A Feasibility Study of a Compassion-focused Self-help Intervention Designed to Increase Access to Cervical Screening Following Sexual Assault
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 96
- 主要终点
- Acceptability: Is the intervention acceptable to the intended audience?
研究概览
简要总结
The aim of this study is to evaluate the feasibility of a new self-help intervention designed to support individuals (anyone with a cervix) to access cervical cancer screening following the experience of sexual assault, by addressing psychological barriers identified by previous research, specifically shame, low self-efficacy and the re-traumatising nature of attending to sexual health after sexual trauma.
详细描述
The study aims to investigate the acceptability, feasibility and limited efficacy of a discrete, easily accessed (mobile phone, tablet or computer) self-help intervention to support people to access cervical screening independently.
The study will use a wait-list control design, with participants randomly allocated to receive access to the intervention immediately or after a six-week wait.
The intervention will be in the form of a web app and will contain a range of psychoeducational material and practice exercises following a cognitive-behavioural and compassion-focused approach to understanding and coping with trauma, building self-compassion and increasing confidence in ability to attend and complete a screening.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 25 Years 至 64 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Has a cevix
- •Within age range for cervical cancer screening in UK (25-64 years)
- •Experience of sexual assault (in childhood and/or adulthood; not within last 12 months)
- •Currently experiencing difficulty attending cervical cancer screening
- •Has access to smartphone/computer with internet
- •Has a valid email address
- •Able to read and understand English
- •Living in UK
排除标准
- •No cervix
- •Outside of UK cervical cancer screening age range
- •No experience of sexual assault or sexual assault occurred within last 12 months
- •No access to smartphone or computer and internet
- •Unable to read or understand English
- •Not living in UK
- •In acute mental health crisis
研究组 & 干预措施
Self-help
Immediate access to self-help materials
干预措施: Self-help (Other)
Control
Wait-list control - treatment as usual (no intervention)
结局指标
主要结局
Acceptability: Is the intervention acceptable to the intended audience?
时间窗: Six weeks
A series of statements written by the researchers asking for feedback on the intervention, including frequency of use, interest in the content, satisfaction. To be rated on a five-point scale (Completely agree - Completely disagree). This will be analysed descriptively (e.g. how many people would recommend the app to others having similar difficulties?)
Behavioural change - Does use of the intervention lead to an increase in bookings and attendance at screenings?
时间窗: Six weeks
Participants will be asked to report their progress at baseline and follow-up by answering a series of questions written by the researchers, for example 'I have contacted my GP surgery to ask them when cervical screening clinics take place' - Yes/No; 'I attended my cervical screening appointment' - Yes/No.
Behavioural change - Does use of the intervention facilitate completing a cervical screening? (i.e. does the intervention have limited efficacy?)
时间窗: Six weeks
Participants will be asked whether or not they have completed their cervical screening at baseline and follow-up. Answer options will be yes/no/appointment booked but hasn't happened yet
次要结局
- Psychological change - Does use of the intervention lead to increased self-efficacy and self-compassion, and reduced shame?(Six weeks)
- Psychological change - distress(Six weeks)
研究者
Jane Smallwood
Trainee Clinical Psychologist
Royal Holloway University