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Maximising the acceptability of extended time intervals between screens in the NHS Cervical Screening Programme: An online experimental study

OBJECTIVE: The NHS Cervical Screening Programme plans to increase the screening interval from 3 to 5 years for women aged 25–49 who test negative for human papillomavirus (HPV). This exploratory cross-sectional online survey tested the impact of different levels of information about the proposed cha...

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Autores principales: Hill, Emily, Nemec, Martin, Marlow, Laura, Sherman, Susan Mary, Waller, Jo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8366181/
https://www.ncbi.nlm.nih.gov/pubmed/33175638
http://dx.doi.org/10.1177/0969141320970591
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author Hill, Emily
Nemec, Martin
Marlow, Laura
Sherman, Susan Mary
Waller, Jo
author_facet Hill, Emily
Nemec, Martin
Marlow, Laura
Sherman, Susan Mary
Waller, Jo
author_sort Hill, Emily
collection PubMed
description OBJECTIVE: The NHS Cervical Screening Programme plans to increase the screening interval from 3 to 5 years for women aged 25–49 who test negative for human papillomavirus (HPV). This exploratory cross-sectional online survey tested the impact of different levels of information about the proposed change on acceptability of a longer interval. METHODS: Women aged 18–45 (n = 585) were individually randomised to one of three information exposure groups differing in the level of information provided about the screening interval change: (1) basic information; (2) basic information with additional detail about timeline of HPV infection; (3) as (2) but with the addition of a diagram. Acceptability of the change (favourable and unfavourable attitudes) was assessed post-exposure alongside HPV timeline beliefs. We used ANOVA and regression analyses to test for between-group differences. RESULTS: Women in Group 3 had higher scores on the favourable attitudes sub-scale compared with Group 1. Women in Groups 2 and 3 had more accurate timeline beliefs than those in Group 1. There were no between-group differences in unfavourable attitudes. After adjusting for demographic factors, a higher favourable attitudes score was independently predicted by being in Group 3 compared to Group 1, more accurate HPV timeline beliefs, and previous irregular or non-attendance at screening. CONCLUSIONS: Overall, acceptability of an increased screening interval was moderate, but providing women with information about the safety and rationale for this change may improve acceptability. In particular, communicating the long timeline from HPV exposure to cervical cancer may reassure women about the safety of the proposed changes.
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spelling pubmed-83661812021-08-17 Maximising the acceptability of extended time intervals between screens in the NHS Cervical Screening Programme: An online experimental study Hill, Emily Nemec, Martin Marlow, Laura Sherman, Susan Mary Waller, Jo J Med Screen Original Articles OBJECTIVE: The NHS Cervical Screening Programme plans to increase the screening interval from 3 to 5 years for women aged 25–49 who test negative for human papillomavirus (HPV). This exploratory cross-sectional online survey tested the impact of different levels of information about the proposed change on acceptability of a longer interval. METHODS: Women aged 18–45 (n = 585) were individually randomised to one of three information exposure groups differing in the level of information provided about the screening interval change: (1) basic information; (2) basic information with additional detail about timeline of HPV infection; (3) as (2) but with the addition of a diagram. Acceptability of the change (favourable and unfavourable attitudes) was assessed post-exposure alongside HPV timeline beliefs. We used ANOVA and regression analyses to test for between-group differences. RESULTS: Women in Group 3 had higher scores on the favourable attitudes sub-scale compared with Group 1. Women in Groups 2 and 3 had more accurate timeline beliefs than those in Group 1. There were no between-group differences in unfavourable attitudes. After adjusting for demographic factors, a higher favourable attitudes score was independently predicted by being in Group 3 compared to Group 1, more accurate HPV timeline beliefs, and previous irregular or non-attendance at screening. CONCLUSIONS: Overall, acceptability of an increased screening interval was moderate, but providing women with information about the safety and rationale for this change may improve acceptability. In particular, communicating the long timeline from HPV exposure to cervical cancer may reassure women about the safety of the proposed changes. SAGE Publications 2020-11-11 2021-09 /pmc/articles/PMC8366181/ /pubmed/33175638 http://dx.doi.org/10.1177/0969141320970591 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Articles
Hill, Emily
Nemec, Martin
Marlow, Laura
Sherman, Susan Mary
Waller, Jo
Maximising the acceptability of extended time intervals between screens in the NHS Cervical Screening Programme: An online experimental study
title Maximising the acceptability of extended time intervals between screens in the NHS Cervical Screening Programme: An online experimental study
title_full Maximising the acceptability of extended time intervals between screens in the NHS Cervical Screening Programme: An online experimental study
title_fullStr Maximising the acceptability of extended time intervals between screens in the NHS Cervical Screening Programme: An online experimental study
title_full_unstemmed Maximising the acceptability of extended time intervals between screens in the NHS Cervical Screening Programme: An online experimental study
title_short Maximising the acceptability of extended time intervals between screens in the NHS Cervical Screening Programme: An online experimental study
title_sort maximising the acceptability of extended time intervals between screens in the nhs cervical screening programme: an online experimental study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8366181/
https://www.ncbi.nlm.nih.gov/pubmed/33175638
http://dx.doi.org/10.1177/0969141320970591
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