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What benefits and harms are important for a decision about cervical screening? A study of the perspective of different subgroups of women
Background: In cervical screening programs, women typically receive information leaflets to support their decision about participation. However, these leaflets are often based on what experts consider important benefits and harms of screening and not what women themselves consider important to know....
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6611716/ https://www.ncbi.nlm.nih.gov/pubmed/31303748 http://dx.doi.org/10.2147/PPA.S193522 |
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author | van der Meij, Amber E Damman, Olga C Uiters, Ellen Timmermans, Danielle RM |
author_facet | van der Meij, Amber E Damman, Olga C Uiters, Ellen Timmermans, Danielle RM |
author_sort | van der Meij, Amber E |
collection | PubMed |
description | Background: In cervical screening programs, women typically receive information leaflets to support their decision about participation. However, these leaflets are often based on what experts consider important benefits and harms of screening and not what women themselves consider important to know. Objective: To identify which benefits and harms women consider important for making a decision about cervical screening. Design: Cross-sectional study. Setting and participants: Women from the Dutch target group of cervical screening (N=248; 30–60 years), recruited through an online access panel. Main variables studied: Perceived importance of different benefits and harms of cervical screening, assessed through two rating items (“How important is the information about [this harm/benefit] for your decision?” and “For me it is a [benefit/harm] that participating in the screening program leads to [the benefit/harm]”), and one ranking item (“Rank the information according to their importance for your own choice”). Results: Women overall considered the benefits of cervical screening more important than the harms or disadvantages. The most important harm according to women was the chance of false positive results (M=4.88; SD=1.75). Differences between those with lower and higher numeracy/health literacy were found regarding several aspects, e.g. for the chance of false positive results, the chance of false negative results, the chance of overtreatment. Discussion and conclusion: The results suggest that leaflets could include more explicit information about false positive results. |
format | Online Article Text |
id | pubmed-6611716 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-66117162019-07-12 What benefits and harms are important for a decision about cervical screening? A study of the perspective of different subgroups of women van der Meij, Amber E Damman, Olga C Uiters, Ellen Timmermans, Danielle RM Patient Prefer Adherence Original Research Background: In cervical screening programs, women typically receive information leaflets to support their decision about participation. However, these leaflets are often based on what experts consider important benefits and harms of screening and not what women themselves consider important to know. Objective: To identify which benefits and harms women consider important for making a decision about cervical screening. Design: Cross-sectional study. Setting and participants: Women from the Dutch target group of cervical screening (N=248; 30–60 years), recruited through an online access panel. Main variables studied: Perceived importance of different benefits and harms of cervical screening, assessed through two rating items (“How important is the information about [this harm/benefit] for your decision?” and “For me it is a [benefit/harm] that participating in the screening program leads to [the benefit/harm]”), and one ranking item (“Rank the information according to their importance for your own choice”). Results: Women overall considered the benefits of cervical screening more important than the harms or disadvantages. The most important harm according to women was the chance of false positive results (M=4.88; SD=1.75). Differences between those with lower and higher numeracy/health literacy were found regarding several aspects, e.g. for the chance of false positive results, the chance of false negative results, the chance of overtreatment. Discussion and conclusion: The results suggest that leaflets could include more explicit information about false positive results. Dove 2019-07-01 /pmc/articles/PMC6611716/ /pubmed/31303748 http://dx.doi.org/10.2147/PPA.S193522 Text en © 2019 van der Meij et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research van der Meij, Amber E Damman, Olga C Uiters, Ellen Timmermans, Danielle RM What benefits and harms are important for a decision about cervical screening? A study of the perspective of different subgroups of women |
title | What benefits and harms are important for a decision about cervical screening? A study of the perspective of different subgroups of women |
title_full | What benefits and harms are important for a decision about cervical screening? A study of the perspective of different subgroups of women |
title_fullStr | What benefits and harms are important for a decision about cervical screening? A study of the perspective of different subgroups of women |
title_full_unstemmed | What benefits and harms are important for a decision about cervical screening? A study of the perspective of different subgroups of women |
title_short | What benefits and harms are important for a decision about cervical screening? A study of the perspective of different subgroups of women |
title_sort | what benefits and harms are important for a decision about cervical screening? a study of the perspective of different subgroups of women |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6611716/ https://www.ncbi.nlm.nih.gov/pubmed/31303748 http://dx.doi.org/10.2147/PPA.S193522 |
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