AnxietyACTNCT07863596
Cervical Cancer Awareness Education to Aid Confidence and Screening upTake (ACT): A Pilot Randomised Control Trial
A study testing cervical cancer Awareness education to aid Confidence and screening upTake (ACT) in people with Anxiety and Cervical Cancer Screening, run by Teesside University.
Trial summary
Cervical cancer remains a major threat to women's health and wellbeing, with the burden disproportionately concentrated in low- and middle-income countries such as Nigeria, where inadequate awareness, limited access to screening, screening-related anxiety, and other structural and sociocultural barriers contribute to… Read more about this study
- Who is it for?
- Ages 18 to 64 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Anxiety, Cervical Cancer Screening, Health Education
- What is being tested?
- cervical cancer Awareness education to aid Confidence and screening upTake (ACT)
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 76 participants
- Where
- No sites listed yet
- Study dates
- 12 Oct 2026to 30 Sep 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 64 years
- Women only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Women aged between age 18 years and 64 who are not or partially up to date with cervical cancer
- Able to provide full consent for their participation.
- Able to speak the English Language.
- Able to take part in the intervention and are available for the intervention assessment at baseline and end of intervention.
Who cannot join
- Less than 18 years
- Unable to consent.
- Currently undergoing severe mental health treatment. Unable to speak the English language not meeting the inclusion criteria.
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
Dung E Jidong, PhD contact
About this study
Cervical cancer remains a major threat to women's health and wellbeing, with the burden disproportionately concentrated in low- and middle-income countries such as Nigeria, where inadequate awareness, limited access to screening, screening-related anxiety, and other structural and sociocultural barriers contribute to low screening uptake, late presentation, and preventable mortality. Despite the urgent need to improve early detection, there remains a critical gap in culturally appropriate, co-produced interventions to address the barriers that shape cervical cancer screening behaviours. The proposed study will address this gap by piloting the feasibility and acceptability of "cervical cancer Awareness education to aid Confidence and screening upTake (ACT)" a novel, low-intensity, co-produced workshop intervention for women who are not up to date or only partially up to date with recommended cervical cancer screening. Delivered over approximately two hours, ACT is designed to increase awareness of cervical cancer and its symptoms, strengthen understanding of the consequences of delayed screening and the benefits of early detection, improve knowledge of available screening pathways, address misconceptions and screening-related anxiety, and build women's confidence and motivation to engage with screening services. In addition to assessing recruitment, retention, intervention engagement, acceptability and implementation feasibility, the study will pilot the proposed outcome measures and data collection procedures to inform a future definitive evaluation. It will also generate preliminary evidence on potential intervention mechanisms, screening-related outcomes, and approaches to assessing cost-effectiveness. Collectively, the study will establish whether ACT is feasible, acceptable and sufficiently promising to progress to a larger-scale trial evaluating its effectiveness and cost-effectiveness in improving cervical cancer screening uptake among women in Nigeria.
- Conditions
- Anxiety, Cervical Cancer Screening, Health Education, Wellbeing
- Being tested
- cervical cancer Awareness education to aid Confidence and screening upTake (ACT), Control group
- Keywords
- anxiety, cervical cancer, screening and brief interventions, cervical cancer screening, health education workshop
- Medical subject headings
- Anxiety Disorders, Health Education, Uterine Cervical Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
cervical cancer Awareness education to aid Confidence and screening upTake (ACT)Behavioural
The ACT intervention is designed to raise awareness of cervical cancer, its symptoms, implications for late screening, the benefits of early screening, avenues for screening uptake, and also addressing anxiety related to screening uptake. It will also address screening related fear. The ACT intervention is low-intensity and lasts approximately two hours.
Other Name:
Control groupOther
Existing information provided by health care provider, including media around prostate cancer.
| Study group | Role | What they receive |
|---|---|---|
| cervical cancer Awareness education to aid Confidence and screening upTake (ACT) | Experimental | 2 hour worksop session to foster awareness and encourage early cervical cancer screening uptake Receives: Behavioral: cervical cancer Awareness education to aid Confidence and screening upTake (ACT) |
| Control group | Active comparator | The control group will receive intervention as usual. This may be in the form of existing cervical cancer screening information provided in hospitals, media and health centres. Receives: Other: Control group |
What is being measured
The primary outcome is the main question the study is designed to answer.
