Recommendations for a Communication Strategy to Support Informed Decision‐Making About Self or Clinician Sampling for Cervical Screening in the UK: Qualitative Study.

Background: Cervical screening for high‐risk Human Papillomavirus subtypes is offered to those eligible in the UK via the NHS cervical screening programmes. However, uptake of cervical screening continues to remain below the national target of 80%. Groups less likely to participate include people fr...

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Publicado en:Health Expectations Vol. 28; no. 2; pp. 1 - 15
Autores principales: Williams, Denitza, Clarke, Eleanor, Lifford, Kate J., Haywood, Lindsay, Wood, Fiona, Waller, Jo, Edwards, Adrian, Joseph‐Williams, Natalie, Evans, Caroline, Powell, Gareth, Phillips, Rhiannon, Carson‐Stevens, Andrew, Walbeoff, Katie, Gjini, Ardiana, Brain, Kate
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Apr2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2025
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        atl: Recommendations for a Communication Strategy to Support Informed Decision‐Making About Self or Clinician Sampling for Cervical Screening in the UK: Qualitative Study.
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        au:
          Williams, Denitza
          Clarke, Eleanor
          Lifford, Kate J.
          Haywood, Lindsay
          Wood, Fiona
          Waller, Jo
          Edwards, Adrian
          Joseph‐Williams, Natalie
          Evans, Caroline
          Powell, Gareth
          Phillips, Rhiannon
          Carson‐Stevens, Andrew
          Walbeoff, Katie
          Gjini, Ardiana
          Brain, Kate
        affil: Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences, Cardiff University and PRIME Centre Wales, Cardiff, UK
      sug:
        subj:
          Communication Methods
          Decision Making, Shared
          Cervix Neoplasms
          Cancer Screening Methods
          Decision Support Systems, Clinical
          Needs Assessment
          Human Papillomavirus Viruses Analysis
          Self-Testing Methods
          Sampling Methods
          Human
          Funding Source
          United Kingdom
          Female
          Adult
          Middle Age
          Qualitative Studies
          Semi-Structured Interview
          Audiorecording
          Descriptive Statistics
          Data Analysis Software
          Thematic Analysis
          Stakeholder Participation
          Attitude to Health
          Consumer Attitudes
          Health Knowledge
          Trust
          Health Behavior
          Behavioral Changes
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: Background: Cervical screening for high‐risk Human Papillomavirus subtypes is offered to those eligible in the UK via the NHS cervical screening programmes. However, uptake of cervical screening continues to remain below the national target of 80%. Groups less likely to participate include people from low socioeconomic groups, ethnic minority backgrounds, younger/older age and/or LGBTQ group identity. The cervical screening‐eligible population could soon, for the first time in the UK, have a choice of mode between clinician taken or self‐sampling. Aims: To understand information and decision‐support needs of diverse cervical screening‐eligible individuals when presented with a choice of cervical screening mode and develop recommendations for a communication strategy to support informed decision‐making. Methods: Qualitative co‐production explored communication preferences and decision‐support needs in a diverse sample of cervical screening‐eligible individuals using semi‐structured interviews with individuals eligible for cervical screening (n = 30) and stakeholders (n = 23). Interviews were transcribed, thematically analysed and mapped to behavioural and decision‐making theories to inform a communication strategy for offering choice in cervical screening mode in the UK. Results: Four main themes across both participant groups were identified: misunderstanding of clinician screening, attitudes towards choice, communication launch preferences and decision‐support needs. Logic models to inform a communication strategy in preparation for the future launch of choice in cervical screening mode in the UK were developed. Implications: The communication launch strategy can inform interventions to support informed decision‐making if HPV self‐sampling is incorporated into UK cervical screening programmes. Patient and Public Contribution: Two public partners were involved in the study from inception to completion. They advised on recruitment, participant facing documents and were involved in analysis.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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