Effect of Theory-Based Educational Intervention and WhatsApp Follow Up on Pap Smear Uptake Among Post-Natal Women in Seremban, Negeri Sembilan, Malaysia: A Cluster Randomised Control Trial (Preprint)

2021 ◽  
Author(s):  
Norliza Ahmad ◽  
Zaahirah Mohammad ◽  
Anisah Baharom
Keyword(s):  
Mobile Technology ◽  
Social Cognitive ◽  
Pap Smear ◽  
Cognitive Theory ◽  
Individual Factors ◽  
Control Groups ◽  
Pap Smear Test ◽  
Significant Difference ◽  
And Control

BACKGROUND Despite the availability and accessibility of free Pap smear test as a screening tool for cervical cancer, the rate of Pap smear test uptake remains unchanged over the last 15 years in Malaysia. High coverage of Pap smear uptake is shown to improve mortality rate. Furthermore, factors that contributed to low Pap smear uptake in Malaysia were beyond individual factors and the use of mobile technology could help to improve Pap smear uptake. However, there is lack of intervention studies that go beyond the individual factors and evaluate the use of mobile technology particularly WhatsApp application. OBJECTIVE The study aims to determine the effect of theory-based educational intervention and WhatsApp follow up to improve Pap smear uptake among post-natal women in a district in Malaysia. METHODS This is a two-armed, parallel single-blind cluster randomized controlled study among post-natal women in Seremban District. Twelve health clinics were randomly allocated to be in the intervention and control groups with a ratio of 1:1. This two phase intervention module was developed using Social Cognitive Theory and was delivered via face-to-face in the first phase and WhatsApp follow up in the second phase. Participants were follow-up at immediate, 4 weeks-, 8 weeks- and 12 weeks post-intervention. Primary outcome was Pap smear uptake and secondary outcomes include scores of knowledge, attitude and self-efficacy for Pap smear screening and intention to adhere to Pap smear practice. The data was analysed using IBM Statistical Package for Social Science (SPSS) version 25 and generalized mixed model was used to determine the effectiveness the intervention. α value will be set at below 0.05. RESULTS A total of 401 post-natal women were recruited with total response rate of 82.5%. There was a significant difference between the intervention and control groups in the Pap smear uptake (F(4,1178) = 3.222, p = <0.001), knowledge scores (F(4, 1172) = 14.946, p = <0.001), attitude scores (F(4, 1172) = 24.417, p = <0.001) and self-efficacy scores (F(1, 1172) = 10.432, p = <0.001). However, no significant difference in the intention to adhere to Pap smear practice between the intervention and the control groups (F(4, 1180) = 0.878, p = 0.476). CONCLUSIONS This study shows that Social Cognitive Theory-based intervention and WhatsApp follow up is an effective intervention for improving the Pap smear uptake among post-natal women in Seremban District in Malaysia. This intervention module can be tested in other women’s population to evaluate the effect of this theory and WhatsApp follow up on the Pap smear uptake. CLINICALTRIAL Thaiclinicaltrials.org TCTR20200205001; https://www.thaiclinicaltrials.org/show/ TCTR20200205001

A randomized trial of levamisole versus placebo as adjuvant therapy in malignant melanoma.

1991 ◽  
Vol 9 (5) ◽  
pp. 736-740 ◽  
Author(s):  
L E Spitler
Keyword(s):  
Malignant Melanoma ◽  
Adjuvant Therapy ◽  
Randomized Trial ◽  
Control Groups ◽  
Disease Free Interval ◽  
Significant Difference ◽  
Long Term Follow Up ◽  
And Control

We conducted a long-term follow-up (median, 10.5 years) of patients included in a randomized trial of levamisole versus placebo as surgical adjuvant therapy in 203 patients with malignant melanoma. Of the patients randomized, 104 received levamisole, and 99 received placebo. The results show that there is no difference between the treatment and control groups with regard to any of the three end points analyzed. These included disease-free interval, time to appearance of visceral metastasis, and survival. Moreover, there was no significant difference between the treatment and control groups after adjusting for age, sex, or stage of disease.

