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Randomized Controlled Trial
. 2018 Mar 5;28(3):156-160.
doi: 10.2188/jea.JE20160155. Epub 2017 Nov 11.

Motivating Mothers to Recommend Their 20-Year-Old Daughters Receive Cervical Cancer Screening: A Randomized Study

Tomomi Egawa-Takata  1   2 , Yutaka Ueda  1   2 , Akiko Morimoto  1   2 , Yusuke Tanaka  1   2 , Asami Yagi  1   2 , Yoshito Terai  1   3 , Masahide Ohmichi  1   3 , Tomoyuki Ichimura  1   4 , Toshiyuki Sumi  1   4 , Hiromi Murata  1   5 , Hidetaka Okada  1   5 , Hidekatsu Nakai  1   6 , Masaki Mandai  1   6 , Shinya Matsuzaki  1   2 , Eiji Kobayashi  1   2 , Kiyoshi Yoshino  1   2 , Tadashi Kimura  1   2 , Junko Saito  1 , Yumiko Hori  7 , Eiichi Morii  7 , Tomio Nakayama  8 , Mikiko Asai-Sato  9 , Etsuko Miyagi  9 , Masayuki Sekine  10 , Takayuki Enomoto  1   10 , Yorihiko Horikoshi  1 , Tetsu Takagi  1 , Kentaro Shimura  1
Affiliations
Randomized Controlled Trial

Motivating Mothers to Recommend Their 20-Year-Old Daughters Receive Cervical Cancer Screening: A Randomized Study

Tomomi Egawa-Takata et al. J Epidemiol. .

Abstract

Background: In Japan, the rate of cervical cancer screening is remarkably low, especially among women in their twenties and thirties, when cervical cancer is now increasing dramatically. The aim of this study was to test whether a modified government reminder for 20-year-old women to engage in cervical cancer screening, acting through maternal education and by asking for a maternal recommendation to the daughter to receive the screening, could increase their participation rate.

Methods: In two Japanese cities, 20-year-old girls who had not received their first cervical cancer screening before October of fiscal year 2014 were randomized into two study arms. One group of 1,274 received only a personalized daughter-directed reminder leaflet for cervical cancer screening. In the second group of 1,274, the daughters and their mothers received a combination package containing the same reminder leaflet as did the first group, plus an additional informational leaflet for the mother, which requested that the mother recommend that her daughter undergo cervical cancer screening. The subsequent post-reminder screening rates of these two study arms were compared.

Results: The cervical cancer screening rate of 20-year-old women whose mothers received the information leaflet was significantly higher than that for women who received only a leaflet for themselves (11% vs 9%, P = 0.0049).

Conclusions: An intervention with mothers, by sending them a cervical cancer information leaflet with a request that they recommend that their daughter receive cervical cancer screening, significantly improved their daughters' screening rate.

Keywords: cervical cancer screening; daughter; leaflet; mother; recommendation.

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Figures

Figure 1.
Figure 1.. Study design
Figure 2.
Figure 2.. Design of mother leaflet. A mother’s possible conversation with her daughter is on the left page, and an explanation of cervical cancer and cervical cancer screening, with a figure, is on the right page.
See this image and copyright information in PMC

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