Service Satisfaction Scale
A five item scale that can be used to assess and measure satisfaction, acceptability and quality of the intervention. Higher score denote positive outcomes and acceptability. Lower score denotes poor satisfaction and acceptability.
Measured: [At the end of intervention (day 2)]
Secondary outcomes (7)
Generalised Anxiety Disorder (GAD-7)
The GAD-7 is a seven item scale for screening, measuring and assessing the severity of generalised anxiety disorder. Scores of 5, 10, and 15 are taken as the cut-off points for mild, moderate and severe anxiety, respectively.
Measured: Baseline (day 1) and at the end of intervention (day 2)
Oslo Social Support Scale (OSSS-3)
The scale is a 3-item self-reported measure designed for assessing and measuring the level of social support. The sum score ranges from 3 to 14, with high values representing strong levels and low values representing poor levels of social support as indicated as follows: a) 3-8 poor social support, b) 9-11 moderate social support, c) 12-14 strong social support.
Measured: Baseline (day 1) and at the end of intervention (day 2)
European Quality of Life Scale EQ-5D-5L
The EQ-5D-5L is a 5 item scale designed to aid assessment of the generic quality of life. In the EQ-5D-5L, each dimension has five response levels: no problems (Level 1); slight (Level 2); moderate (Level 3); severe (Level 4); and extreme problems (Level 5). There are 3,125 possible health states defined by combining one level from each dimension, ranging from 11111 (full health) to 55555 (worst health).
Measured: Baseline (day 1) and at the end of intervention (day 2)
Beliefs around cervical cancer and screening intention scale
A 8-item scale that measure beliefs around cervical cancer, knowledge and intention to engage in screening. Score range from 0-40 with higher score denoting knowledge and strong willingness to engage in early screening uptake.
Measured: Baseline (day 1) and at the end of intervention (day 2)
Cervical Cancer Knowledge Scale
The Cervical Cancer Knowledge Scale is an 8 item scale that measures knowledge of cervical cancer. The scale uses a true, false and don't know to assess knowledge with correct answer denoting higher knowledge.
Measured: Baseline (day 1) and at the end of intervention (day 2)
Cervical Cancer Screening Uptake Questionnaire (CCSTQ) for Women
Cervical Cancer Screening uptake Questionnaire is a 43 item questionnaire that measures six core dimension including
- Social norms
- Knowledge and awareness
- Perceived threat
- Perceived benefits
- Perceived barriers
- Self-efficacy The scale uses a Likert style response and scores. Higher aggregate scores generally reflect positive psychosocial determinants and a stronger likelihood of screening participation.
Measured: Baseline (day 1) and at the end of intervention (day 2)
Cervical Cancer Awareness Measure (Cervical CAM)
The CAM is a Survey tool used to assess public knowledge, risk perception, and attitudes regarding cervical cancer. The standard Cervical CAM comprises 9 core questions broken down into a total of 31 specific items. Scores are calculated by aggregating individual item responses into specific knowledge or awareness sub-scales. Correct identifications are typically assigned a positive score (e.g., 1 or 2 points for a correct 'Yes'), while incorrect answers or 'don't know' responses score 0. Points across sections are summed to create an overall awareness or knowledge score. Higher composite scores reflect greater familiarity with clinical signs and risk factors, and scores are often categorized into binary thresholds (e.g., "good" vs. "poor" awareness) for statistical comparison.
Measured: Baseline (day 1) and at the end of intervention (day 2)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Oct 2026
- Study start12 Oct 2026 (estimated)
- Primary completion12 Sep 2027 (estimated)
- Study completion30 Sep 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for AnxietyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 76 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Teesside University
- Sponsor type
- University, hospital or other
- Collaborators
- University of Manchester, Jos University Teaching Hospital
- Responsible party
- Principal investigator, Tarela Ike, Teesside University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07863596
- Sponsor's protocol ID
- 0000-0003-0516-0313L
- Acronym
- ACT
- Status last verified
- Sep 2026
- First submitted
- 2 Oct 2026
- Last updated
- 7 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Data supporting this study cannot be made available due to the sensitive nature and ethical reasons on confidentiality.
