Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

APPLYING THE TRANSTHEORETICAL MODEL TO EVALUATE THE IMPACT OF A CALL-RECALL SYSTEM IN ENHANCING PAP SMEAR PRACTICE

Author

Fauziah Abdullah 1,2 , Tin Tin Su 1

Institution

1 Centre for Population Health (CePH), Department of Social & Preventive Medicine, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia
2 Ministry of Health, Malaysia

Abstract

Objectives: To determine the effect of call-recall system in enhancing Pap smear practice by changes of motivation stage

Methods: A cluster randomized trial was conducted between January and November 2010 in 40 public secondary schools in Malaysia among 403 female teachers who never or infrequently had a Pap test. A cluster randomization method was used in assigning schools to both groups. An intervention group received an organized call-recall programme, while the control group received an opportunistic programme; and followed for 24 weeks. Univariate analysis was performed to determine the effect of a call-recall programme of the changes of motivation stage.

Results: In both groups, contemplation stage was found with the highest proportion stage among other stages in pre- and post-intervention phases. There was a significant difference noted in the changes of motivation stage after 24 weeks of follow-up period in all the stages between intervention and control groups (p-value<0.05). A call-recall program showed 1.5 times more improvement in motivation than opportunistic program (95% CI 1.01-2.26).

Conclusion: The positive effect of a call-recall system in motivating women to change the behaviour of screening practice should be concerned by policy makers and health care providers in developing countries as an approach to enhance screening coverage.