Piano-accompanied solfège reading experiences of preservice music teachers

2020 ◽  
pp. 1321103X1987107
Author(s):  
Elif Guven
Keyword(s):  
Music Teachers ◽  
Control Group ◽  
Reading Practices ◽  
Control Groups ◽  
Plot Analysis ◽  
Experimental Implementation ◽  
Significant Difference ◽  
And Control ◽  
Experimental Group

This study examines how piano-accompanied solfège reading practices of preservice music teachers ( N = 28) affect their performance on their musical hearing, reading, and writing (MHRW) classes. A pretest–posttest design with control groups was employed. The data were analyzed by 2 × 2 split-plot analysis of variance (ANOVA) and one-way ANOVA. Consequently, a significant difference was not found between the MHRW performance scores of the experimental and control groups. An analysis of mean performance scores revealed that the scores received by the control group were higher than those of the experimental group after the practice. Follow-up interviews that were held with 14 students after the experimental implementation revealed that students believed piano-accompanied courses were more useful, and they felt more comfortable with piano accompaniment. Although MHRW performance scores indicated that piano-accompanied solfège reading practices did not have a significant effect on preservice music teachers’ MHRW performances, it helped them participate in courses more enthusiastically.

scholarly journals Make a Move Intervention to Reduce Childhood Obesity

2016 ◽  
Vol 33 (3) ◽  
pp. 205-213 ◽  
Author(s):  
Kimberly Nerud ◽  
Haifa (Abou). Samra
Keyword(s):  
Physical Activity ◽  
Head Start ◽  
Healthy Eating ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Controlled Trial ◽  
Significant Difference ◽  
And Behavior ◽  
And Control ◽  
Relationship Of

Guided by the social cognitive theory, this randomized controlled trial tested the “Make a Move,” a provider-led intervention for Head Start parents aimed to produce changes in the outcomes of knowledge, attitude, and behavior of physical activity and healthy eating. Participants were parents of children ages 3–5 years enrolled in a Head Start program. Participants completed a 57-item questionnaire at baseline and postintervention. The Wilcoxon rank-sum test revealed a statistically significant difference between the intervention and control groups in scores on knowledge of healthy eating ( z = 1.99, p = .05), attitude of physical activity ( z = 2.71, p < .01), and behavior of physical activity ( z = 2.03, p = .04). Ten participants (77%) completed all four intervention sessions. This study provided new insights into the relationship of a provider-led intervention with respect to knowledge, attitude, and behaviors in healthy eating and physical activity.

scholarly journals Prophylactic Effect of Memantine in Docetaxel Induced Neuropathy in Patients With Breast Cancer

2021 ◽  
Author(s):  
Pegah Mohammadzadeh ◽  
Elnaz Shaseb ◽  
Zohreh Sanaat ◽  
Parvin Sarbakhsh ◽  
Nasrin Gholami ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Peripheral Neuropathy ◽  
Intervention Group ◽  
Metastatic Breast ◽  
Control Group ◽  
P Value ◽  
Control Groups ◽  
Significant Difference ◽  
And Control

