فهرست نشریات علمی دسترسی آزاد ایران

BACKGROUND: Performing appropriate and regular screening can effectively reduce cervical cancerand mortality rate, however, the available evidence suggests that women’s participation in cervicalcancer screening remains low in middle‑ and low‑income countries, and that it is necessary to identifyappropriate intervention methods to change behavior. The present study was designed to determinethe effect of decision‑aid‑based counseling on cervical cancer screening behavior among women.MATERIALS AND METHODS: This trial study was conducted on 154 women with no history of Papsmear during the past 3 years and refers to Tabriz health care centers. The participants were assignedto the intervention (decision aid based counseling) and control (routine health education) groupsthrough randomized block design with block sizes of 4 and 6 and a 1:1 allocation ratio. The datawere collected using the sociodemographic and fertility characteristics, stages of change checklist,and shared decision‑making (SDM) and decisional conflict (DC) questionnaire before and 6 monthsafter the intervention by interview and then, analyzed by SPSS24 software. The independent t‑test,ANCOVA tests were used.RESULTS: A significant difference was observed between the two groups in terms of changing thestages of cervical cancer screening behavior 6 months after the intervention. As after the intervention,the frequency of individuals entered the preparation or action stage was more than the controlgroup (P = 0.001). The mean score of SDM in the intervention group was significantly higher than thecontrol group after intervention ([45.49 ± 1.18] vs. [27.56 ± 1.18] [Mean Difference (MD): 17.92; 95%confidence interval [CI]: 14.59–21.25; P < 0.001]). The mean score of DC in the intervention groupwas significantly lower than the control group after intervention ([29.16 ± 1.09] vs. [34.14 ± 1.09] [MD:−4.97; 95% CI: 1.09–8.04; P < 0.002]).CONCLUSIONS: This study revealed that evidence‑based information communicated between clientsand clinicians has very important role in clients’ health‑related behavior. It is recommended, healthcare providers apply decision‑aid‑based counseling for promoting the cervical cancer screeningbehavior among women.