The Effectiveness of Motivational Interviewing Strategies on Women Who Did Not Participate in a Pap Smear Examination within the Last Three Years or More

Monday, 31 October 2011

Shiu-Yun K. Fu, PhD, RN1
Hsiaoling-Ling Niu, MSN, RN1
Mei-Ching Chen, PhD2
(1)Department of Nursing, Fu Jen Catholic University, New Taipei City, Taiwan
(2)Department of Clinical Psychology, Fu Jen Catholic University, New Taipei City, Taiwan

Learning Objective 1: The learner will be able to value the importance of self- efficiency factor for women’s healthy behavior change.

Learning Objective 2: The learner will be able to understand how the effectiveness of the motivation interviewing for women’s health promotion.

In order to decrease the occurrence of the high mortality rates for cervical cancer, Pap smear screening is absolutely essential and most necessary for all women. In reality, the proportion of women in Taiwan who have not had a Pap smear test is quite high and there is a widening gap in contrast to those advanced countries of Europe and the USA. Based on a literature review with expert counseling and antecedent interview skills training, a set of motivational interviewing (MI) skills are designed to enhance the opportunities for women to have pap smear screening. A quasi-experimental design will be used in this study. Two hundred women who have not received a Pap smear screen within the past three years will be involved in the study. Those women will be randomly allocated either the experimental group who will receive intervention (MI) or the control group who will not receive any intervention (MI).

All participants will be required to fill in documents with their personal information including demographic factors, their knowledge of the cervical cancer scale, the HPV (Human Papilloma Virus) knowledge scale and a questionnaire of willingness and readiness to change in addition to the pap smear self-efficiency scale. Pre-and Post tests will be used to evaluate the effect of the intervention and the experimental group will complete a feedback document in the final stage of the study. The outcome is expected that encourage a healthy behavior pattern for women in the community who have not had Pap smear screening for three years or more. The nurse professionals will increase their cognition of cervical cancer, encourage and facilitate change for the woman for better health care behavior, whilst simultaneously reducing overall medical costs.