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document
Can a home-visit invitation increase Pap smear screening in Samliem , Khon Kaen , Thailand ? Our objective was to assess the efficiency of a home-visit invitation aimed to increase uptake of cervical cancer screening in women between 35 and 60 years of age . From May , 2006 , we conducted a quasi-randomized trial to determine if an in-home education and invitation intervention would increase uptake of cervical cancer screening . We randomly recruited 304 women from the Samliem inner-city community , Khon Kaen , Northeast Thailand , and assigned participants to either the intervention or control zone . Baseline screening coverage interviews were then performed : 58 of 158 women in the intervention zone and 46 of 146 in the control zone were excluded from the study because of having had a Pap smear within 5 years , but these were included in the final analysis . First , 100 women in the intervention group were visited in their homes by one of the researchers , who provided culturally-sensitive health education that emphasized the need for screening . Four months later , post-intervention , screening-coverage interviews were again performed in both groups , in combination with the same health education for 100 women in the control group for a comparison . There was no difference in the baseline Pap smear screening-coverage rate in the intervention vs. control zones ( 36.7 vs. 31.5 % , p=0.339 ) . One hundred women in the intervention group completed the intervention interviews and after four months , 100 women in the intervention group and 100 in the control group also completed the post-intervention interviews . The increased screening-coverage rate in the intervention zone was similar to that of the control zone ( 43.6 vs. 34.9 % , p=0.119 ) ; however , there was a borderline significant increase in the intervention zone compared with baseline ( 36.7 to 43.6 % , p=0.070 ) . Therefore , home visit education and invitation intervention produced only a nominal effect on increasing Pap smear coverage within a 4-month study period .
30943
Intervention_Educational
home-visit invitation
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Intervention_Educational
home-visit invitation
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Intervention_Educational
in-home education and invitation intervention
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Intervention_Educational
intervention
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Intervention_Control
control zone .
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Intervention_Educational
visited in their homes by one of the researchers , who provided culturally-sensitive health education that emphasized the need for screening .
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Intervention_Educational
screening-coverage interviews
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Intervention_Control
control
30951
Intervention_Educational
home visit education and invitation intervention
30952
Outcome_Other
baseline Pap smear screening-coverage rate
30953
Outcome_Other
screening-coverage rate
30954
Participant_Condition
cervical cancer
30955
Participant_Sex
women
30956
Participant_Age
35 and 60
30957
Participant_Sample-size
304
30958
Participant_Sex
women
30959
Participant_Sample-size
58
30960
Participant_Sample-size
158
30961
Participant_Sex
women
30962
Participant_Sample-size
46
30963
Participant_Sample-size
146
30964
Participant_Sample-size
100
30965
Participant_Sex
women
30966
Participant_Sample-size
100
30967
Participant_Sex
women