Effectiveness of a LINE Official Account-Based Educational Intervention on Reducing Anxiety and Stress Among HPV-positive Women: A Randomized Controlled Trial

INTERVENTION: All volunteers participating in the study will be invited to add the official LINE account as a friend through the LINE application. Participants in the intervention group will be asked to watch an approximately 8‐minute video via the application within 7 days after their physician visit. Data will be collected using questionnaires to assess levels of stress and anxiety, based on the DASS‐21 questionnaire, as well as to evaluate knowledge and understanding regarding HPV infection and cervical cancer. Data collection will be conducted a total of four times: 1. Before meeting the physician or before receiving treatment/counseling 2. At the first follow‐up after receiving counseling 3. At 6 weeks after receiving counseling 4. At 12 weeks after receiving counseling,All volunteers participating in the study will be invited to add the official LINE account as a friend through the LINE application. Participants in the control group will be asked to do questionnaires to assess levels of stress and anxiety, based on the DASS‐21 questionnaire, as well as to evaluate knowledge and understanding regarding HPV infection and cervical cancer. Data collection will be conducted a total of four times: 1. Before meeting the physician or before receiving treatment/counseling 2. At the first follow‐up after receiving counseling 3. At 6 weeks after receiving counseling 4. At 12 weeks after receiving counseling Experimental Device,Experimental Device LINE Official Account‐Based Educational Intervention (intervention group),LINE Official Account‐Based Educational Intervention (control group) CONDITION: Anxiety and stress in women with HPV ; HPV infection, cervical cancer, mobile application, stress HPV infection, cervical cancer, mobile application, stress PRIMARY OUTCOME: Level of stress 12 wk after intervention Patient reported outcome using a questionnaire interview SECONDARY OUTCOME: score of knowledge, factor that effects to stress level 12 wk after intervention Patient reported outcome using a questionnaire interview INCLUSION CRITERIA: 1.Women aged 18 years and older 2.Possess a personal smartphone and are capable of installing and using health applications 3.Have reliable internet access to connect with health applications 4.Proficient in reading and understanding the Thai language.