Abstract Purpose Peripheral neuropathy is a complication of taxane that in severe cases can limit the optimal treatment. The aim of this study was to evaluate the efficacy of memantine in prevention of docetaxel induced peripheral neuropathy in patients with breast cancer. Methods In this randomized clinical trial, 40 women between the ages of 18 and 64 years with non-metastatic breast cancer (stages I to III) were included (registry number: IRCT20160310026998N9 and registry date: 26 March 2019). All patients were treated with the AC-T regimen (with docetaxel). Patients in intervention group received memantine at a dose of 20 mg for 8 weeks at the beginning of the first cycle of docetaxel. Patients in control group did not take any medication for neuropathy prevention. To assess the neuropathy, DN4 and CTCAE questionnaires were used at baseline, one months, three months and six months after the intervention. Results The DN4 questionnaire score was remarkably less in memantine group in follow up one (p-value: 0.033) and three (p < 00.1). The CTCAE follow up score did not change during study. The Neuropathy duration and Neuropathy onset, were shown significant difference between the intervention and control groups, p = 0.050 and p = 0.001, respectively. From 40 patients, 8 (40%) in memantine group and 2 (10%) in control group, did not experience any kind of neuropathy. Conclusion Data showed that prophylactic administration of memantine 20 mg/day has been effective in prevention of severity and incidence of docetaxel induced neuropathy in patients with breast cancer.

Effects of blunt trauma of eye on retinal nerve fibre layer

2021 ◽  
Vol 2 (4) ◽  
pp. 228-232
Author(s):  
Kumar Aalok ◽  
Keyword(s):  
Visual Acuity ◽  
Contrast Sensitivity ◽  
Blunt Trauma ◽  
Color Vision ◽  
Control Groups ◽  
Rnfl Thickness ◽  
Department Of Ophthalmology ◽  
Significant Difference ◽  
And Control

AIM: To study the effects of blunt trauma of eye on visual acuity and retinal nerve fiber layer (RNFL). METHODS: A prospective observational study was done on the patients of a road traffic accident (RTA) having blunt trauma injury of the eye from august 2018 to July 2019 at the Department of Ophthalmology, Hind Institute of Medical Sciences, Barabanki. Patients between the age group of 20 to 65 years undergoing RTA with ocular complaints were included in this study. Colour vision, contrast sensitivity, and best-corrected visual acuity (BCVA) were recorded, RNFL analysis was done through OCT. RESULTS: A total of 108 patients were enrolled in this study and were grouped as 54 cases and 54 controls. The mean age was 43±2.3 years with 11 (20.37%) females and 43 (79.6%) males in the case group. At initial visit after RTA, the difference between color vision, contrast sensitivity and BCVA between right and left eyes of cases and controls were significant. After a follow up of 3mo only significant difference was noted in contrast sensitivity between cases and control groups. Change in color vision and BCVA after 3mo was insignificant. Similarly, an initial significant difference was noted in mean RNFL thickness between cases and control groups, but after follow up of 3mo mean RNFL thickness difference was significant only in superior and temporal quadrants. CONCLUSION: RTA or blunt trauma of eye can lead to persistent RNFL thinning and decreased visual function.

scholarly journals Survey the Effect of Educational Program Based on Precaution Adoption Process Model on Screening Cervical Cancer Behaviors among Rural Women, Mixed Method Development

2019 ◽  
pp. 1-8
Author(s):  
Afshin Bahmani ◽  
Nasrin Bahmani ◽  
Behnaz Enjezab ◽  
Hossein Baghianimoghadam ◽  
Seyed Saeed Mazloomy Mahmoodabad
Keyword(s):  
Cervical Cancer ◽  
Process Model ◽  
Pap Smear ◽  
Adoption Process ◽  
Control Groups ◽  
Pap Smear Test ◽  
Smear Test ◽  
Precaution Adoption Process Model ◽  
And Control ◽  
Precaution Adoption

