Comparison of Two Educational Intervention Methods With Mobile Application vs. Face-to-Face Instruction on Knowledge, Attitude, Practice, Perceived Self-Efficacy, and Adherence with Pap Smear Testing among Women Aged 30-59

Investigation and comparison of two methods of educational intervention by mobile phone application and face-to-face training in knowledge, attitude, performance, perceived self-efficacy and compliance to repeat pap smear test among women aged 30-59

This study is a clinical trial (RCT) with two intervention groups and one control group. Randomized block method will be used to assign the participants to three groups. The envelope is used to hide the allocation

Entering, the target population is women (30-59) years old. The participants will announce their readiness to participate in the study through an internet call on several popular social networks.

1. A resident of Saveh city 2. Covered by the centers and has an active electronic file of the Sib system 3. Age between 30 and 59 years 4. Having marriage experience 5. More than 3 years have passed since the first sex 6. Obtaining a weak and average knowledge score in the first stage of study 7. Using a smart mobile phone to use virtual networks (ITA program) 8. Desire to participate in research

The first intervention group: the intervention designed based on the training content obtained from the qualitative and review phase of the study will be presented using the face-to-face and in-person training method. The second intervention group: the intervention designed based on the training content obtained from the qualitative and review phase of the study with They will receive the use of the mobile phone application. Control group: they will not receive it during the educational study, after the study the educational content will be provided to them.

The average score of knowledge, attitude, performance, perceived self-efficacy and adherence to re-doing the pap smear test of women

A list of individuals who have achieved poor and average knowledge scores will be compiled. These individuals will be numbered consecutively for random assignment to one of three groups: A, B, or C. This study will involve 120 participants. The method of permutation blocks will be employed for this purpose. We will utilize Random Allocation Software, which will be used to create 20 blocks of six. This software aids in balancing the number of samples allocated to each group under study. This feature is particularly beneficial when intermediate analyses are required during the sampling process, as it ensures an equal number of samples in each group. In this study, the blocking type is consistent across all blocks. Out of the total 120 participants, groups A (control group), B (intervention group receiving face-to-face training), and C (intervention group receiving training via a mobile phone application) will each be assigned 40 participants. Upon selection of the samples, they will be contacted. A brief overview of the study, its objectives, the teaching method, and the criteria for inclusion and exclusion from the study will be provided. If they are willing to participate, they will be included in the study. If they decline, the next individual will be contacted. Written consent will be obtained from all participants agreeing to participate in the study.

Part of the data related to the main outcomes can be shared

The access period starts 6 months after the results are published

The data will be made available only to researchers working in academic and scientific institutions

Repeated measures analysis to investigate the effect of training persistence 6 months after the last intervention

By sending an email to the email address of Dr. Fatemeh Zarei f.zarei@modares.ac.ir

One week after sending the email from the requester to the email address of Dr. Fatemeh Zarei f.zarei@modares.ac.ir, a reply will be given.