eS1100 WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS833–eS1237 The population in Israel is characterized by cultural and religious diversity. Meuhedet, a PPO insuring over 1.2 M members, is the most culturally diverse healthcare organization in Israel, with a large proportion of Arab, Jew- ish Orthodox and Immigrant members. Meuhedet has 50 community physiotherapy clinics throughout Israel, serving significantly diverse populations. We decided to make staff education on culturally appropriate treatment a priority. Purpose: To improve patient adherence to therapeutic interventions by enhancing culturally appropriate commu- nication in physiotherapy clinics. Methods: The intervention was adapted from a Cultural Adaptation in Patient Communication (CAPC) pilot program for Primary Care Physicians in Meuhedet. Of 47 physiotherapy clinic managers, 21 were randomly selected for the program. Stage I: We designed a tool to assess background, knowl- edge, attitudes and practice related to culturally appropriate care for participants to be used before and after the interven- tion. Stage II: We built an intervention using an adapted version of CAPC, based on a literature review of similar interventions for health professionals, particularly physiotherapists. The intervention comprised of: • Three sessions that included theoretical lectures, interac- tive role playing and group discussions. • All participants were required to spend time at a clinic that is culturally different from their own. During this time they kept a diary and used photographs to document their experiences. • Participants shared their experiences with the group using photographs and diaries. • We held group discussions on the experience and any change in the participants’ attitudes stemming from them. Results: A significant difference was found in partici- pants’ attitudes towards caring for patients with culturally different backgrounds. Conclusion(s): At the conference we will present the impact of these changes on practice over time, specifically on the way treatment is tailored to patient needs, in comparison to managers who did not participate in the course. Implications: As therapeutic communication is becoming an increasingly central part of physiotherapy due to the evolv- ing reliance on patient adherence with independent exercise, further study is needed to examine the degree to which man- agers can impart their newly acquired skills to their staff, and the extent to which these skills impact clinical outcomes. Keywords: Cultural adaptation; Religious diversity; Man- agers education Funding acknowledgements: This work was unfunded. Ethics approval: No ethics approval was required. http://dx.doi.org/10.1016/j.physio.2015.03.1995 Research Report Poster Presentation Number: RR-PO-12-13-Mon Monday 4 May 2015 12:15 Exhibit halls 401–403 AWARENESS ANDCOMPLIANCE TO SCREENING (PAP SMEAR) TEST FOR CERVICAL CANCER AMONG SEXUALLY ACTIVE UNDERGRADUATE FEMALE STUDENTS S. Ibeneme 1 , R. Nnaji 1 , G. Ibeneme 2 1 Faculty of Health Sciences, College of Medicine, University of Nigeria, Enugu Campus, Medical Rehabilitation, Enugu, Nigeria; 2 Ebonyi State University, Nursing Sciences, Abakaliki, Nigeria Background: Cervical cancer is the second commonest female malignancy in the world, and the leading type of can- cer among women in the developing countries. Fortunately, it is curable/preventable at early diagnosis, but its morbid- ity/mortality rate is on the rise. This suggests that factors, which influence the health seeking behaviour of those at risk, may be culpable. Otherwise, low cost/affordability of the Pap smear/screening test, among other factors, should boost efficacy of preventive measures. An understanding of the variables that influence the health seeking behaviour of those at risk, may be helpful in addressing the trend, and was investigated. Purpose: Previous data available on cervical cancer did not emphasize primary prevention, proper education on the warning signs and risk factors, which can influence the health seeking behaviour of those at risk. Thus, invasiveness, the time of resorting to/or compliance to early/regular Pap smear test, the level of awareness of the symptoms of cervical cancer and knowledge of its risk factors, which can influence/define health seeking behaviour, were operationalised and investi- gated. Methods: This study utilized convenience sampling technique to study 368 respondents in a descriptive cross- sectional survey. A cervical cancer awareness measure tool kit questionnaire (CCAM) was used for data collection. The respondents were also given opportunities to have a free Pap smear test to validate the findings. Data were analyzed using Chi-square multinomial test, chi-square test of independence, and Z-test, at p < 0.05. Results: Significant (p < 0.05) proportion of the respon- dents was single (340 or 93%), and 20–23 years old. Respondents had moderate knowledge of the risk factors, and poor level of awareness of the symptoms of cervical can- cer, respectively, though majority of them (203 or 55%) have heard of it. Out of 203 respondents that were aware of the symptoms of cervical cancer, 174 (85%) were aware of Pap smear test, yet 16 (8%) and 20 (5.43%) respondents complied to previous and recent Pap smear, respectively. About 94.57%