None listed
Conditions
Brief summary
This cluster non-randomised controlled trial aims to test whether the SHiNE Project improves knowledge of cervical cancer risk and protective factors among female students attending senior high school in the Ashanti region of Ghana. Eligible students from selected classes from each participating school will be invited to participate in survey at baseline and at four weeks follow-up. Participants from the control the schools will receive usual care (information on reproductive health taught as part of mandatory subjects in the school curriculum in Ghana). Participants from the intervention school will receive usual care plus access to nurse-led education about cervical cancer after completion of baseline survey. The education is a multicomponent intervention including oral, printed and online education about cervical cancer. Following implementation of the intervention, participants will be invited to complete an evaluation survey. Follow-up interviews will be conducted among participants for in-depth understanding participants views about education intervention
Interventions
The current study is a pilot and feasibility test aiming to refine the intervention with students from n = 4 schools.
A nurse-led health education session or Senior High School Nurse-led Educational (SHiNE) project. A one-day multimodal (verbal, printed and multimedia) school-based intervention will include a set of evidence-based strategies. This strategy of the session were selected based on a) critical review of models for school-based sex education, health education towards HIV/AIDs and use
The current study is a pilot and feasibility test aiming to refine the intervention with students from n = 4 schools. A nurse-led health education session or Senior High School Nurse-led Educational (SHiNE) project. A one-day multimodal (verbal, printed and multimedia) school-based intervention will include a set of evidence-based strategies. This strategy of the session were selected based on a) critical review of models for school-based sex education, health education towards HIV/AIDs and use of contraception, b) improving health knowledge among high school students based on literature reviews and judgement by the health behaviour researchers, local educationist and health professional including oncology nurses and doctors, The proposed intervention consists of four components: Face-2-face session Printed leaflets Web-education Game APP Face-2-face session: Sessions will be delivered by a nurse, the investigator given her experience in conducting health education among adolescents over one hour. The nurse will use PowerPoint presentations with relevant learning aids such as videos (downloaded from YouTube) and pictures to enhance learning. Existing resources from evidence-based literature of cervical cancer including WHO information on cervical cancer and HPV vaccination program in low-income countries and Uganda HPV vaccination project leaflet were included in the presentation materials. These resources and leaflets were adopted because of their ability to provide comprehensive cervical cancer and HPV vaccine information incorporating medical and psychosocial content, simple, plain words and transferability to the Ghanaian setting. Additionally, these messages can reduce various myths and beliefs about cervical cancer in Ghana. Also, information sources and the list of locations in Ghana where HPV vaccinations are included. A research assistant will be provided with an observer sheet to record attendance and participant. delivery of modules. Printed leaflets will be available at the session to be distributed to the attendees for reference after the face-2-face session. Web-based education: The web education will be provided to students after the face-2-face session. The website contains very similar information in the slides for the face-to-face presentation. The platform is anonymous, and no names and contact details will be collected. Minor designs changes of the website may be required following findings from the pilot study. Minor revision of the content of the website may also be updated including adding a frequently asked questions (FAQs) section, contact details of clinics and any guideline update from the World Health Organization about cervical cancer. The FAQs section will be populated from questions, concerns and issues emerging from the feasibility study. Short videos and images about cervical cancer incidence in Ghana; risk factors, signs and symptoms, primary and secondary prevention will be embedded in the website. The videos will be provided in English and two most spoken local languages. Adherence will be assessed using website analytics and self-administered evaluation surveys. Gaming APP: A gaming APP will be developed as part of the intervention. The content of the gaming APP will contain questions pooled from comments and questions provided by students in the comment section of a descriptive survey conducted prior to this project. It will also contain evidence and non-evidence based statements about cervical cancer and HPV infection from the WHO website and other evidence from the literature. The gaming APP will be compatible with android devices only as android devices are mostly used in Ghana. Adherence will be assessed using analytics and self-administered evaluation surveys.
Sponsors
Hunter Medical Research Institute
Study design
Allocation
Non-randomised trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
16 Years to 24 Years
Healthy volunteers
Yes
Inclusion criteria
i) female ii) aged 16 years or older iii) enrolled in senior high school level two (i.e. second year of senior high school, which is approximately equivalent to students in high school grade 11 in Australia) at one of the selected schools iv) able to read and understand English adequately to provide informed consent and complete a questionnaire.
Exclusion criteria
None
Outcome results
None listed