Effectiveness of a Cervical Cancer Stigma Reduction Intervention Program on Cancer Stigma Score and Cervical Cancer Screening Uptake in Nepal

NCT05489978 | Completed

• 1 other identifier: CC2022
• Study Type: interventional
• Target: 310
• Locations: 1 country
• Sites: 1

Brief Summary

It is an interventional study to assess the effectiveness of the cervical cancer stigma reduction intervention on cancer stigma score and cervical cancer screening uptake in Nepal

Conditions

Cervical Cancer; Stigma; Screening

Outcome Measures

Primary Outcomes (1)

• Mean stigma score

  Change in mean stigma score using Cancer Stigma Scale at baseline and follow up

  Measured at baseline and endline (after 2 months gap from baseline)

Secondary Outcomes (1)

• Cervical cancer screening uptake

  Measured within a month after endline

Study Arms (2)

Intervention Arm

EXPERIMENTAL

Randomization will allocate women to intervention and control arm in 1:1 ratio; with 6 wards in each group. The intervention arm will consist of 153 women who will receive "Cervical Cancer Stigma Reduction Intervention".

Behavioral: "Cervical Cancer Stigma Reduction Intervention"

Control Arm

NO INTERVENTION

The control arm will consist of 153 women who would not be given any intervention.

Interventions

"Cervical Cancer Stigma Reduction Intervention" BEHAVIORAL

Change in knowledge: Cervical cancer burden in Nepal, signs and symptoms, preventive measures available, lifestyle modifications, HPV vaccination, early diagnosis, screening, and treatment. Change in Stigma 1. Para-social contact * Video of a person facing cervical cancer what symptoms she got, how she dealt with it, and how she overcame it. * Experiences of a cervical cancer survivor so that women personalize the information by relating it to their own life experiences by changing their attitude and behavior. 2. Participatory learning techniques * Personal stories: Voluntary self-reflection of any stigma they perceive on cervical cancer or their community perceives cervical cancer. * Group Discussion: Discuss the drivers of stigma, facilitators of sigma, types of stigma prevalent in your community, and consequences of stigma. 3. Myths vs facts: Negative attitudes, myths, and misconceptions about cervical cancer will be contraindicated by factual information.

Intervention Arm

Eligibility Criteria

• Age: 30 Years - 60 Years
• Gender Eligibility Details: The study population will be women aged 30-60 years which is the recommended age group by National Guideline for Cervical Cancer Screening and Prevention in Nepal
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Women aged 30-60 years (the age range recommended for VIA screening in Nepal
• Married women
• Residents of Budanilkantha Municipality

You may not qualify if:

• Women who have already undergone screening within 5 years.
• Women with hearing or mental disorders
• Pregnant women
• Less than 6 weeks postpartum
• Mothers who had lived in the community for less than 6 months to perform seasonal work (e.g. in brick kilns) or visitors in the family.
• Women who are already diagnosed with cervical pre-cancer and cancer and have undergone hysterectomy.

Sponsors & Collaborators

• Kathmandu University School of Medical Sciences: lead

Study Sites (1)

Budanilkantha Municipality

Kathmandu, Province-3, Nepal

Location

MeSH Terms

Conditions

Uterine Cervical Neoplasms; Social Stigma

Condition Hierarchy (Ancestors)

Uterine Neoplasms; Genital Neoplasms, Female; Urogenital Neoplasms; Neoplasms by Site; Neoplasms; Uterine Cervical Diseases; Uterine Diseases; Genital Diseases, Female; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Genital Diseases; Social Behavior; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Student

Study Record Dates

• First Submitted: May 24, 2022
• First Posted: August 5, 2022
• Study Start: June 15, 2022
• Primary Completion: December 15, 2022
• Study Completion: February 15, 2023
• Last Updated: April 15, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

NE (1)