Cancer Control Research
5R01CA063745-04
Prochaska, James O.
CHANGING TEEN BEHAVIORS--CERVICAL CANCER PREVENTION
AbstractThe Family Planning Council of Southeastern Pennsylvania, in collaboration
with the Cancer Prevention Research Center of the University of Rhode
Island, is proposing an innovative study designed to address the risk
behaviors associated with a recent alarming increase in the incidence of
cervical neoplasias among young women. The proposed study is designed to
develop, implement and evaluate interventions that increase consistent
condom use and decrease cigarette smoking among 1,800 low income female
youth aged 14-17 years who obtain family planning services at four diverse
federally-funded family planning clinics. Smoking and unprotected sexual
intercourse have been found to be independently associated with increased
risks of cervical cancer in this population The proposed intervention is
based on the Transtheoretical or Stages of Change model combined with one
of the most promising modalities for reaching youth, an interactive
computer based expert system whose efficacy will be evaluated alone and in
combination with an adaptation of the anticipatory counseling model. Data
will be collected at four points during a nine-month intervention period
and at six-month intervals for 18 months post.intervention to assess
effects over time. In addition, the intervention is aimed at increasing
utilization of comprehensive, gynecologic health care including routine
Pap smear screening, follow.up colposcopic examination and treatment of
cervical dysplasia, the precursor of cervical cancers, when indicated.
The proposed study represents the combined expertise of family planning
researchers and service providers with considerable experience working
with economically disadvantaged females and behavioral scientists with
extensive research expertise in high risk behavior change.
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