Cervical Cancer Prevention in El Salvador: Gains to Date and Challenges for the Future

Alfaro, Karla; Soler, Montserrat; Maza, Mauricio; Flores, Mauricio A.; López, Leticia Rodríguez; Rauda, Juan Carlos; Chacon, Andrea; Erazo, Patricia; Villatoro, Nora; Mumenthaler, Eveline; Masch, Rachel; Conzuelo, Gabriel; Felix, Juan C.; Cremer, Miriam

doi:10.20944/preprints202205.0285.v1

Cited by 2 publications

(1 citation statement)

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“…Research has shown that early involvement of implementers in intervention design is a facilitator of its adoption. 49,50 In our study, both potential adopters and decision makers views were included in the IA design phase mainly through its inclusion in the Advisory Committee, where they commented and provided advice on the design process. Very importantly, they were favorable to the app design and implementation and considered that it would fill a gap in the screening process.…”

Section: Emotionsmentioning

confidence: 99%

Ten Steps to Design a Counseling App to Reduce the Psychosocial Impact of Human Papillomavirus Testing on the Basis of a User-Centered Design Approach in a Low- and Middle-Income Setting

Antelo

Szwarc

Pera

et al. 2022

JCO Global Oncology

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PURPOSE This study describes the 10 steps followed to produce the information architecture of a user-centered design (UCD) counseling mobile application, the first phase to develop an app. The app aims to reduce the psychosocial impact of the human papillomavirus test result and improve women's knowledge of human papilloma virus and cervical cancer. METHODS We used a UCD approach to produce the information architecture of the app (ie, how to organize contents into features). We analyzed field notes, meeting agendas, and documentation produced during each stage of the design process. We described the goals, methods, and outcomes of each step. We also discussed the critical challenges and the strategies to address them. RESULTS The steps are (1) knowledge, attitudes, and beliefs mapping: reanalysis of team's research findings from prior studies; (2) environmental scanning of apps available on the market; (3) stakeholders' point of view: The International Advisory Committee; (4) potential user's profile: building archetypes through the Persona method; (5) women's interviews: user's preferences and experiences; (6) effective features: scoping review to select app's features that address psychosocial impact; (7) the user journey: ideal interaction with the gynecological service and the counseling app; (8) women's focus groups: using Personas and Scenarios to discuss app's mock-up; (9) women's design sessions: prototype test and card-sorting techniques; and (10) team's design session: translating results into visual objects and features. CONCLUSION We provide here detailed descriptions of the UCD process of an app for human papillomavirus–tested women for those venturing into the area of mHealth strategies work. Our experience can be used as a guide for future mHealth app development for a low- and middle-income setting.

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Section: Emotionsmentioning

confidence: 99%

Ten Steps to Design a Counseling App to Reduce the Psychosocial Impact of Human Papillomavirus Testing on the Basis of a User-Centered Design Approach in a Low- and Middle-Income Setting

Antelo

Szwarc

Pera

et al. 2022

JCO Global Oncology

View full text Add to dashboard Cite

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Surviving the Storm: The Impact of COVID-19 on Cervical Cancer Screening in Low- and Middle-Income Countries

Vahabi,

Shahil-Feroz,

Lofters

et al. 2023

Healthcare

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According to the Center for Disease Control and Prevention’s National Breast and Cervical Cancer Early Detection Program, the cervical cancer screening rate dropped by 84% soon after the declaration of the COVID-19 pandemic. The challenges facing cervical cancer screening were largely attributed to the required in-person nature of the screening process and the measures implemented to control the spread of the virus. While the impact of the COVID-19 pandemic on cancer screening is well-documented in high-income countries, less is known about the low- and middle-income countries that bear 90% of the global burden of cervical cancer deaths. In this paper, we aim to offer a comprehensive view of the impact of COVID-19 on cervical cancer screening in LMICs. Using our study, “Prevention of Cervical Cancer in India through Self-Sampling” (PCCIS), as a case example, we present the challenges COVID-19 has exerted on patients, healthcare practitioners, and health systems, as well as potential opportunities to mitigate these challenges.

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Cervical Cancer Prevention in El Salvador: Gains to Date and Challenges for the Future

Cited by 2 publications

References 0 publications

Ten Steps to Design a Counseling App to Reduce the Psychosocial Impact of Human Papillomavirus Testing on the Basis of a User-Centered Design Approach in a Low- and Middle-Income Setting

Ten Steps to Design a Counseling App to Reduce the Psychosocial Impact of Human Papillomavirus Testing on the Basis of a User-Centered Design Approach in a Low- and Middle-Income Setting

Surviving the Storm: The Impact of COVID-19 on Cervical Cancer Screening in Low- and Middle-Income Countries

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