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

Qualitative Study

Bibliographic Data

ID19508028
AuthorsDenitza Williams (0000-0002-2874-9270, Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UK, corresponding author), Eleanor Clarke (0000-0002-2150-2283, Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UK), Kate J Lifford (Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UK), Kate Lifford (0000-0002-9782-2080, Cardiff University), Lindsay Haywood (Public Partner UK), F Wood (0000-0001-7397-4074, Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UK), Jo Waller (0000-0003-4025-9132, Centre of Cancer Screening, Prevention and Early Diagnosis, Wolfson Institute of Population Health Queen Mary University of London London UK), Adrian Edwards (0000-0001-7432-2828, Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UK), Natalie Joseph‐Williams (0000-0002-8944-2969, Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UK), Caroline Evans (0000-0003-1553-2715, Public Partner UK), Gareth Powell (PHW Screening Laboratory, Public Health Wales Cardiff UK), Gareth S Powell (0000-0003-0847-2718, Public Health Wales), Rhiannon Phillips (0000-0002-4256-4598, Cardiff School of Sport and Health Sciences Cardiff Metropolitan University Cardiff UK), Andrew Carson‐steven (0000-0002-7580-7699, Cardiff University), Andrew Carson‐Stevens (Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UK), Katie Walbeoff (Cervical Screening Wales, Public Health Wales Cardiff UK), Ardiana Gjini (Hywel Dda Health Board, NHS Wales UK), Kate Brain (0000-0001-9296-9748, Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UK)
Year2025
Volume28
Issue2
Pagese70191-e70191
Publication date2025-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hex.70191
PMID40150899
OpenAlexW4408956892
LanguageEN
Citations received3
References cited31

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

Alternative medicine · Cervical cancer · Cervical screening · Decision aids · Environmental health · Family medicine · Population · Psychological intervention · Qualitative research · Socioeconomic status · Cervical Cancer and HPV Research · Global Cancer Incidence and Screening · Medicine · Nursing · Psychology · Reproductive tract infections research

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Unique citing works3
Citations per year3
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2

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