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Self-Collection for Primary HPV Testing: Perspectives on Implementation From Federally Qualified Health Centers
INTRODUCTION: Primary testing for high-risk human papillomavirus (HPV) by self-collection could result in higher rates of cervical cancer screening. Federally qualified health centers (FQHCs) in the US serve a large proportion of women who have low income and no health insurance and are medically un...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Centers for Disease Control and Prevention
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599328/ https://www.ncbi.nlm.nih.gov/pubmed/37857461 http://dx.doi.org/10.5888/pcd20.230056 |
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author | Le, Amanda Rohweder, Catherine Wheeler, Stephanie B. Lafata, Jennifer Elston Teal, Randall Giannone, Kara Zaffino, MaryShell Smith, Jennifer S. |
author_facet | Le, Amanda Rohweder, Catherine Wheeler, Stephanie B. Lafata, Jennifer Elston Teal, Randall Giannone, Kara Zaffino, MaryShell Smith, Jennifer S. |
author_sort | Le, Amanda |
collection | PubMed |
description | INTRODUCTION: Primary testing for high-risk human papillomavirus (HPV) by self-collection could result in higher rates of cervical cancer screening. Federally qualified health centers (FQHCs) in the US serve a large proportion of women who have low income and no health insurance and are medically underserved — risk factors for being insufficiently screened for cervical cancer. Although the implementation of self-collection for HPV testing is not yet widespread, health care entities need to prepare for its eventual approval by the US Food and Drug Administration. We conducted focus groups and interviews among clinical and administrative staff and leadership to gather data on key logistical concerns that must be addressed before implementing self-collection for HPV testing in FQHCs. METHODS: We identified focus group and interview participants from 6 FQHCs in North Carolina. We conducted focus groups with clinical and administrative staff (N = 45) and semistructured interviews with chief executive officers, senior-level administrators, chief medical officers, and clinical data managers (N = 24). Transcripts were coded by using codebooks derived from research questions and notes taken during data collection. Themes emerged on implementation of self-collection for HPV testing. We applied the constructs from the Consolidated Framework for Implementation Research (CFIR) to themes to identify domains of potential barriers and facilitators to implementation. RESULTS: Clinical personnel reported that offering self-collection for HPV testing is acceptable and feasible and can increase cervical cancer screening rates. Uncertainties emerged about accuracy of results, workflow disruptions, financial implications, and effects on clinic quality measures. CONCLUSION: Implementing self-collection for HPV testing was considered feasible and acceptable by participants. However, important health service delivery considerations, including financial implications, must be addressed before integrating self-collection for HPV testing into the standard of care. |
format | Online Article Text |
id | pubmed-10599328 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Centers for Disease Control and Prevention |
record_format | MEDLINE/PubMed |
spelling | pubmed-105993282023-10-26 Self-Collection for Primary HPV Testing: Perspectives on Implementation From Federally Qualified Health Centers Le, Amanda Rohweder, Catherine Wheeler, Stephanie B. Lafata, Jennifer Elston Teal, Randall Giannone, Kara Zaffino, MaryShell Smith, Jennifer S. Prev Chronic Dis Original Research INTRODUCTION: Primary testing for high-risk human papillomavirus (HPV) by self-collection could result in higher rates of cervical cancer screening. Federally qualified health centers (FQHCs) in the US serve a large proportion of women who have low income and no health insurance and are medically underserved — risk factors for being insufficiently screened for cervical cancer. Although the implementation of self-collection for HPV testing is not yet widespread, health care entities need to prepare for its eventual approval by the US Food and Drug Administration. We conducted focus groups and interviews among clinical and administrative staff and leadership to gather data on key logistical concerns that must be addressed before implementing self-collection for HPV testing in FQHCs. METHODS: We identified focus group and interview participants from 6 FQHCs in North Carolina. We conducted focus groups with clinical and administrative staff (N = 45) and semistructured interviews with chief executive officers, senior-level administrators, chief medical officers, and clinical data managers (N = 24). Transcripts were coded by using codebooks derived from research questions and notes taken during data collection. Themes emerged on implementation of self-collection for HPV testing. We applied the constructs from the Consolidated Framework for Implementation Research (CFIR) to themes to identify domains of potential barriers and facilitators to implementation. RESULTS: Clinical personnel reported that offering self-collection for HPV testing is acceptable and feasible and can increase cervical cancer screening rates. Uncertainties emerged about accuracy of results, workflow disruptions, financial implications, and effects on clinic quality measures. CONCLUSION: Implementing self-collection for HPV testing was considered feasible and acceptable by participants. However, important health service delivery considerations, including financial implications, must be addressed before integrating self-collection for HPV testing into the standard of care. Centers for Disease Control and Prevention 2023-10-19 /pmc/articles/PMC10599328/ /pubmed/37857461 http://dx.doi.org/10.5888/pcd20.230056 Text en https://creativecommons.org/licenses/by/4.0/Preventing Chronic Disease is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited. |
spellingShingle | Original Research Le, Amanda Rohweder, Catherine Wheeler, Stephanie B. Lafata, Jennifer Elston Teal, Randall Giannone, Kara Zaffino, MaryShell Smith, Jennifer S. Self-Collection for Primary HPV Testing: Perspectives on Implementation From Federally Qualified Health Centers |
title | Self-Collection for Primary HPV Testing: Perspectives on Implementation From Federally Qualified Health Centers |
title_full | Self-Collection for Primary HPV Testing: Perspectives on Implementation From Federally Qualified Health Centers |
title_fullStr | Self-Collection for Primary HPV Testing: Perspectives on Implementation From Federally Qualified Health Centers |
title_full_unstemmed | Self-Collection for Primary HPV Testing: Perspectives on Implementation From Federally Qualified Health Centers |
title_short | Self-Collection for Primary HPV Testing: Perspectives on Implementation From Federally Qualified Health Centers |
title_sort | self-collection for primary hpv testing: perspectives on implementation from federally qualified health centers |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599328/ https://www.ncbi.nlm.nih.gov/pubmed/37857461 http://dx.doi.org/10.5888/pcd20.230056 |
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