Background and Objectives: Cervical cancer is considered as a preventable cancer in women. Pap smear test is an effective screening program for diagnosing cervical cancer, but for some reasons its use is low. The purpose of this study was to determine the factors affecting the women's participation in the Pap smear test based on precaution adoption process model and effect of educational program based on model on doing the Pap test with a Mixed Method approach. Materials and Methods: This study was a Mixed Method approach. Thirty women voluntarily participated in this study in sarvabad city of Iran. The sampling began purposefully and continued until saturation. Semi-structured interviews were the primary method of data collection. Data were analyzed using qualitative content analysis and continuous comparisons. Quantitative study was conducted implementing a quasi-experimental method. Participants were divided into two groups as experimental and control groups using Precaution Adoption Process Model (PAPM) among 180 rural females in Sarvabad. In treating the experimental group, the methods of lecturing with question and answer, playing videos, specialized consulting and pamphlet were used. The questionnaire including a demographic characteristic and variables that affecting the stages of the Precaution Adoption Process Model (PAPM). Data analysis was performed using the Mann-Whitney, chi-square and descriptive statistical methods. P <0.05 was considered as the significance level. Results: In qualitative study Model-based themes included, awareness, perceived susceptibility, perceived severity, social norms. Women`s awareness about cervical cancer and Pap smear test is not enough, but, they perceived the severity of the disease. In quantitative study in comparison of the means of the scores of psychological variables affecting the decision process in Pap smear test, there was a significant relationship between the experimental and control groups based on Mann-Whitney test and control groups based on variables, perceived susceptibility, awareness and social norms. But the perceived severity was not statistically significant. Conclusion: Findings of this study will help health managers and health planners to plan and train ways to facilitate the participation of women in the Pap smear test.

scholarly journals Effect of Aerobics Exercise on Self-Esteem in Iranian Female Adolescents Covered by Welfare Organization

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Marzieh Hasanpour ◽  
Mansooreh Tabatabaei ◽  
Mousa Alavi ◽  
Vahid Zolaktaf
Keyword(s):  
Random Sampling ◽  
Intervention Group ◽  
Self Esteem ◽  
Female Adolescents ◽  
Control Groups ◽  
Significant Difference ◽  
Before And After ◽  
Randomized Control ◽  
And Control

Introduction. Deprivation of parents might decrease self-esteem (SE) and result in affective and social incompatibility. In this randomized control trial, we examined the effect of aerobics exercise on SE among female adolescents living with no natural family.Materials and Methods. The sample consisted of all female adolescents aged 13 to 19 years (n: 72) who were covered by Isfahan Welfare organization. Participants were assigned into intervention and control groups by matched random sampling. Intervention included 8 weeks of aerobics exercise. Coppersmith SE inventory was administered before and after intervention as well as after one month follow-up.Results. No significant difference was seen between pre-SE scores of intervention(32.7±8.4)and control(33.0±6.7)groups (t=.16,P=.87). A significant difference was obtained in post-SE scores (40.2±5.7versus34.7±6.8,t=3.58,P=.001) and in one month follow-up scores (36.4±5.2versus33.0±5.2,t=2.25,P=.03).Discussion. The results demonstrated a low level of pre-SE in both groups. However, a significant improvement was seen in posttest of intervention group which persisted even one month after intervention. It supports the use of aerobics for female adolescents deprived from family life.

Abstract P535: Quality of Reperfusion and Clinical Outcome in ESCAPE-NA1 Trial

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Petra Cimflova ◽  
Nishita Singh ◽  
Johanna Ospel ◽  
Martha Marko ◽  
Nima Kashani ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Control Group ◽  
Regression Analyses ◽  
Control Groups ◽  
Good Clinical Outcome ◽  
Excellent Outcome ◽  
Significant Difference ◽  
And Control

