Women's understanding of their Pap and HPV test results: Implications for patient–provider communication

Head, Katharine J.; Imburgia, Teresa M.; Zimet, Gregory D.; Shew, Marcia L.

doi:10.1080/17538068.2017.1282085

Cited by 10 publications

(12 citation statements)

References 36 publications

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“…Seventeen papers were quantitative studies (Alay et al, 2019;Andreassen et al, 2019;Ferenidou et al, 2012;Garces-Palacio et al, 2019;Hsu et al, 2018;Kitchener et al, 2008;Kwan et al, 2011;Maggino et al, 2007;Maissi et al, 2004Maissi et al, , 2005McBride et al, 2020;McCaffery et al, 2004;Nagele et al, 2019;Ngu et al, 2018;Rodriguez et al, 2019;Wang et al, 2010;Wang et al, 2011), 15 were qualitative (Barrera-Clavijo et al, 2015;Barreto et al, 2016;Bertram & Magnussen, 2008;Head et al, 2017;Kosenko et al, 2012;Lin et al, 2011;Linde et al, 2019;McCaffery & Irwig, 2005;McCaffery et al, 2006;McCurdy et al, 2011;O'Connor et al, 2014;Perrin et al, 2006;Tiro et al (2019); Waller, McCaffery, et al, 2007;Wyndham-West et al, 2018) and one was mixed-methods (Daley et al, 2010). A total of 12,789 women aged between 18 and 65 participated in twenty studies (n=12,244 quantitative; n=545 qualitative), of whom 4,305 were reported as having tested positive for HPV (n=3,874 quantitative; n=431 qualitative).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Ten qualitative studies reported anxiety as a theme following HPV-positive results (Barrera-Clavijo et al, 2015;Bertram & Magnussen, 2008;Daley et al, 2010;Head et al, 2017;Kosenko et al, 2012;McCaffery & Irwig, 2005;McCaffery et al, 2006;O'Connor et al, 2014;Waller, McCaffery, et al, 2007;Wyndham-West et al, 2018). Women who were anxious often had poor understanding of their results and/or HPV, expressed uncertainty about HPV, had often received their results by letter, and reported searching for further information on the internet (Head et al, 2017;Kosenko et al, 2012;McCaffery & Irwig, 2005;McCaffery et al, 2006;Waller, McCaffery, et al, 2007). Two studies found that women who had discussed their results face-to-face with a healthcare professional were less anxious (Barrera-Clavijo et al, 2015;McCaffery & Irwig, 2005).…”

Section: Qualitative (Anxiety)mentioning

confidence: 99%

“…Themes indicative of test-specific distress emerged in thirteen qualitative studies (Barrera-Clavijo et al, 2015;Barreto et al, 2016;Bertram & Magnussen, 2008;Head et al, 2017;Kosenko et al, 2012;Lin et al, 2011;McCaffery & Irwig, 2005;McCaffery et al, 2006;McCurdy et al, 2011;O'Connor et al, 2014;Perrin et al, 2006;Waller, McCaffery, et al, 2007;Wyndham-West et al, 2018). Clear adverse impacts were reported, with many women describing concerns about HPV infection and/or the meaning of their test results.…”

Section: Qualitative (Distress)mentioning

confidence: 99%

See 2 more Smart Citations

Emotional response to testing positive for human papillomavirus at cervical cancer screening: a mixed method systematic review with meta-analysis

McBride

Tatar

Rosberger

et al. 2020

Health Psychology Review

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Qualitative (Anxiety)mentioning

confidence: 99%

Section: Qualitative (Distress)mentioning

confidence: 99%

See 1 more Smart Citation

Emotional response to testing positive for human papillomavirus at cervical cancer screening: a mixed method systematic review with meta-analysis

McBride

Tatar

Rosberger

et al. 2020

Health Psychology Review

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“…Participants preferred receiving a phone call about HPV results, and a previous study found that 97% of women were comfortable with receiving their HPV results over the phone [13]. This may reflect that women [22,23]. An HPV diagnosis is often associated with stigma, anxiety, and distress [22,24,25].…”

