Changes in Pap test screening and psychosocial outcomes
depression
CERVICAL CANCER
At 6 months, 50% of WLH in the intervention group received a Pap test, compared to 21.9% of women in the control group (28.1% difference; Outcome changes over 6 months
Abbreviation: Pap, Papanicolaou.
Group difference in mean change scores from baseline to 3 months divided by the standard deviation at baseline.Group difference in mean change scores from baseline to 6 months divided by the standard deviation at baseline.For other psychosocial variables, the absolute value of effect sizes ranged from 0.25 to 0.58 at 3 months and from <0.01 to 0.54 at 6 months. For cervical cancer knowledge, the intervention arm had a greater increase at 3 months, but the difference was not sustained at 6 months, with relatively no difference between the intervention and control arms. For self‐efficacy, the intervention arm had a greater increase, but with a reduced effect size at 6 months. Cultural beliefs addressing cultural barriers, such as modesty, declined for both groups at 3 months, with the intervention arm having a significantly greater reduction. At 6 months, the intervention arm maintained the declining trend while the control arm reversed back. Finally, depression scores declined for both groups at 3 months, but the intervention arm had a greater decrease with an effect size of 0.28; though the difference was not sustained at 6 months. For all psychosocial variables, the statistical test of change over time was significant only for cultural beliefs at 3 months (