J Gynecol Oncol.  2014 Apr;25(2):81-89. 10.3802/jgo.2014.25.2.81.

Creating and field-testing the questionnaire for the assessment of knowledge about cervical cancer and its prevention among schoolgirls and female students

Affiliations
  • 1Department of Clinical Oncology, Krakow University Hospital, Krakow, Poland.
  • 2Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland. krtomaszewski@gmail.com

Abstract


OBJECTIVE
The aim of this study was to develop and validate a questionnaire used to assess the level of general knowledge about cervical cancer, its primary and secondary prevention, and to identify sources of information about the disease among schoolgirls and female students.
METHODS
The questionnaire development process was divided into four phases: generation of issues; construction of a provisional questionnaire; testing of the provisional questionnaire for acceptability and relevance; field-testing, which aimed at ensuring reliability and validity of the questionnaire. Field-testing included 305 respondents of high school female Caucasian students, who filled out the final version of the questionnaire.
RESULTS
After phase 1, a list of 65 issues concerning knowledge about cervical cancer and its prevention was generated. Of 305, 155 were schoolgirls (mean age+/-SD, 17.8+/-0.5) and 150 were female students (mean age+/-SD, 21.7+/-1.8). The Cronbach alpha coefficient for the whole questionnaire was 0.71 (range for specific questionnaire sections, 0.60 to 0.81). Test-retest reliability ranged from 0.89 to 0.94.
CONCLUSION
The Cervical-Cancer-Knowledge-Prevention-64 has been successfully developed to measure the level of knowledge about cervical cancer. The results confirm the validity, reliability and applicability of the created questionnaire.

Keyword

Cancer prevention; Cervical cancer; Knowledge; Students; Questionnaire validation

MeSH Terms

Data Collection
Female
Humans
Questionnaires*
Reproducibility of Results
Secondary Prevention
Uterine Cervical Neoplasms*

Reference

1. Arbyn M, Castellsague X, de Sanjose S, Bruni L, Saraiya M, Bray F, et al. Worldwide burden of cervical cancer in 2008. Ann Oncol. 2011; 22:2675–2686.
2. Armstrong EP. Prophylaxis of cervical cancer and related cervical disease: a review of the cost-effectiveness of vaccination against oncogenic HPV types. J Manag Care Pharm. 2010; 16:217–230.
3. American Cancer Society. Cervical cancer 2013. Atlanta, GA: American Cancer Society;2013.
4. Wojciechowska U, Didkowska J, Zatonski W. Malignant neoplasms in Poland in 2008. Warszawa: Polish National Cancer Registry;2010.
5. Blödt S, Holmberg C, Müller-Nordhorn J, Rieckmann N. Human papillomavirus awareness, knowledge and vaccine acceptance: a survey among 18-25 year old male and female vocational school students in Berlin, Germany. Eur J Public Health. 2012; 22:808–813.
6. Rama CH, Villa LL, Pagliusi S, Andreoli MA, Costa MC, Aoki AL, et al. Awareness and knowledge of HPV, cervical cancer, and vaccines in young women after first delivery in São Paulo, Brazil: a cross-sectional study. BMC Womens Health. 2010; 10:35.
7. Licht AS, Murphy JM, Hyland AJ, Fix BV, Hawk LW, Mahoney MC. Is use of the human papillomavirus vaccine among female college students related to human papillomavirus knowledge and risk perception? Sex Transm Infect. 2010; 86:74–78.
8. Pham CT, McPhee SJ. Knowledge, attitudes, and practices of breast and cervical cancer screening among Vietnamese women. J Cancer Educ. 1992; 7:305–310.
9. Donders GG, Bellen G, Declerq A, Berger J, Van Den Bosch T, Riphagen I, et al. Change in knowledge of women about cervix cancer, human papilloma virus (HPV) and HPV vaccination due to introduction of HPV vaccines. Eur J Obstet Gynecol Reprod Biol. 2009; 145:93–95.
10. Han YJ, Lee SR, Kang EJ, Kim MK, Kim NH, Kim HJ, et al. Knowledge regarding cervical cancer, human papillomavirus and future acceptance of vaccination among girls in their late teens in Korea. Korean J Obstet Gynecol. 2007; 50:1090–1099.
11. Tiro JA, Meissner HI, Kobrin S, Chollette V. What do women in the U.S know about human papillomavirus and cervical cancer? Cancer Epidemiol Biomarkers Prev. 2007; 16:288–294.
12. Mutyaba T, Mmiro FA, Weiderpass E. Knowledge, attitudes and practices on cervical cancer screening among the medical workers of Mulago Hospital, Uganda. BMC Med Educ. 2006; 6:13.
13. Pitts M, Clarke T. Human papillomavirus infections and risks of cervical cancer: what do women know? Health Educ Res. 2002; 17:706–714.
14. Kamzol W, Jaglarz K, Tomaszewski KA, Puskulluoglu M, Krzemieniecki K. Assessment of knowledge about cervical cancer and its prevention among female students aged 17-26 years. Eur J Obstet Gynecol Reprod Biol. 2013; 166:196–203.
15. Urrutia MT, Hall R. Beliefs about cervical cancer and Pap test: a new Chilean questionnaire. J Nurs Scholarsh. 2013; 45:126–131.
16. Johnson C, Aaronson N, Blazeby JM, Bottomley A, Fayers P, Koller M, et al. EORTC quality of life group guidelines for developing questionnaire modules. 4th ed. Brussels: European Organisation for Research and Treatment of Cancer;2011.
17. Tabachnik BJ, Fidell LS. Using multivariate statistics. London: Harper & Row;1993.
18. Nunnally JC, Bernstein IH. Psychometric theory. 3rd ed. New York: McGraw-Hill;1994.
19. Tomaszewski KA, Puskulluoglu M, Biesiada K, Bochenek J, Nieckula J, Krzemieniecki K. Validation of the polish version of the eortc QLQ-C30 and the QLQ-OG25 for the assessment of health-related quality of life in patients with esophagi-gastric cancer. J Psychosoc Oncol. 2013; 31:191–203.
20. Müldner-Nieckowski Ł, Sobanski JA, Klasa K, Dembinska E, Rutkowski K. Medical students' sexuality: beliefs and attitudes. Psychiatr Pol. 2012; 46:791–805.
21. Paradowska D, Tomaszewski KA, Balajewicz-Nowak M, Bereza K, Tomaszewska IM, Paradowski J, et al. Validation of the Polish version of the EORTC QLQ-CX24 module for the assessment of health-related quality of life in women with cervical cancer. Eur J Cancer Care (Engl). 2013; 08. 19. [Epub]. http://dx.doi.org/10.1111/ecc.12103.
22. Gigerenzer G, Edwards A. Simple tools for understanding risks: from innumeracy to insight. BMJ. 2003; 327:741–744.
23. Hoffrage U, Gigerenzer G. Using natural frequencies to improve diagnostic inferences. Acad Med. 1998; 73:538–540.
24. Steckelberg A, Hulfenhaus C, Haastert B, Muhlhauser I. Effect of evidence based risk information on "informed choice" in colorectal cancer screening: randomised controlled trial. BMJ. 2011; 342:d3193.
Full Text Links
  • JGO
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr