Skip to main content

Table 1 Prototype version review results

From: Process of developing a cervical cancer education program for female university students in a Health and Physical Education teacher training course: an action research

Reviewer

Type

Evaluation results*

Propriety of publication

Comment

Scientific rational

Ease of understanding

Propriety

A

Gynecologist (gynecologic oncology

Yes

Check the color and size of the characters that must be emphasized

B

Gynecologist (gynecologic oncology

-

Is there evidence that consuming vegetables and fruits reduces the risk of developing cancer? In recent years, it has become a problem for cancer patients to use extreme diets without evidence, and this statement is of concern. The same goes for the statement that a balanced diet can prevent many cancers

Is it necessary to explain not only the countermeasure type of screening but also the optional types?

In recent years, the disadvantages of screening (both in the case of false positives and overdiagnosis/treatment) have also become a problem. In western countries, breast cancer screening and cervical cancer screening are rather ‘I will not do them’ among young individuals

It is better to mention the disadvantages of screening. At least, I do not agree with nuance statements such as ‘Let's undergo a breast cancer screening even when young’. I am not eligible for screening, however, I think it is good to have awareness of it for the future

It is very interesting and useful, a distinction can be made between the scientific description before and after. Therefore, it is good to mention a word such as ‘advice from a survivor’ and ‘advice from a senior’

The item of ‘Bethesda classification’ in the Table is a cytodiagnostic classification, however, the cytodiagnostic and histological nomenclatures are mixed. I think that the citation of Vink et al. is only for an ‘expected course’, so it is better to write it accurately

In the ‘rules for handling cervical cancer’, condyloma acuminatum is the official nomenclature

C

University lecturer (public health)

Yes

I thought the content was appropriate

I think it can be evaluated highly as the examination is devised such that it can be imagined specifically

However, some places were difficult to read due to the breaks in the text and the centering

Currently, it is A4 size, but I think that B5 would be fine as it is easier to carry around

D

University lecturer (Health communication)

Yes

I thought it would be very useful as material from a woman’s perspective (we were curious about women's concerns, however, we could not ask them about this). Moreover, the sentences are easy to understand. In addition, the illustrations are also fashionable, and the format of the booklet is easy for young women to access

I thought that the recommended criteria for cancer screening could be updated to the latest ones. If it was due to concerns about character count and space, the present representation is acceptable

I think that it is better to consistently use Kanji characters (子宮頸 or子宮頚) for the cervix throughout the text unless the two different character forms have been used intentionally. With all due respect, I have made a list of issues that I was concerned about, including typos, in the attached file

E

Common adult women

-

-

-

I could read many illustrations without difficulty. Though it is a page about cervical cancer, one gets the impression that consultation for cervical cancer starts suddenly. I felt that it would be better to change the page order. (Right)

Is it easy to use as teaching material if page numbers are inserted throughout? (please ignore if it will be done in the future)

F

Common adult women

-

-

-

My impression is that it was clear and easy to read. While the design is clear, spreads and sentences on the last page (what is cancer prevention?) were a bit hard to read because there were many line breaks in the middle of the words. The text itself was easy to understand, so if you change just the line feed, it will be smoother to read

The cover shows that it is for men and women. However, after reading it, I realized it is a book on cervical cancer. So, I was wondering how much interest men will have in it

G

Student

-

-

Yes

I think the illustration is a very stylish design for our generation

I think the points and advice on clothes to wear when going for a medical examination would be very helpful. I think it is important to go out and wear the right clothes

By illustrating the kind of equipment that is used, I felt less anxious

I think it would be better to appeal from the point that having a health checkup while healthy is necessary

I think that highlighting the text of the message that needs to be conveyed will make a visual impact

I think students' medical examination experience may lead to turning the intention to consult a doctor into reality

I think it would be easy for university students to add a QR code and other tools to connect to the actual screening information site

Because the font of the characters is the Mincho style and the volume is large, the desire to read it may be low

When I showed it to the children at the seminar, their impression of the illustration was very high

H

Student

-

-

Yes

The gender-specific illness rankings are displayed with illustrations, so that gender-specific cancers can be known, and looked out for

Because the tools and methods used in the examination are illustrated in detail, it is easier to imagine and so one can firmly prepare one's mind for it. On the other hand, one may feel more resistance due to the visual knowledge of the methods and tools used

For those who have never undergone a medical check-up, it is very helpful to have advice on how to dress on the day

From someone's experience, the fact that the person can choose a women's clinic with a female doctor tells me that I can go to see a doctor in the future

Having heard about the experience of a child of the same age gives me a sense of security about the checkup, and also motivates me to go

Concerning the documented statement that ‘I have to give up pregnancy and childbirth for treatment’, to most women of the same age, the information on not being able to have children is the most shocking and emotional. As it is also linked to future actions, I think it will be easier to communicate if it is emphasized as much as possible

The point that (it is said to have some effect) is pointed out after the statement that it is not possible to prevent by wearing a condom, the status of the effectiveness is a bit vague

Regarding the statement that those who have never had sex will benefit little from screening, as I still have many friends (in their 20 s) to whom that applies, it is easy to think that it is information that is not related to me

The point is ‘will this kind of knowledge cause behavioral changes?’

The point that the kanji character for ‘cervical’ in cervical cancer is ‘頚 (neck)’ in this sentence only

In Q3 of the Q&A section, looking at the ‘80% of women who have had sex ~ ’, and the numbers, one can immediately sense the familiarity with HPV infection, and that can make one aware of the danger

The Q & As are on one page, making it simple and easy to understand the content

I feel that there is a possibility that people who are not interested may not read the content to the end because of the large number of sentences

The design is stylish and the size of the characters is suitable. The colored highlights and font size are easy to understand and are very readable

I

Cancer survivor

-

Yes

Thank you for the deadline. As you know, I am a complete amateur in the medical world, so please forgive my rude suggestions and just disregard them

  1. *Evaluation results were provided with the following symbols: 〇: Good, : Some improvement is required, ×: Needs improvement, -: impossible to Judge