ArticleTrials2026
The effect of Fogg model-based virtual education on health literacy and stages of behavior change in cervical cancer screening: study protocol for a randomized controlled trial.
Article in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
backgroundCervical cancer imposes a significant burden on women in low- and middle-income countries (LMICs), where participation rates in screening programs are suboptimal. Identifying effective intervention strategies to increase screening participation is critical, particularly in these communities. This study aims to determine the effect of Fogg model-based virtual education on cervical cancer health literacy and stages of behavior change related to cervical cancer screening.
methodsThis is a two-arm, parallel-group, randomized controlled trial with blinded outcome assessor and data analyst. Eighty women aged 21-65 years will be recruited from one-fifth of Tabriz's health centers, selected on the basis of socioeconomic diversity, and randomized at a 1:1 ratio via restricted block randomization and sealed opaque envelopes for allocation concealment. The intervention group will receive virtual education based on the Fogg behavior model for 4 weeks (twice weekly) via the Iranian messaging platform Eitaa, which uses multimedia content (videos, audio, infographics, text messages, and quizzes) about cervical cancer and its screening. The content includes spark messages (to increase motivation and reduce psychological barriers), facilitator messages (to simplify practical barriers), and trigger messages (to prompt action). Data analysis will use ANCOVA for continuous variables and ordinal regression for stages of change. DISCUSSION: If the results of this study demonstrate positive effects, the intervention could increase screening participation, reduce the disease burden, and be scalable and adaptable for other LMICs, serving as a foundation for national digital prevention programs for diseases such as cervical cancer.
trial registrationThis trial was prospectively registered on the Iranian Registry of Clinical Trials. Iranian Registry of Clinical Trials, IRCT20171007036615N14, 21/10/2025. It was updated once due to an error in registering the expected date for recruitment, with the update dated 23/10/2025. https://irct.behdasht.gov.ir/trial/86293.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.