Recommendations for a Communication Strategy to Support Informed Decision‐Making About Self or Clinician Sampling for Cervical Screening in the UK: Qualitative Study
ABSTRACT 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 p...
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| Format: | Article |
| Language: | English |
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Wiley
2025-04-01
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| Series: | Health Expectations |
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| Online Access: | https://doi.org/10.1111/hex.70191 |
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| author | Denitza Williams Eleanor Clarke Kate J. Lifford Lindsay Haywood Fiona Wood Jo Waller Adrian Edwards Natalie Joseph‐Williams Caroline Evans Gareth Powell Rhiannon Phillips Andrew Carson‐Stevens Katie Walbeoff Ardiana Gjini Kate Brain |
| author_facet | Denitza Williams Eleanor Clarke Kate J. Lifford Lindsay Haywood Fiona Wood Jo Waller Adrian Edwards Natalie Joseph‐Williams Caroline Evans Gareth Powell Rhiannon Phillips Andrew Carson‐Stevens Katie Walbeoff Ardiana Gjini Kate Brain |
| author_sort | Denitza Williams |
| collection | DOAJ |
| description | ABSTRACT 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. |
| format | Article |
| id | doaj-art-827c8a3fe77f4974a389b96fb0d1ee5a |
| institution | Kabale University |
| issn | 1369-6513 1369-7625 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Expectations |
| spelling | doaj-art-827c8a3fe77f4974a389b96fb0d1ee5a2025-08-20T03:53:57ZengWileyHealth Expectations1369-65131369-76252025-04-01282n/an/a10.1111/hex.70191Recommendations for a Communication Strategy to Support Informed Decision‐Making About Self or Clinician Sampling for Cervical Screening in the UK: Qualitative StudyDenitza Williams0Eleanor Clarke1Kate J. Lifford2Lindsay Haywood3Fiona Wood4Jo Waller5Adrian Edwards6Natalie Joseph‐Williams7Caroline Evans8Gareth Powell9Rhiannon Phillips10Andrew Carson‐Stevens11Katie Walbeoff12Ardiana Gjini13Kate Brain14Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UKDivision of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UKDivision of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UKPublic Partner UKDivision of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UKCentre of Cancer Screening, Prevention and Early Diagnosis, Wolfson Institute of Population Health Queen Mary University of London London UKDivision of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UKDivision of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UKPublic Partner UKPHW Screening Laboratory, Public Health Wales Cardiff UKCardiff School of Sport and Health Sciences Cardiff Metropolitan University Cardiff UKDivision of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UKCervical Screening Wales, Public Health Wales Cardiff UKHywel Dda Health Board, NHS Wales UKDivision of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UKABSTRACT 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.https://doi.org/10.1111/hex.70191behaviour changecervical screeningcommunicationdecision supporthuman pappilomavirusself‐sampling |
| spellingShingle | Denitza Williams Eleanor Clarke Kate J. Lifford Lindsay Haywood Fiona Wood Jo Waller Adrian Edwards Natalie Joseph‐Williams Caroline Evans Gareth Powell Rhiannon Phillips Andrew Carson‐Stevens Katie Walbeoff Ardiana Gjini Kate Brain Recommendations for a Communication Strategy to Support Informed Decision‐Making About Self or Clinician Sampling for Cervical Screening in the UK: Qualitative Study Health Expectations behaviour change cervical screening communication decision support human pappilomavirus self‐sampling |
| title | Recommendations for a Communication Strategy to Support Informed Decision‐Making About Self or Clinician Sampling for Cervical Screening in the UK: Qualitative Study |
| title_full | Recommendations for a Communication Strategy to Support Informed Decision‐Making About Self or Clinician Sampling for Cervical Screening in the UK: Qualitative Study |
| title_fullStr | Recommendations for a Communication Strategy to Support Informed Decision‐Making About Self or Clinician Sampling for Cervical Screening in the UK: Qualitative Study |
| title_full_unstemmed | Recommendations for a Communication Strategy to Support Informed Decision‐Making About Self or Clinician Sampling for Cervical Screening in the UK: Qualitative Study |
| title_short | Recommendations for a Communication Strategy to Support Informed Decision‐Making About Self or Clinician Sampling for Cervical Screening in the UK: Qualitative Study |
| title_sort | recommendations for a communication strategy to support informed decision making about self or clinician sampling for cervical screening in the uk qualitative study |
| topic | behaviour change cervical screening communication decision support human pappilomavirus self‐sampling |
| url | https://doi.org/10.1111/hex.70191 |
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