Study protocol for the most effective recall method in a cervical cancer screening program in Klang, Malaysia

Area of Science:

• Public Health
• Oncology
• Preventive Medicine

Background:

• Cervical cancer is a significant health concern for Malaysian women, with low screening uptake hindering early detection.
• The socioeconomic impact of cervical cancer necessitates improved screening participation.
• A pilot call-recall system was implemented to enhance regular cervical and breast cancer screening.

Purpose of the Study:

• To assess the effectiveness of different recall methods for Pap smear screening.
• To identify the most feasible option for increasing patient participation and adherence in a population-based screening program.
• To inform the development of an organized, regular screening program tailored to the local setting.

Main Methods:

• A population-based randomized controlled trial involving women aged 20-65 years.
• Four intervention groups: standard letter, registered letter, SMS, and phone calls, with 250 participants each.
• Follow-up after 8 weeks to assess compliance with recall for repeat Pap smears.

Main Results:

• Socio-demographic data of participants were collected for analysis.
• Compliance to recall for repeat Pap smears was assessed across different intervention groups.
• The study aimed to compare patient response and uptake for repeat Pap smears based on recall method.

Conclusions:

• The study will provide recommendations on the most effective recall methods for population-based Pap smear screening programs.
• Findings will guide the implementation of strategies to improve patient response and repeat Pap smear uptake.
• Effective recall systems are crucial for successful organized population-based cancer screening programs.