The use of HPV testing in cervical screening has raised concerns about the effect of a
positive HPV result on women's psychological well being. This is a nested psychosocial study
of the COCY trial (IRB No. UW 09-377; PI: Prof Hextan Ngan), with the aim to evaluate the
psychosocial impact of HPV positivity on Hong Kong Chinese women and the modulating effects
of educational intervention on such impact. Potential participants are identified among those
who have joint the COCY trial. Participants will be randomized into two groups, namely the
control group or intervention group. The control group participants will receive their smear
results and an HPV leaflet by post. The intervention group will receive the leaflet and a
counseling session on HPV. Self-administered questionnaires will be used to assess
participants' psychological condition at the receipt of the smear results and at two months
afterward. It is hypothesized that the level of emotional distress measured at smear result
notification will be greater than that at two months afterward for all participants.
Furthermore, participants in the intervention group will have lower psychological distress
than those in the control group at two months after the receipt of their smear results.