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Trial registered on ANZCTR
Registration number
ACTRN12625000497404
Ethics application status
Approved
Date submitted
19/01/2025
Date registered
22/05/2025
Date last updated
8/06/2025
Date data sharing statement initially provided
22/05/2025
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effectiveness of Improving Cervical Cancer Screening Through Community Health Workers and Community Information Channel for Women in Slum Areas of Pokhara, Nepal
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Scientific title
Effectiveness of Community Health Worker and Community Information Channel Interventions in Cervical Cancer Screening Knowledge and Behavior among Women in Slum Areas of Pokhara Metropolitan, Nepal: A Quasi-Experimental Study
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Secondary ID [1]
313759
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cervical Cancer
336361
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Condition category
Condition code
Cancer
332896
332896
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0
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Cervical (cervix)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Firstly, two slum areas of Pokhara Metropolitan City will be selected purposively to ensure participants from both the control and intervention groups share similar characteristics. Secondly, the intervention and control slum area will be choosen conveniently. Thirdly, lists of eligible participants will be prepared and they will be selected randomly for the study.
Community health workers (CHWs), refers to the participants who have at least secondary level of education and will be trained to provide awareness in the intervention group.
CHWs will be mobilized in the intervention group using flip charts and brochures The contents in flip charts and brochures include introduction, risk factors, symptoms, screening methods and preventive measures of cervical cancer. CHWs will reach the doors of the participants for providing health education on cervical cancer which will be monitored by the PI using session education checklists.
Regarding the training, CHWs will be trained after the baseline study by the PI using presentation slides. The mode of administration will be face-to-face. The training will be of one day (approximately 4 hours). CHWs will start the intervention after a day of receiving the training. CHWS will visit the participants just once for education session which will take approximately 15 minutes for each participants. All of the participants of the intervention group will recieve the intervention.
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Intervention code [1]
330339
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Behaviour
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Comparator / control treatment
Control group will receive community information channel (posters from the National Health Education Information Community Centre). The poster contains definition, risk factors, symptoms and screening methods of cervical cancer.
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Control group
Active
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Outcomes
Primary outcome [1]
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Change in knowledge of cervical cancer.
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Assessment method [1]
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Cervical cancer knowledge score
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Timepoint [1]
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Baseline, 3rd and 6th week from baseline
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Secondary outcome [1]
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Change in the cervical cancer screening uptake.
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Assessment method [1]
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Female public health professionals will conduct the interview with structured study specific questionnaire. The approximate duration of an interview will be 10 minutes. The audio of the interviews will not be recorded.
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Timepoint [1]
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Baseline, 3rd and 6th week from baseline
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Eligibility
Key inclusion criteria
1. Women aged 30-60 years residing in the slum area.
2. Those who are not planning to migrate to another place in the next 3 months.
3. Women who have not already been diagnosed with cervical cancer.
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Minimum age
30
Years
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Maximum age
60
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. Women who are currently pregnant.
2. Those who have undergone a hysterectomy
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
Statistical Package for Social Sciences (SPSS v25) will be used to store and analyze quantitative data. A descriptive analysis will be performed, wherein means and standard deviations (SD) will be used to characterize continuous variables while frequencies and percentages will be used to summarize categorical data. P-values will be calculated, and less than 0.05 will be deemed statistically significant in all two-sided analyses, where needed, using the student’s t-test, Pearson's chi-squared test, and ANOVA test.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
29/01/2025
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Date of last participant enrolment
Anticipated
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Actual
30/01/2025
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Date of last data collection
Anticipated
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Actual
13/03/2025
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Sample size
Target
310
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Accrual to date
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Final
310
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Recruitment outside Australia
Country [1]
26834
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Nepal
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State/province [1]
26834
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Gandaki
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Gandaki Province Academy of Science and Technology (GPAST)
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Address [1]
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Country [1]
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Nepal
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Primary sponsor type
Individual
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Name
Abhishek Sapkota-Pokhara University
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Address
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Country
Nepal
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Secondary sponsor category [1]
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Government body
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Name [1]
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Gandaki Province Academy of Science and Technology (GPAST)
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Address [1]
320603
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Country [1]
320603
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Nepal
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
316863
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Institutional Review Committee (IRC), Pokhara University
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Ethics committee address [1]
316863
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puirc@pu.edu.np
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Ethics committee country [1]
316863
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Nepal
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Date submitted for ethics approval [1]
316863
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29/12/2024
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Approval date [1]
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05/01/2025
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Ethics approval number [1]
316863
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Summary
Brief summary
Although national guidelines recommend cervical cancer screening for women aged 30-60 years, only 8.2% of eligible women have undergone screening, primarily due to barriers such as low awareness, limited access to trained healthcare professionals, and cultural stigma. Community-based interventions involving Community Health Workers (CHWs) and Community Information Channels (CICs) have shown potential in improving knowledge and screening behavior. This study aims to assess the effectiveness of CIC- and CHW-led interventions in improving cervical cancer screening knowledge and behavior among women living in slum areas of Pokhara Metropolitan, Nepal. The study hypothesis is that women receiving CHW-led awareness sessions will show greater improvements in cervical cancer knowledge and screening behavior than those in the control group. The quasi-experimental study will use a pre-test and post-test control group design, involving 310 participants (155 in the intervention group and 155 in the control group). Two slum areas will be selected conveniently as an intervention and control group. Women aged 30-60 years from two slum areas will be recruited randomly. The intervention group will receive cervical cancer awareness sessions conducted by CHWs using flip charts and brochures, while the control group will receive information via posters provided by health facilities. Data will be collected through structured face-to-face interviews at baseline, and again at the 3rd and 6th weeks post-intervention.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mr Abhishek Sapkota
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Address
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Pokhara University, Pokhara-30, Dhungepatan, 33700, Gandaki Province
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Country
139238
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Nepal
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Phone
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+9779846606522
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Fax
139238
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Email
139238
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[email protected]
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Contact person for public queries
Name
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Abhishek Sapkota
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Address
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Pokhara University, Pokhara-30, Dhungepatan, 33700, Gandaki Province
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Country
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Nepal
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Phone
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+9779846606522
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Fax
139239
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Email
139239
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[email protected]
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Contact person for scientific queries
Name
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Abhishek Sapkota
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Address
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Pokhara University, Pokhara-30, Dhungepatan, 33700, Gandaki Province
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Country
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Nepal
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Phone
139240
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+9779846606522
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Fax
139240
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Email
139240
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
No IPD sharing reason/comment:
Individual participant data (IPD) for this trial will not be available due to ethical and privacy considerations.
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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