Brief research report: uncertainty-inducing and reassuring facts about HPV: a descriptive study of French Canadian women.

We sought to describe information that makes women feel (1) uncertain and (2) reassured about their human papillomavirus (HPV) status and the potential health implications of an HPV DNA test result and (3) to examine information seeking after receiving their result. Thirty women (previously tested HPV negative) read factual information on HPV and cervical cancer and were asked which facts were uncertainty inducing and which were reassuring. Twenty-four facts reassured women of their HPV negative status, 11 facts made women feel uncertain, and 10 facts made them feel both. The most common reason for seeking information in the future was receiving a positive test result. The authors outline what specific facts about HPV health providers can emphasize to alleviate anxiety and encourage women to feel reassured of their low cancer risk following a negative test result.

Bolstering implementation plans for the long haul: the benefits of simultaneously boosting self-concordance or self-efficacy.

Recent studies suggest that implementation planning exercises may not be as helpful for long-term, self-initiated goals as for short-term, assigned goals. Two studies used the personal goal paradigm to explore the impact of implementation plans on goal progress over time. Study 1 examined whether administering implementation plans in an autonomy supportive manner would facilitate goal progress relative to a neutral, control condition and a condition in which implementation plans were administered in a controlling manner. Study 2 examined whether combining implementation plans with a self-efficacy boosting exercise would facilitate goal progress relative to a neutral, control condition and a typical implementation condition. The results showed that implementation plans alone did not result in greater goal progress than a neutral condition but that the combination of implementation plans with either autonomy support or self-efficacy boosting resulted in significantly greater goal progress.

The impact of intolerance of uncertainty on anxiety after receiving an informational intervention about HPV: a randomised controlled study.

This study examined the impact of intolerance of uncertainty (IU) and an informational intervention about human papillomavirus (HPV) infection on perceived uncertainty about one's HPV testing status (referred to as 'HPV uncertainty') and anxiety. IU, HPV uncertainty and other pre-intervention measures were assessed through mailed questionnaires. Participants were then randomly assigned to receive either a long (N = 125) or short (N = 124) HPV-specific information pamphlet or a long (N = 131) or short (N = 115) control pamphlet about cancer prevention. Participants subsequently completed measures of HPV uncertainty and anxiety. Providing a lot of HPV information increased HPV uncertainty more than providing little HPV information and cancer prevention information. Among women who received the long HPV or the short control pamphlet, those with higher IU were more anxious than those with lower IU. Women with higher IU are more likely to seek HPV information, but they may also be at risk for experiencing higher anxiety because factual uncertainties about HPV cannot be resolved through the provision of more information.