ผลของโปรแกรมการเสริมสร้างแรงจูงใจต่อการปฏิบัติการป้องกันมะเร็งปากมดลูกของสตรีวัยเจริญพันธุ์ในชุมชน

Runchida Whounseang*; Sivaporn Aungwattana; Noppamas Sripetchwandee

Authors

Runchida Whounseang* -
Sivaporn Aungwattana Faculty of Nursing, Chiang Mai University
Noppamas Sripetchwandee Faculty of Nursing, Chiang Mai University

Keywords:

Cervical cancer, Cervical cancer prevention, Motivation enhancement, Cervical cancer screening, Women of reproductive age

Abstract

Cervical cancer affects the health and quality of life of women of reproductive age; therefore, cervical cancer prevention is essential to reduce its potential impact. This quasi-experimental research employed a two-group pretest-posttest design to examine the effectiveness of a motivational enhancement program in promoting cervical cancer prevention behaviors. The objectives were:
(1) to assess changes in cervical cancer preventive behavior levels among an experimental group before and after participating in the program, and (2) to compare the post-intervention preventive behavior levels between the experimental and control groups. The study sample consisted of 52 women of reproductive age (30–60 years), randomly assigned to either the experimental group (n=26) or the control group (n=26). The intervention tools included an activity plan within the motivation-enhancing program for cervical cancer prevention, as well as slides, videos, and positive role models. Data was collected using a validated cervical cancer prevention practices questionnaire with a content validity index of 1.0 and the reliability of the instrument was assessed using Cronbach's alpha coefficient, yielding a Cronbach's alpha of .81. Data analysis was conducted using Fisher's exact probability test and Chi-square test. The results revealed that after participating in the motivation enhancement program, the experimental group demonstrated significantly higher levels of cervical cancer prevention practices compared to both their pre-intervention scores and the control group (p<.001). These findings suggest that the motivational enhancement program is an effective intervention for improving cervical cancer prevention behaviors among women of reproductive age and may be considered for broader implementation in community health promotion initiatives.

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