The Effect of Motivational Interviewing on HPV-DNA Testing

NCT ID: NCT06662136

Last Updated: 2026-02-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-12

Study Completion Date

2025-06-12

Brief Summary

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The aim of this randomized controlled study was to examine the effects of Health Belief Model Based Motivational Interviewing on HPV-DNA testing in women according to the Precautionary Acceptance Process.

Detailed Description

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Human papillomavirus (HPV) infection is the main determinant of cervical cancer in women. Current studies indicate that cervical cancers are caused by sexually transmitted HPV infection and 84% of HPV-associated cancer lesions are cervical cancer. HPV infection causes more than 14 million people to become infected with HPV annually and 80% of sexually active individuals to become infected with HPV during their lifetime. Today, more than 200 HPV types have been identified. According to the International Agency for Research on Cancer, high-risk HPV genotypes including 16, 18, 31, 33, 45, 52, and 58 are responsible for approximately 90% of anogenital HPV-positive cancers worldwide, while low-risk genotypes HPV 6 and 11 are responsible for 90% of genital warts. Cancer is an important public health problem that increases the risk of mortality and morbidity in women all over the world. Gynecological cancers can be prevented by changing/abandoning risk factors, cases can be detected at an early stage with early diagnosis and screening programs, and a chance for treatment can be found. However, it is known that women do not apply to health institutions or postpone them due to reasons such as ignoring health problems, lack of information, embarrassment, and economic problems. The World Health Organization (WHO) emphasizes that at least one-third of cancer cases can be prevented with preventive care strategies and recommends the implementation of low-cost and long-term strategies in cancer control. All health professionals have important roles and responsibilities in the care and treatment processes in the successful implementation of cancer prevention, early diagnosis and screening programs. High cancer screening rates in the general population are associated with the health beliefs of the individual. According to the Health Belief Model (HBM); perceived barriers are the perceptions of factors that prevent or make it difficult to perform a protective behavior related to health. If individuals are sensitive that a health problem will seriously harm them, they think that the harm that will come to them will decrease when they take action. They believe that if they do not take action, more severe consequences may arise than the burden (cost, time, etc.) of the factors that create the perception of barriers. Motivational interviewing (MI) is a collaborative conversation style to strengthen a person\'s own motivation and commitment to change. Motivational interviewing is an evidence-based, successful intervention approach to facilitate positive behavioral change and is frequently used in substance abuse, mental health, primary and special health areas. Studies have shown the effectiveness of motivational interviews, especially SIM-based motivational interviews. The Precautionary Acceptance Process Model (PAPM) is a method that states that people may be in different motivational stages during the process of showing a behavior, therefore the same intervention applied to people evaluated in a single pot may not be effective for everyone, and the Precautionary Acceptance Process Model (PAPM), which is known to a limited extent in our country, is a suitable model especially in preventive health service practices, health protection and development programs. In the prevention of cervical cancer, health personnel working especially in primary health care services actively play a role in increasing the awareness levels of women in the society they serve and in directing them to early diagnosis. In this context, it is thought that midwives, especially those in the first stage, should be at the forefront with their education and consultancy roles in addition to their practitioner roles, as they reach women of all ages .

Conditions

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Cervical Cancers

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

motivational interviewing to the experimental group
Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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Experimental group

Participants in the experimental group will be given motivational interviews about HPV at 4 different times and will also be given an educational brochure.

Group Type ACTIVE_COMPARATOR

motivasional intereview

Intervention Type BEHAVIORAL

No application will be made to the participants in the control group

control group

Participants in the control group will not receive any intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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motivasional intereview

No application will be made to the participants in the control group

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Women aged 30-45 registered at Family Health Centre No. 1,
* Who currently have or have had an active sex life,
* Women who have not undergone an HPV-DNA test in the last five years,
* Women who can read and write, have no communication problems, and can use a smartphone and WhatsApp,
* Women with no diagnosed psychiatric problems,
* Women who agreed to participate in the study.

Exclusion Criteria

* Women who were unable to complete the entire study due to any circumstances during the data collection phases,
* Women who voluntarily withdrew from the study were excluded.
Minimum Eligible Age

30 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Muazez küçükkaya

OTHER

Sponsor Role lead

Responsible Party

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Muazez küçükkaya

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Muazez Küçükkaya

Role: PRINCIPAL_INVESTIGATOR

Istanbul University - Cerrahpasa

Locations

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Bayrampaşa 1 nolu ASM

Istanbul, BAYRAMPAŞA, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Lewandowska AM, Lewandowski T, Rudzki M, Rudzki S, Laskowska B. Cancer prevention - review paper. Ann Agric Environ Med. 2021 Mar 18;28(1):11-19. doi: 10.26444/aaem/116906. Epub 2020 Mar 12.

Reference Type RESULT
PMID: 33775063 (View on PubMed)

Ghasemi M, Savabi-Esfahani M, Noroozi M, Satari M. Prediction of cervical cancer screening: application of the information-motivation-behavioral skills model. BMC Cancer. 2024 Mar 19;24(1):351. doi: 10.1186/s12885-024-12098-9.

Reference Type RESULT
PMID: 38504202 (View on PubMed)

Study Documents

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Document Type: Individual Participant Data Set

View Document

Related Links

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Other Identifiers

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IstanbulUC-SBF-MK-1

Identifier Type: -

Identifier Source: org_study_id

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