Follow-up data revealed significant improvements in all outcome measures : Pap smear screening ( 65 % vs. 36 % , p-value 0.02 ) , cervical cancer knowledge ( 5.4 vs. 3.5 , p-value < 0.001 ) , and self-efficacy ( 4.7 vs. 4.0 , p-value 0.002 ) .
