Effects of Web-Based Decision Aid to Support Cervical Cancer Screening Decision Among Young Working Women: A Pilot Randomised Controlled Trial.

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Title: Effects of Web-Based Decision Aid to Support Cervical Cancer Screening Decision Among Young Working Women: A Pilot Randomised Controlled Trial.
Authors: Chan, Dorothy Ngo Sheung (AUTHOR), Choi, Kai Chow (AUTHOR), So, Winnie Kwok Wei (AUTHOR)
Source: International Journal of Behavioral Medicine. Feb2026, Vol. 33 Issue 1, p56-68. 13p.
Subjects: Papillomavirus disease diagnosis, World Wide Web, Health literacy, Risk assessment, Cervix uteri tumors, Research funding, T-test (Statistics), Early detection of cancer, Statistical sampling, Conflict (Psychology), Pilot projects, Interviewing, Health, Probability theory, Fisher exact test, Content analysis, Questionnaires, Decision making, Randomized controlled trials, Information resources, Chi-squared test, Human papillomavirus vaccines, Descriptive statistics, Control groups, Pre-tests & post-tests, Women employees, Pap test, Research methodology, Time management, Conceptual structures, Health promotion, Confidence intervals, Data analysis software, Molecular diagnosis, User interfaces, Disease risk factors, Symptoms, Adults
Geographic Terms: China
Abstract: Background: Young working women who devote most of their time to jobs and household chores may experience conflicts when faced with a cervical cancer screening decision. This study aimed to assess the acceptability and feasibility of a Web-based decision aid on cervical cancer screening by young working women, and to preliminarily examine the effects of the decision aid on the knowledge level, risk perception, decisional conflicts, screening decision and screening uptake. Method: This was a pilot randomised controlled trial. A total of 158 working women aged 25–44 years who had not undergone cervical cancer screening in the past 3 years were recruited. The recruited women allocated to the intervention group received a Web-based decision aid with information about the Papanicolaou test and HPV test, whereas the control group received usual care, i.e. a fact sheet about a healthy living. Results: A total of 138 of them (72 in the intervention group and 66 in the control group) completed the study and the screening uptake assessment. The intervention group showed greater improvement in the subscale scores and the overall scores for decisional conflicts (effect size, 0.71–0.90), and a statistical significantly larger proportion of the intervention group had undergone cervical cancer screening when compared to the control group (31.9% vs 6.1%). Most interviewees were satisfied with the intervention. Conclusion: It was feasible and acceptable to implement the Web-based decision aid to young working women. The preliminary findings suggest that the decision aid could help to reduce decisional conflicts and encourage uptake of screening. Full-scale studies are needed to confirm these findings. Trial Registration: This study was registered at the International Standard Randomised Controlled Trial Number Registry (ISRCTN59163820) on 4 August 2022. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Effects of Web-Based Decision Aid to Support Cervical Cancer Screening Decision Among Young Working Women: A Pilot Randomised Controlled Trial.
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  Data: <searchLink fieldCode="AR" term="%22Chan%2C+Dorothy+Ngo+Sheung%22">Chan, Dorothy Ngo Sheung</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Choi%2C+Kai+Chow%22">Choi, Kai Chow</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22So%2C+Winnie+Kwok+Wei%22">So, Winnie Kwok Wei</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Behavioral+Medicine%22">International Journal of Behavioral Medicine</searchLink>. Feb2026, Vol. 33 Issue 1, p56-68. 13p.
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– Name: Abstract
  Label: Abstract
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  Data: Background: Young working women who devote most of their time to jobs and household chores may experience conflicts when faced with a cervical cancer screening decision. This study aimed to assess the acceptability and feasibility of a Web-based decision aid on cervical cancer screening by young working women, and to preliminarily examine the effects of the decision aid on the knowledge level, risk perception, decisional conflicts, screening decision and screening uptake. Method: This was a pilot randomised controlled trial. A total of 158 working women aged 25–44 years who had not undergone cervical cancer screening in the past 3 years were recruited. The recruited women allocated to the intervention group received a Web-based decision aid with information about the Papanicolaou test and HPV test, whereas the control group received usual care, i.e. a fact sheet about a healthy living. Results: A total of 138 of them (72 in the intervention group and 66 in the control group) completed the study and the screening uptake assessment. The intervention group showed greater improvement in the subscale scores and the overall scores for decisional conflicts (effect size, 0.71–0.90), and a statistical significantly larger proportion of the intervention group had undergone cervical cancer screening when compared to the control group (31.9% vs 6.1%). Most interviewees were satisfied with the intervention. Conclusion: It was feasible and acceptable to implement the Web-based decision aid to young working women. The preliminary findings suggest that the decision aid could help to reduce decisional conflicts and encourage uptake of screening. Full-scale studies are needed to confirm these findings. Trial Registration: This study was registered at the International Standard Randomised Controlled Trial Number Registry (ISRCTN59163820) on 4 August 2022. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of International Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s12529-024-10344-9
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 13
        StartPage: 56
    Subjects:
      – SubjectFull: Papillomavirus disease diagnosis
        Type: general
      – SubjectFull: World Wide Web
        Type: general
      – SubjectFull: Health literacy
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Cervix uteri tumors
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Early detection of cancer
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Conflict (Psychology)
        Type: general
      – SubjectFull: Pilot projects
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Health
        Type: general
      – SubjectFull: Probability theory
        Type: general
      – SubjectFull: Fisher exact test
        Type: general
      – SubjectFull: Content analysis
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Decision making
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Information resources
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Human papillomavirus vaccines
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Control groups
        Type: general
      – SubjectFull: Pre-tests & post-tests
        Type: general
      – SubjectFull: Women employees
        Type: general
      – SubjectFull: Pap test
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Time management
        Type: general
      – SubjectFull: Conceptual structures
        Type: general
      – SubjectFull: Health promotion
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Molecular diagnosis
        Type: general
      – SubjectFull: User interfaces
        Type: general
      – SubjectFull: Disease risk factors
        Type: general
      – SubjectFull: Symptoms
        Type: general
      – SubjectFull: Adults
        Type: general
      – SubjectFull: China
        Type: general
    Titles:
      – TitleFull: Effects of Web-Based Decision Aid to Support Cervical Cancer Screening Decision Among Young Working Women: A Pilot Randomised Controlled Trial.
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              Text: Feb2026
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