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Health Promotion Practice
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A Cervical Cancer CD-ROM Intervention for College-Age Women: Lessons Learned from Development and Formative Evaluation

Alexandra E. Evans, PhD, MPH

Department of Health Promotion, Education, and Behavior at the Norma J. Arnold School of Public Health, University of South Carolina in Columbia

Elizabeth Edmundson-Drane, PhD

Department of Kinesiology and Health Education at the University of Texas at Austin

Karol Kaye Harris, PhD, MS

Department of Kinesiology and Health Education at the University of Texas at Austin

Tara Campbell-Ray, MA

Despite the decline of incidence rates of cervical cancer over the past 50 years, data suggest an increase of precervical cancer among college women. This increase may be the result of the high prevalence of the Human Papillomavirus (HPV) among this population. To increase cervical cancer prevention behaviors, we developed a computer-based intervention targeting women ages 18 to 24. Through the use of story scripts, role models, and demonstrations (both animated and videotaped procedures), women learn the importance of regular Pap smear screenings, personal risks for developing cervical cancer, the meaning of and dealing with abnormal Pap smears, communication with health care providers, and sexual practices that impact the transmission of HPV. Results from the formative evaluation support the viability of CD-ROM interventions in health education and emphasize the importance of addressing women’s cognitive and affective perceptions surrounding cancer, sexual health, and gynecological exams. Lessons learned from the development process are presented.

Health Promotion Practice, Vol. 3, No. 4, 447-456 (2002)
DOI: 10.1177/152483902236714
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