{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T20:06:44Z","timestamp":1792094804671,"version":"4.4.0"},"reference-count":14,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"7","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO Global Oncology"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec>\n                    <jats:title>PURPOSE<\/jats:title>\n                    <jats:p>We assessed the impact of mHealth on Pap test screening uptake and also determined the factors that affect screening uptake among women in Lagos, Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS<\/jats:title>\n                    <jats:p>\n                      A randomized controlled trial was carried out among women in two tertiary health institutions in Lagos, Nigeria, between July 2020 and March 2021. Participants were randomly assigned to either a text message (mHealth) intervention or usual care arm. The main study outcome was the uptake of Pap smear testing within 6 months of enrollment in the study. We tested the associations between two groups of continuous variables using the unpooled independent-sample t-test (normal distribution) and that of two groups of categorical variables with the chi-square (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      ) test. Using a multinomial logistic regression model, we adjusted for relevant sociodemographic and clinical predictors of uptake of Pap smear screening. Statistical significance was defined as P &lt; .05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>There was a significantly higher rate of uptake of Pap smear screening among women in the mHealth arm compared with those in the usual care arm (51.0% v 35.7%, P = .031). Following adjustment in the final multivariate model, level of income (odds ratio [OR] = 5.13, 95% CI, 1.55 to 16.95), awareness of Pap smear (OR = 16.26; 95% CI, 2.49 to 76.64), General Outpatient clinic attendance, and introduction of mHealth intervention during follow-up (OR = 4.36; 95% CI, 1.44 to 13.22) were the independent predictors of Pap smear uptake.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>The use of mHealth technologies intervention via short-text message services is a feasible solution for cervical cancer prevention in low- and middle-income countries, and thus, the widespread use of mHealth services by health care providers and policymakers could contribute to the implementation of cervical cancer prevention services in Nigeria and in the settings of other low- and middle-income countries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1200\/go.21.00258","type":"journal-article","created":{"date-parts":[[2021,9,23]],"date-time":"2021-09-23T16:23:04Z","timestamp":1632414184000},"page":"1418-1425","update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":21,"title":["Impact of Mobile Technologies on Cervical Cancer Screening Practices in Lagos, Nigeria (mHealth-Cervix): A Randomized Controlled Trial"],"prefix":"10.1200","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0957-7389","authenticated-orcid":false,"given":"Kehinde S.","family":"Okunade","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, College of Medicine, University of Lagos, Surulere, Lagos, Nigeria"},{"name":"Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Surulere, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5938-3235","authenticated-orcid":false,"given":"Adaiah","family":"Soibi-Harry","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Surulere, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7130-9812","authenticated-orcid":false,"given":"Sarah","family":"John-Olabode","sequence":"additional","affiliation":[{"name":"Department of Haematology and Blood Transfusion, College of Medicine, University of Lagos, Surulere, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3535-7344","authenticated-orcid":false,"given":"Adebola A.","family":"Adejimi","sequence":"additional","affiliation":[{"name":"Department of Community Health and Primary Care, College of Medicine, University of Lagos, Surulere, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7399-0194","authenticated-orcid":false,"given":"Matthew J.","family":"Allsop","sequence":"additional","affiliation":[{"name":"Academic Unit of Palliative Care, Leeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8138-3100","authenticated-orcid":false,"given":"Tonia C.","family":"Onyeka","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, College of Medicine, University of Nigeria, Enugu, Enugu State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8149-5492","authenticated-orcid":false,"given":"Godwin O.","family":"Akaba","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, College of Health Sciences, University of Abuja, Gwadalada, Abuja FCT, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5501-2891","authenticated-orcid":false,"given":"Yusuf A.","family":"Oshodi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria"},{"name":"Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3165-8879","authenticated-orcid":false,"given":"Omolola","family":"Salako","sequence":"additional","affiliation":[{"name":"Department of Radiation Biology, Radiotherapy, Radio-diagnosis and Radiography, College of Medicine, University of Lagos, Surulere, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2405-9720","authenticated-orcid":false,"given":"Aloy O.","family":"Ugwu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Surulere, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayodeji","family":"Adefemi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rose I.","family":"Anorlu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, College of Medicine, University of Lagos, Surulere, Lagos, Nigeria"},{"name":"Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Surulere, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan S.","family":"Berek","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Stanford University School of Medicine, Stanford, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"233","reference":[{"key":"b1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"b2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2303.2008.00623.x"},{"key":"b3","volume-title":"Human Papillomavirus Related Cancers in Cameroon. Summary Report","year":"2010"},{"key":"b4","volume-title":"The World in 2014. ICT Facts and Figures"},{"key":"b5","doi-asserted-by":"publisher","DOI":"10.1200\/JGO.19.00191"},{"key":"b6","volume-title":"New Horizons for Health through Mobile Technologies. 2011. Global Observatory for eHealth Series, 3","author":"mHealth"},{"key":"b7","first-page":"88","volume":"4","author":"Aylward D","year":"2010","journal-title":"Americas Quarterly"},{"key":"b8","volume-title":"Green Paper on Mobile Health (mHealth)","year":"2010"},{"key":"b9","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.22991.1"},{"key":"b10","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2006.105"},{"key":"b11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrpr.2018.02.001"},{"key":"b12","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/8586459"},{"key":"b13","first-page":"31","volume":"7","author":"Ebu NI","year":"2015","journal-title":"Int J Womens Health"},{"key":"b14","doi-asserted-by":"publisher","DOI":"10.4081\/jphia.2011.e14"}],"container-title":["JCO Global Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ascopubs.org\/doi\/pdfdirect\/10.1200\/GO.21.00258","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,29]],"date-time":"2022-05-29T04:08:05Z","timestamp":1653797285000},"score":1,"resource":{"primary":{"URL":"https:\/\/ascopubs.org\/doi\/10.1200\/GO.21.00258"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":14,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1200\/GO.21.00258"],"URL":"https:\/\/doi.org\/10.1200\/go.21.00258","relation":{},"ISSN":["2687-8941"],"issn-type":[{"value":"2687-8941","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12]]},"assertion":[{"value":"2021-07-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-30","order":1,"name":"revised","label":"Revised","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}