increase human papillomavirus vaccine knowledge, attitudes, and intentions in a low-income Hispanic community. BMC Res Notes 8:615. doi:10.1186/s13104-015-1609-7

    Article  PubMed  PubMed Central  Google Scholar 

  24. Ministerio de la protección social, Instituto Nacional de Cancerología (2008) Guía para la comunicación educativa en el marco del control del cáncer. Bogotá

Download references

Acknowledgments

We thank the women who generously participated in the production of the educational materials and, also, those women who generously gave their time to take part in the study and evaluation. We would also like to thank the University Bank for Outreach Programs and Projects (BUPPE), the Sustainability Strategy of the Epidemiology Group at University of Antioquia, and the Empresa Social del Estado Metrosalud for their financing.

Author information

Authors and Affiliations

  1. School of Public Health and Tropical Medicine, Tulane University, 1440 Canal Street, New Orleans, LA, USA

    Roland Lincoln Boyden Lamb

  2. School of Public Health, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín, Colombia

    Sara Milena Ramos Jaraba & Valentina Graciano Tangarife

  3. Epidemiology Group, School of Public Health, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín, Colombia

    Isabel C. Garcés-Palacio

Authors
  1. Roland Lincoln Boyden Lamb
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sara Milena Ramos Jaraba
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Valentina Graciano Tangarife
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Isabel C. Garcés-Palacio
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Isabel C. Garcés-Palacio.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lamb, R.L.B., Ramos Jaraba, S.M., Graciano Tangarife, V. et al. Evaluation of Entertainment Education Strategies to Promote Cervical Cancer Screening and Knowledge in Colombian Women. J Canc Educ 33, 1094–1101 (2018). https://doi.org/10.1007/s13187-017-1213-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-017-1213-8

Keywords

Search

Navigation