Examining Acceptability of Self-Collection for Human Papillomavirus Testing Among Women and Healthcare Providers with a Broader Lens

Senkomago, Virginia; Saraiya, Mona

doi:10.1089/jwh.2017.6384

Cited by 6 publications

(6 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The providers expressed hesitancy to replace the pelvic exam. These concerns are consistent with the limited studies previously performed 12 19. The most common reason cited for not recommending HPV self-collection was concern that a missed clinic visit could translate into a missed opportunity to address other health concerns 12.…”

Section: Discussionsupporting

confidence: 66%

“…Similar to prior studies reporting HPV self-collection acceptability in their communities, the providers assumed overall acceptance and enthusiasm of HPV self-collection within their patient populations 22. While there are limited studies assessing the provider viewpoint of HPV self-collection among patients, there are numerous studies assessing the patient perspective with consistent findings: HPV self-collection is acceptable and often preferred by women for cervical cancer screening in comparison with provider-collected screening 11 12 19 21. These findings are further reflected in urban and rural locations, across various countries, and have been demonstrated in different racial and ethnic populations 23–27…”

Section: Discussionmentioning

confidence: 56%

See 1 more Smart Citation

HPV self-collection: what are we waiting for? Exploration of attitudes from frontline healthcare providers

Bohn

Fitch

Currier

et al. 2022

International Journal of Gynecological Cancer

View full text Add to dashboard Cite

ObjectivePolymerase chain reaction based human papilloma virus (HPV) self-collection for cervical cancer screening is well established. It is utilized worldwide, accepted by patients, is cost-effective, has comparable sensitivity to provider-collected samples, and increases screening rates, however clinical practice in the United States has not shifted to include HPV self-collection. This study sought to examine provider knowledge and attitudes to better understand why HPV self-collection is not being utilized.MethodsAn observational, qualitative study was conducted. Data were collected with semi-structured focus groups and individual interviews with Oregon healthcare providers. Focus groups and interviews were continued until data saturation was achieved. A grounded theory method was used for analysis, a cyclical process of coding data, memo-writing, and theoretical sampling to the point of saturation.ResultsEighteen healthcare providers participated in the focus group and interviews. They represented 14 of 36 counties across Oregon and 50% were physicians, 33% were nurse practitioners, and 94% worked within family medicine. All providers performed cervical cancer screening according to current American Society for Colposcopy and Cervical Pathology guidelines. Five overarching themes emerged: provider concerns, clinical and provider barriers, patient perspective and barriers, process-based themes, and barriers to cervical cancer screening. Nearly all providers stated they will offer HPV self-collection to most of their patients once available.ConclusionWhile providers identified concerns and barriers for initiating HPV self-collection, there was a strong desire to implement HPV self-collection and acceptance within patient populations was assumed. Providers indicated the need for HPV self-collection to be incorporated into national screening guidelines along with best practices on how to successfully implement this modality to further increase cervical cancer screening rates.

show abstract

Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 56%

HPV self-collection: what are we waiting for? Exploration of attitudes from frontline healthcare providers

Bohn

Fitch

Currier

et al. 2022

International Journal of Gynecological Cancer

View full text Add to dashboard Cite

show abstract

“…A lack of patient adherence would lead to missed preventive examinations and clinic-based follow-up procedures, further leading to missed opportunities to address other health-related issues (19,21). Despite these concerns, many domestic and international health care providers have found HPV self-collection to be highly acceptable before and after trying self-collection (19)(20)(21)(22)(23)(24)(25)(26). In one study, 80% of clinical staff surveyed in 2 safety-net clinics in Florida were willing to incorporate self-collection into practice (22).…”

Section: Discussionmentioning

confidence: 99%

Self-Collection for Primary HPV Testing: Perspectives on Implementation From Federally Qualified Health Centers

Le,

Rohweder,

Wheeler

et al. 2023

Prev. Chronic Dis.

View full text Add to dashboard Cite

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.

show abstract

“…[ 25 ] Senkomago and Saraiya (2017) stated that perceptions or behaviors including compliance with follow-up procedures, and also methods to educate or communicate with women and healthcare providers about HPV are the issues that need to be considered properly. [ 26 ]…”

Section: Discussionmentioning

confidence: 99%

Exploring the care received by HPV-positive married women at a colposcopy clinic in Tehran, Iran: A qualitative study

Jahdi

Khoei

Ebadi

et al. 2020

J Family Med Prim Care

View full text Add to dashboard Cite

Objectives: Patient experience is the focus of individual care and services to meet patient needs, but this depends on how health care providers deliver their services. The aim of this study was to explore the perceptions of human papilloma virus (HPV)-positive married women from the care they received from health professionals at a colposcopy clinic in Tehran, Iran. Materials and Methods: Three focus group discussions were conducted between September and December 2016 with 30 women who had recently been referred to the clinic for cervical screening or colposcopy. Samples were collected by a purposeful sampling method in Tehran, the capital of Iran. The focus group discussions were carefully recorded at the same time as data collection. After ensuring the data saturation, interviews were terminated and data were categorized. Data was analyzed by direct conventional content analysis using MAXQDA-10. Results: Two themes and three sub-themes resulted from the data analysis, including emotional responses (anxiety and fear of women), and appropriate/inappropriate behavior of the healthcare providers. Conclusion: Healthcare providers, by identifying factors that affect patient's stress, could help reduce the negative outcomes such as patients’ emotional responses to HPV positive results.

show abstract

Examining Acceptability of Self-Collection for Human Papillomavirus Testing Among Women and Healthcare Providers with a Broader Lens

Cited by 6 publications

References 19 publications

HPV self-collection: what are we waiting for? Exploration of attitudes from frontline healthcare providers

HPV self-collection: what are we waiting for? Exploration of attitudes from frontline healthcare providers

Self-Collection for Primary HPV Testing: Perspectives on Implementation From Federally Qualified Health Centers

Exploring the care received by HPV-positive married women at a colposcopy clinic in Tehran, Iran: A qualitative study

Contact Info

Product

Resources

About