Background: We evaluated clinical outcome in relation to the degree of reperfusion in ESCAPE-NA1 trial. Methods: ESCAPE-NA1 was a multicenter, international randomized trial assessing the efficacy of nerinetide in ischemic stroke patients who underwent EVT within 12h from onset. Independent clinical outcome [90-days modified Rankin Scale (mRS) 0-2], excellent clinical outcome (90-days mRS 0-1), isolated subarachnoid hemorrhage with no parenchymal hemorrhage (iSAH) or symptomatic hemorrhage (sICH) on follow-up imaging, and death were compared between a treatment group and control group with respect to the level of reperfusion defined as mTICI. Univariable and multivariable logistic regression analyses were performed. Results: Data from 1090 patients were assessed. The occlusion locations were terminal ICA (18.3%), M1 MCA (61.8%,) M2 MCA (15.1%), other - e.g. M3 (3.7%). Final mTICI 0-1 was achieved in 5.5% of patients, mTICI 2a in 7.5%, mTICI 2b in 40.8%, mTICI 2c in 26.6% and mTICI 3 in 19.5%. Isolated SAH was present in 1.7% and sICH in 3%. There was no significant difference between the nerinetide and control groups in the reperfusion grade, presence of iSAH or sICH, or in clinical outcome. Odds of independent outcomes (mRS 0-2) and odds of excellent outcome (mRS 0-1) were significantly increasing with each improved reperfusion grade, Table 1. Sixty percent of patients with final mTICI 2b, 70% with mTICI 2c and 69% with mTICI 3 achieved good clinical outcome in comparison to 30% of patients with mTICI 0-2a. The incidence of iSAH was significantly lower in the NA1 arm (OR 0.28, 95%CI: 0.09-0.86, p=.027) adjusting for reperfusion status. Conclusion: Degrees of better reperfusion are strongly associated with better outcomes and reduced mortality. mTICI 2c-3 reperfusion should be a standard goal of EVT.

scholarly journals The Effect of Multivitamins, Minerals, and Q10 on Precancerous Lesions of the Cervix

2019 ◽  
Vol 9 (4) ◽  
pp. 280-283
Author(s):  
Mitra Modarres Gilani ◽  
Azam Sadat Mosavi ◽  
Setare Akhavan ◽  
Mehrangiz Zamani ◽  
Mohammad Ali Mohsenpour ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Pap Smear ◽  
Precancerous Lesions ◽  
Invasive Cervical Cancer ◽  
P Value ◽  
Control Groups ◽  
Pap Smear Test ◽  
Smear Test ◽  
Age Range ◽  
And Control

Objectives: Invasive cervical cancer is one of the most fatal genital cancers of women which can be detected by having Pap smear in precancerous stage. Various approaches can be taken for treating or preventing the progress of these precancerous lesions. The aim of this study was to investigate the cytopathological and colposcopic response of precancerous lesions to multivitamin, mineral (multi-mineral), and coenzyme Q10 supplements. Materials and Methods: The present randomized clinical trial was conducted on 120 participants with clinical complaints or abnormal Pap smear test results. The intervention and control groups received supplemental and placebo treatments, respectively, for 3 months after a primarily Pap smear test. The Pap smear test was also performed after the treatment and patients with abnormal results were screened by colposcopy. Data were analyzed by SPSS software and P-value less than 0.05 was considered significant. Results: The percentage of participants in the intervention and control groups were 40% and 28.3% in the age range of 20-29, 26.7% and 41.7% in the age range of 30–39, and finally 33.3% and 30% over 40 years of age, respectively (P=0.19). The percentage of normalization in Pap smear test result was 83.3% and 53.3% in the intervention and control groups, respectively (P<0.001). Conclusions: It was found that short-term usage of multi-mineral and Q10 supplements may decrease the risk of cervical cancer in women with abnormal Pap smear. However, studies with larger population and longer trial period are needed for further investigation.

