%0杂志文章%@ 2291-5222 %I JMIR出版物%V 10%卡塔尔世界杯8强波胆分析 N 6% P e32089% T基于理论的教育干预和WhatsApp随访对马来西亚产后妇女涂片摄取的影响:随机对照试验%A Mohammad,Zaahirah %A Ahmad,Norliza %A Baharom,Anisah %+普特拉大学医学和健康科学学院社区卫生系，马来西亚Seri Kembangan, Serdang, 43400, Serdang, 60 192710577，lizaahmad@upm.edu.my %K子宫颈肿瘤%K巴氏检验%K心理理论%K自我效率%K社交媒体%K健康知识%K态度%K实践%K马来西亚%D 2022 %7 27.6.2022 %9原始论文%J JMIR Mhealth Uhealth %G英语%X背景:尽管巴氏涂片作为宫颈癌筛查工具的免费提供和可获得性，但在过去15年里，马来西亚的巴氏涂片使用率没有变化。先前的研究显示，大量摄取巴氏涂片可降低子宫颈癌患者的死亡率。巴氏涂片的低使用率是多因素的，这个问题可以通过使用移动技术来最小化。然而，大多数干预研究都集中在个人因素上，而其他重要方面，如移动技术，尤其是WhatsApp，还没有被调查。目的:本研究旨在确定基于理论的教育干预和WhatsApp随访(巴氏涂片摄取[PSU]干预)在改善马来西亚森美兰州Seremban市产后妇女PSU方面的效果。方法:在来自Seremban地区的产后妇女中进行一项2臂、平行单盲聚类随机对照试验。12家诊所被随机分为干预组和对照组。在基线时，两组都收到了一份自我管理的问卷。 The intervention group received standard care and PSU intervention delivered by a researcher. This 2-stage intervention module was developed based on Social Cognitive Theory, where the first stage was conducted face-to-face and the second stage included a WhatsApp follow-up. The control group received standard care. Participants were observed immediately and at 4, 8, and 12 weeks after the intervention. The primary endpoint was PSU, whereas the secondary endpoints were knowledge, attitude, and self-efficacy scores for Pap smear screening self-assessed using a Google Forms questionnaire. A generalized mixed model was used to determine the effectiveness of the intervention. All data were analyzed using IBM SPSS (version 25), and P value of .05 was considered statistically significant. Results: We analyzed 401 women, of whom 76 (response rate: 325/401, 81%) had withdrawn because of the COVID-19 pandemic, with a total of 162 respondents in the intervention group and 163 respondents in the control group. The proportion of Pap smears at the 12-week follow-up was 67.9% (110/162) in the intervention group versus 39.8% (65/163) in the control group (P<.001). Significant differences between the intervention and control groups were found for Pap smear use (F4,1178; P<.001), knowledge scores (F4,1172=14.946; P<.001), attitude scores (F4,1172=24.417; P<.001), and self-efficacy scores (F1,1172=10.432; P<.001). Conclusions: This study demonstrated that the PSU intervention is effective in increasing the uptake of Pap smear among postnatal women in Seremban district, Malaysia. This intervention module can be tested in other populations of women. Trial Registration: Thai Clinical Trials Registry TCTR20200205001; https://www.thaiclinicaltrials.org/show/TCTR20200205001 %M 35759319 %R 10.2196/32089 %U https://mhealth.www.mybigtv.com/2022/6/e32089 %U https://doi.org/10.2196/32089 %U http://www.ncbi.nlm.nih.gov/pubmed/35759319