Publications
Rimande-Joel R, Ekenedo GO. Knowledge, Belief and Practice of Cervical Cancer Screening and Prevention among Women of Taraba, North-East Nigeria. Asian Pac J Cancer Prev. 2019 Nov 1;20(11):3291-3298. doi: 10.31557/APJCP.2019.20.11.3291.
PubMed 31759351Olubodun T, Luoga P, Adam J. Prevalence and determinants of cervical cancer screening among women aged 30-49 years in Nigeria: A population-based cross-sectional study. PLOS Glob Public Health. 2026 Jun 16;6(6):e0006668. doi: 10.1371/journal.pgph.0006668. eCollection 2026.
PubMed 42302027Isa Modibbo F, Dareng E, Bamisaye P, Jedy-Agba E, Adewole A, Oyeneyin L, Olaniyan O, Adebamowo C. Qualitative study of barriers to cervical cancer screening among Nigerian women. BMJ Open. 2016 Jan 11;6(1):e008533. doi: 10.1136/bmjopen-2015-008533.
PubMed 26754174
Study at a glance
From the registry record, last updated by the sponsor on 7 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Cervical Cancer Awareness Education to Aid Confidence and Screening upTake (ACT): A Pilot Randomised Control Trial
- ClinicalTrials.gov ID
- NCT07863596
- Acronym / sponsor ID
- ACT / 0000-0003-0516-0313L
- Conditions
- Anxiety, Cervical Cancer Screening, Health Education, Wellbeing
- Keywords
- anxiety, cervical cancer, screening and brief interventions, cervical cancer screening, health education workshop
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 76 participants (estimated)
- Lead sponsor
- Teesside UniversityUniversity, hospital or other
- Collaborators
- University of Manchester, Jos University Teaching Hospital
- Study start
- 12 Oct 2026 (estimated)
- Primary completion
- 12 Sep 2027 (estimated)
- Study completion
- 30 Sep 2027 (estimated)
- First posted
- 7 Oct 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Cervical cancer remains a major threat to women's health and wellbeing, with the burden disproportionately concentrated in low- and middle-income countries such as Nigeria, where inadequate awareness, limited access to screening, screening-related anxiety, and other structural and sociocultural barriers contribute to low screening uptake, late presentation, and preventable mortality. Despite the urgent need to improve early detection, there remains a critical gap in culturally appropriate, co-produced interventions to address the barriers that shape cervical cancer screening behaviours. The proposed study will address this gap by piloting the feasibility and acceptability of "cervical cancer Awareness education to aid Confidence and screening upTake (ACT)" a novel, low-intensity, co-produced workshop intervention for women who are not up to date or only partially up to date with recommended cervical cancer screening. Delivered over approximately two hours, ACT is designed to increase awareness of cervical cancer and its symptoms, strengthen understanding of the consequences of delayed screening and the benefits of early detection, improve knowledge of available screening pathways, address misconceptions and screening-related anxiety, and build women's confidence and motivation to engage with screening services. In addition to assessing recruitment, retention, intervention engagement, acceptability and implementation feasibility, the study will pilot the proposed outcome measures and data collection procedures to inform a future definitive evaluation. It will also generate preliminary evidence on potential intervention mechanisms, screening-related outcomes, and approaches to assessing cost-effectiveness. Collectively, the study will establish whether ACT is feasible, acceptable and sufficiently promising to progress to a larger-scale trial evaluating its effectiveness and cost-effectiveness in improving cervical cancer screening uptake among women in Nigeria.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| cervical cancer Awareness education to aid Confidence and screening upTake (ACT) | Experimental | Behavioral: cervical cancer Awareness education to aid Confidence and screening upTake (ACT)2 hour worksop session to foster awareness and encourage early cervical cancer screening uptake |
| Control group | Active comparator | Other: Control groupThe control group will receive intervention as usual. This may be in the form of existing cervical cancer screening information provided in hospitals, media and health centres. |
Who may qualify
- Ages
- 18 to 64 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Women aged between age 18 years and 64 who are not or partially up to date with cervical cancer
- Able to provide full consent for their participation.