scholarly journals Decision-making is the process of analyzing information about a problem situation and comparing it to a specific conclusion in order to solve a specific problematic (Yıkılmaz, 2001; Miller and Byrnes, 2001). Decision-making styles are a mechanism that is influenced by the internal and external conditions that determine the direction of the decisions of the individual, the content of the decision-making process, and the outcome of the decision-making process (Payne, Bettman and Johson, 1993; Bavol’ár and Orosová, 2015). ACT is a contemporary member of the Cognitive Behavioral Therapy family. ACT (Acceptance and commitment therapy) has both similar and different directions with Behavioral Therapies and Cognitive Therapies (Herbet and Forman, 2011; Hayes, 2004). KKT responds to classical behavioral treatments using both existential and cognitive approaches in the analysis of behavior. KKT is a science wing that tries to solve human problems with a wider perspective aimed at solving problematic human behaviors (Plumb, Stewart, Dahl and Lundgren, 2009). It is seen that there is very little research about the new approach of ACT approach when the aiming country of our country is screened and it is thought that our country will contribute to the field of psychological counseling with the work done. In the scope of the research, experimental and control groups and preliminary test, post-test and follow-up measurements of 2x3 experimental design were used. The study's study group consists of a total of 24 (12 experimental and 12 control groups) university students studying in different departments and levels, continuing their education in the academic year of 2015-2016 in Ağrı province and İbrahim Chechen University in 2015-2016 academic year. The average age of participants in the experiment and control group is 20. There were 12 participants in the experimental group, 7 female and 5 male, and 12 participants, 7 female and 5 male in the control group. Personal Information Form and Decision Making Style Scale prepared by the researcher were used in the research. In order to decide on the tests to be used in the course of analyzing the data, the scores of the participant's Decision Styles Scale pre-test, which are placed primarily in the experimental and control groups, it was analyzed whether the basic expectations of parametric tests were answered. As a result of the analysis made, the scores, skewness and kurtosis coefficients obtained from the Decision Making Styles Scale were given to the experimental and control groups. It was determined that the distribution was normal in the result of Shapiro-Wilk test, in which the skewness and kurtosis coefficients of each sub-scale were ranked between -1 and +1. Participants in the experimental and control groups; homogeneity test results for decision-style pre-test measurements indicate that the data are homogeneous. According to the results of the Mauchly Globalness Test, it has been determined that working supports the hypothesis. It was determined that there was no significant difference between the pre-test scores obtained from dependent decision-making style of experiment and control groups, but the test group showed lower mean scores at the significant level within the scores of post-test and follow-up tests. Therefore, it can be said that the ACT-oriented psychoeducation program applied to the experimental group reduces the dependent decision-making style scores from the decision style sub-dimensions and the psychoeducation program has a lasting effect. It was determined that there was no significant difference between pre-test, post-test and follow-up scores obtained from the Spontaneous-Instant Decision Style of experiment and control groups. Thus, it can be said that this situation does not cause a significant difference in the Spontaneous-Decision-Making Style scores from the decision style sub-dimensions of the ACT-oriented psychoeducation program applied to the experimental group. The ACT -oriented psychoeducation program had a decline in the intuitive decision-making styles of the individuals, but this decrease did not create significant differences. Thus, it can be said that this situation does not make a meaningful difference in the intuitive decision style scores from the decision style sub-dimensions of the KKT oriented psychoeducation program applied to the experimental group. The pre-test scores obtained from the rational decision-making style of the experimental and control groups showed that there was a difference between the post-test and the follow-up scores, but this difference was not significant. As a result of the analysis, it was determined that the test group had higher levels of rational decision style than the pre - test scores in the post test and follow - up scores, whereas the post test and follow - up test scores in the control group rational decision style showed a decrease compared to the pre - test scores. the pre - test scores. Decision-making Styles Scale Avoidant Decision Making As a result of the analysis of the mean scores of the subscale scores of pre-test, post-test and follow-up measures, the group effect was found to be insignificant. It was determined that the experimental and control groups differed significantly from the pre-test scores obtained from the avoidant decision-making style but did not show any significant change within the scores of the post-test and follow-up tests.

2018 ◽  
pp. 109-130
Author(s):  
mustafa ercengiz ◽  
ali haydar şar
Keyword(s):  
Decision Making ◽  
Test Scores ◽  
Control Groups ◽  
Decision Style ◽  
Significant Difference ◽  
Decision Making Styles ◽  
Post Test ◽  
And Control ◽  
Experimental Group
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