Section: Self-sampling For Hpv Testing Characteristicsmentioning

confidence: 99%

“…This may reflect that women [22,23]. An HPV diagnosis is often associated with stigma, anxiety, and distress [22,24,25]. An interaction with a healthcare provider may alleviate these negative feelings more so than an impersonal contact method such as a mailed letter or text message.…”

Section: Self-sampling For Hpv Testing Characteristicsmentioning

confidence: 99%

A conjoint analysis study on self-sampling for human papillomavirus (HPV) testing characteristics among black women in Indiana

2020

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Background: Self-sampling for HPV testing may be a method to increase overall cervical cancer screening rates among Black women, who are underscreened for cervical cancer in parts of the US. The purpose of this study was to assess preferred characteristics for delivery of HPV self-sampling kits, return of HPV self-sampling kits, and communication of HPV test results and explore sociodemographic factors (income, education, and marital status) associated with acceptability of self-sampling for HPV testing. Methods: Survey data were gathered at an Indiana minority health fair. Participants evaluated 9 scenarios that varied along 3 dimensions: HPV self-sampling kit delivery (mail, pharmacy pick-up, or clinic pick-up), HPV selfsampling kit return (mail, pharmacy drop-off, or clinic drop-off), and HPV test results (mail, phone call, or text message). The 9 scenarios were produced from a fractional factorial design and rated on a 0 to 100 scale. Ratingsbased conjoint analysis (RBCA) determined how each dimension influenced ratings. A measure for acceptability of self-sampling was obtained from the ratings of all 9 scenarios. The acceptability measure was regressed on sociodemographics. Results: The 98 participants ranged in age from 21 to 65 (M = 45). Across the 9 scenarios, overall acceptability to self-sample had a mean of 60.9 (SD = 31.3). RBCA indicated that HPV self-sampling kit return had the most influence on ratings, followed by HPV self-sampling kit delivery, and finally, HPV test result communication. Thirty-six percent of participants rated all self-sampling scenarios the same. Sociodemographic characteristics were not associated with acceptability of self-sampling. Conclusions: Self-sampling for HPV testing was found to be generally acceptable to Black women in this pilot survey study. This information could be used by researchers developing self-sampling interventions and the implementation of self-sampling among providers.

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“My Heart Jumped. Do I Have Cancer?”—Results of a Co-design Study with Cervical Cancer Screening Participants

Klonteig

Halvorsrud

2023

Human-Centered Service Design for Healthcare Transformation

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Cervical cancer can be prevented by routinely taking cell samples from the cervix (screening). The frequency of screening is a crucial factor, and there is great potential to utilize the registry data from the cervical screening program for the benefit of both the screening participants and their doctors. However, with the constant emergence of new types of tests and guidelines, not only screening participants but also their doctors may become uncertain about what the test results mean and what follow-up procedures should be in place. The goal of this study was to explore how to present test results to participants in a way that supports optimal screening frequency without causing unnecessary worry. This chapter presents the results of co-design workshops engaging women in the target group. Through the use of personas, trigger questions, and trigger material, we explored the group's current barriers and information needs. In all, 19 paper prototypes were produced during the workshops. Through a content analysis of the workshop material, we derived user requirements for a future digital tool intended to support optimal participation in the cervical screening program. We also report on lessons learned, threats to validity, and future research.

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Women's understanding of their Pap and HPV test results: Implications for patient–provider communication

Cited by 10 publications

References 36 publications

Emotional response to testing positive for human papillomavirus at cervical cancer screening: a mixed method systematic review with meta-analysis

Emotional response to testing positive for human papillomavirus at cervical cancer screening: a mixed method systematic review with meta-analysis

A conjoint analysis study on self-sampling for human papillomavirus (HPV) testing characteristics among black women in Indiana

“My Heart Jumped. Do I Have Cancer?”—Results of a Co-design Study with Cervical Cancer Screening Participants

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