- Able to speak the English Language.
- Able to take part in the intervention and are available for the intervention assessment at baseline and end of intervention.
Key exclusion criteria (3 listed)
- Less than 18 years
- Unable to consent.
- Currently undergoing severe mental health treatment. Unable to speak the English language not meeting the inclusion criteria.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| cervical cancer Awareness education to aid Confidence and screening upTake (ACT)The ACT intervention is designed to raise awareness of cervical cancer, its symptoms, implications for late screening, the benefits of early screening, avenues for screening uptake, and also addressing anxiety related to screening uptake. It will also address screening related fear. The ACT intervention is low-intensity and lasts approximately two hours. Other Name: | Behavioural | cervical cancer Awareness education to aid Confidence and screening upTake (ACT) |
| Control groupExisting information provided by health care provider, including media around prostate cancer. | Other | Control group |
Primary outcome
Service Satisfaction Scale
Time frame: [At the end of intervention (day 2)]
A five item scale that can be used to assess and measure satisfaction, acceptability and quality of the intervention. Higher score denote positive outcomes and acceptability. Lower score denotes poor satisfaction and acceptability.
7 secondary outcomes
Generalised Anxiety Disorder (GAD-7)
Time frame: Baseline (day 1) and at the end of intervention (day 2)
Oslo Social Support Scale (OSSS-3)
Time frame: Baseline (day 1) and at the end of intervention (day 2)
European Quality of Life Scale EQ-5D-5L
Time frame: Baseline (day 1) and at the end of intervention (day 2)
Beliefs around cervical cancer and screening intention scale
Time frame: Baseline (day 1) and at the end of intervention (day 2)
Cervical Cancer Knowledge Scale
Time frame: Baseline (day 1) and at the end of intervention (day 2)
Cervical Cancer Screening Uptake Questionnaire (CCSTQ) for Women
Time frame: Baseline (day 1) and at the end of intervention (day 2)
Cervical Cancer Awareness Measure (Cervical CAM)
Time frame: Baseline (day 1) and at the end of intervention (day 2)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Oct 2026.
- Background: PubMed 31759351Rimande-Joel R, Ekenedo GO. Knowledge, Belief and Practice of Cervical Cancer Screening and Prevention among Women of Taraba, North-East Nigeria. Asian Pac J Cancer Prev. 2019 Nov 1;20(11):3291-3298. doi: 10.31557/APJCP.2019.20.11.3291.
- Background: PubMed 42302027Olubodun T, Luoga P, Adam J. Prevalence and determinants of cervical cancer screening among women aged 30-49 years in Nigeria: A population-based cross-sectional study. PLOS Glob Public Health. 2026 Jun 16;6(6):e0006668. doi: 10.1371/journal.pgph.0006668. eCollection 2026.
- Background: PubMed 26754174Isa Modibbo F, Dareng E, Bamisaye P, Jedy-Agba E, Adewole A, Oyeneyin L, Olaniyan O, Adebamowo C. Qualitative study of barriers to cervical cancer screening among Nigerian women. BMJ Open. 2016 Jan 11;6(1):e008533. doi: 10.1136/bmjopen-2015-008533.
- Individual participant dataSharing planned: No. Data supporting this study cannot be made available due to the sensitive nature and ethical reasons on confidentiality.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Dung E Jidong, PhD contact
Questions about this trial
What is this clinical trial studying?
A study testing cervical cancer Awareness education to aid Confidence and screening upTake (ACT) in people with Anxiety and Cervical Cancer Screening, run by Teesside University.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 7 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Tarela J Ike, Dr (0164234231, T.ike@tees.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Service Satisfaction Scale (time frame: [At the end of intervention (day 2)]). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07863596, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Oct 2026.