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Trial Title: Effects of Decision Aids on the Participation of South Asian Women in Cervical Cancer Screening

NCT ID: NCT06069648

Condition: Cervical Cancer

Conditions: Official terms:
Uterine Cervical Neoplasms

Conditions: Keywords:
cervical cancer
screening
South Asians
ethnic minority
decision aid

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Screening

Masking: Single (Outcomes Assessor)

Intervention:

Intervention type: Behavioral
Intervention name: printed screening decision aid
Description: a booklet form of screening decision aid containing information of cervical cancer screening options
Arm group label: printed decision aid

Intervention type: Behavioral
Intervention name: a leaftlet
Description: a leaflet containing information about healthy lifestyles
Arm group label: control

Intervention type: Behavioral
Intervention name: mobile screening decision aid
Description: a mobile app format of screening decision aid containing information of cervical cancer screening options
Arm group label: mobile decision aid

Summary: Objectives: To examine the effects of linguistically appropriate decision aids on decisional conflicts, risk perception, clarity of values, screening decisions and screening uptake among South Asian women in Hong Kong Design and subjects: A randomised controlled trial. A sample of 270 South Asian women aged 25-64 will be recruited to one of the two intervention groups or control group. Instruments: A survey will be conducted to collect data on the variables of concern (decisional conflicts, risk perception, clarity of values, screening decision and screening uptake). Interventions: Ethnically match community health workers (CHWs) will deliver the printed or mobile application decision aids to intervention group participants and briefly explain how to use the decision aid. The participants will choose a time and place of their convenience to read the decision aid. The participants will be contacted by CHWs within 2 weeks and asked if they have experienced any problems. Navigation assistance will be given as requested. Main outcome measures: Decisional conflicts, risk perception, clarity of values, screening decision and uptake. Data analysis: The repeated-measure outcomes of risk perception, clarity of values, decisional conflicts and screening decision will be compared between the three groups while adjusting for the stratifying variable (ethnicity) using a generalised estimating equation model, and a multivariable logistic regression with adjustment for ethnicity will be used to compare the screening uptake of the three groups. Expected results: The decision aid will clarify the participants' values and help them to make screening decisions and increase the uptake.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Indian, Pakistani or Nepalese; 2. aged 25 to 64; 3. no history of cervical cancer or total hysterectomy; 4. have a history of sexual activity; 5. cannot understand Chinese but can read or communicate in English, Hindi, Urdu or Nepali; 6. have not had a Pap/HPV test in the past 3 years; 7. have and are willing to use a smartphone in this intervention. Exclusion Criteria: - NA

Gender: Female

Gender based: Yes

Minimum age: 25 Years

Maximum age: 64 Years

Healthy volunteers: Accepts Healthy Volunteers

Start date: July 11, 2024

Completion date: March 10, 2026

Lead sponsor:
Agency: Chinese University of Hong Kong
Agency class: Other

Source: Chinese University of Hong Kong

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06069648

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