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Predictors of adherence to follow-up recommendations after an abnormal Pap smear among underserved inner-city women
Patient Educ Couns. 2017 Jan 31;100(7) :1353-1359
PMID: 28190541 PMCID: PMC5466500 URL: https://www.ncbi.nlm.nih.gov/pubmed/28190541
AbstractOBJECTIVES: This study aimed to identify cognitive-affective predictors of adherence to initial diagnostic colposcopy and 6-month follow-up recommendations among underserved women. METHODS: A secondary data analysis was completed of a randomized clinical trial assessing tailored telephone counseling for colposcopy adherence after an abnormal screening Pap smear among 210 underserved inner-city women. RESULTS: Adherence to initial diagnostic colposcopy was significantly associated with greater self-efficacy (OR=1.504, 95% CI 1.021-2.216). Women with lower monitoring attentional style had significantly greater adherence to 6-month follow-up recommendations compared to women with higher monitoring scores (OR=0.785, 95% CI 0.659-0.935). CONCLUSION: Increasing cervical cancer-related self-efficacy and tailoring cervical cancer risk communication to monitoring attentional style may help improve adherence to follow-up recommendations after an abnormal Pap smear test result. PRACTICE IMPLICATIONS: Future research is needed to develop and implement psychosocial approaches to improving adherence to diagnostic colposcopy and follow-up recommendations adherence among underserved women.
Notes1873-5134 Miller, Suzanne M Tagai, Erin K Wen, Kuang-Yi Lee, Minsun Hui, Siu-Kuen Azor Kurtz, Deirdre Scarpato, John Hernandez, Enrique Journal Article Ireland Patient Educ Couns. 2017 Jan 31. pii: S0738-3991(17)30064-2. doi: 10.1016/j.pec.2017.01.020.