Smallwood Jane, Gibson Stuart, Zelin Jill, Langdon Dawn, Vosper Jane
Department of Clinical Psychology, Royal Holloway, University of London, Egham, UK.
Barts Health NHS Trust, London, UK.
J Patient Exp. 2025 Jul 17;12:23743735251343581. doi: 10.1177/23743735251343581. eCollection 2025.
Female survivors of sexual assault may be at greater risk of cervical cancer than those with no such experience but are less likely to attend their cervical screening. This feasibility study evaluated a novel self-help intervention delivered via mobile app, designed to make cervical screening more accessible by addressing barriers commonly experienced by this group. Participants accessed the intervention immediately (n = 15) or were allocated to a control group (n = 15). Measures of shame, self-compassion, self-efficacy related to cervical screening, and progress toward attendance were completed at baseline and after 7 weeks. Significantly more participants in the intervention group booked and completed a cervical screening compared to controls. A significant group × time interaction was found for self-efficacy with a large effect size. No significant interactions were found for shame or self-compassion. Feedback was generally positive. The app appeared to be a feasible and acceptable way of providing self-help materials and was successful in increasing some participants' confidence in their ability to attend a cervical screening, and in some cases led to attendance. Further evaluation is needed.
遭受性侵犯的女性幸存者患宫颈癌的风险可能比没有此类经历的女性更高，但她们参加宫颈筛查的可能性较小。这项可行性研究评估了一种通过移动应用程序提供的新型自助干预措施，旨在通过解决该群体常见的障碍，使宫颈筛查更容易获得。参与者立即使用该干预措施（n = 15）或被分配到对照组（n = 15）。在基线和7周后完成了羞耻感、自我同情、与宫颈筛查相关的自我效能感以及参加筛查进展情况的测量。与对照组相比，干预组中预约并完成宫颈筛查的参与者明显更多。发现自我效能感存在显著的组×时间交互作用，效应量较大。羞耻感或自我同情方面未发现显著交互作用。反馈总体上是积极的。该应用程序似乎是提供自助材料的一种可行且可接受的方式，成功提高了一些参与者参加宫颈筛查的信心，在某些情况下还促使她们参加了筛查。需要进一步评估。
