ผลของโปรแกรมการสร้างแรงจูงใจต่อการตรวจคัดกรองมะเร็งปากมดลูก ของสตรีวัยเจริญพันธุ์ โรงพยาบาลส่งเสริมสุขภาพตำบลบ้านลานแหลมจังหวัดนครปฐม

Yupin Junmoon; Vidaporn Dhabdhimsri; Nissama Poochakhanit

Authors

Yupin Junmoon Ban Lan Laem Health Promoting Hospital
Vidaporn Dhabdhimsri Boromarajonani College of Nursing, Bangkok, Faculty of Nursing, Praboromarajchanok Institute
Nissama Poochakhanit Independent academic

Keywords:

cervical cancer screening, motivation, reproductive-aged women

Abstract

Introduction: Cervical cancer remains a significant health challenge for Thai women. Cervical cancer screening and HPV vaccination are essential to lower the incidence of this disease.

Research objectives: This study aimed to evaluate the effects of motivational enhancement program on cervical cancer screening participation among sexually active women in the target area.

Research methodology: This study applied a quasi-experimental design with a two-group pretest-posttest design. The sample consisted of 80 women aged 30 – 60 years, divided into experimental and control groups. The experimental group (n = 40) was selected from Ban Lan Laem Health Center’s service area, and the control group (n = 40) from Bang Phra Health Center. There were no significant differences in baseline characteristics between groups. The experimental group received a motivational enhancement program based on Rogers’ Protection Motivation Theory, including educational sessions, media aids, group discussions, and other activities to enhance motivation. Data were collected from using service records and Motivation in Cervical Cancer Screening Participation Questionnaire. Data were analyzed using paired t-tests and independent t-tests.

Results: The experimental group demonstrated significantly higher motivation and perception for cervical cancer screening participation compared with the control group (p < .05). The number of women in the experimental group who underwent cervical cancer screening increased following participation in the motivational enhancement program compared with the pre-intervention period.

Conclusions: The motivational enhancement program effectively improves health behaviors among sexually active women by increasing their perception of the severity of disease and encouraging proactive protection against cervical cancer.

Implications: The motivational enhancement program should beimplemented in clinical practice to encourage women to adoptpreventive behaviors against cervical cancer and to participate regularly and consistently in cervical cancer screening.

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