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Ensuring a Successful Transition From Cytology to Human Papillomavirus-Based Primary Cervical Cancer Screening in Canada by Investigating the Psychosocial Correlates of Women's Intentions: Protocol for an Observational Study.
Griffin-Mathieu, Gabrielle; Haward, Ben; Tatar, Ovidiu; Zhu, Patricia; Perez, Samara; Shapiro, Gilla K; McBride, Emily; Thompson, Erika L; Smith, Laurie W; Lofters, Aisha K; Daley, Ellen M; Guichon, Juliet R; Waller, Jo; Steben, Marc; Decker, Kathleen M; Mayrand, Marie-Helene; Brotherton, Julia M L; Ogilvie, Gina S; Zimet, Gregory D; Norris, Teresa; Rosberger, Zeev.
Afiliación
  • Griffin-Mathieu G; Lady Davis Institute for Medical Research, McGill University, Jewish General Hospital, Montreal, QC, Canada.
  • Haward B; Lady Davis Institute for Medical Research, McGill University, Jewish General Hospital, Montreal, QC, Canada.
  • Tatar O; Lady Davis Institute for Medical Research, McGill University, Jewish General Hospital, Montreal, QC, Canada.
  • Zhu P; Research Center, Centre Hospitalier de l'Université de Montreal, Montreal, QC, Canada.
  • Perez S; Lady Davis Institute for Medical Research, McGill University, Jewish General Hospital, Montreal, QC, Canada.
  • Shapiro GK; Department of Psychiatry, McGill University, Montreal, QC, Canada.
  • McBride E; Lady Davis Institute for Medical Research, McGill University, Jewish General Hospital, Montreal, QC, Canada.
  • Thompson EL; Cedars Cancer Center, McGill University Health Centre, Montreal, QC, Canada.
  • Smith LW; Department of Oncology, McGill University, Montreal, QC, Canada.
  • Lofters AK; HPV Global Action, Montreal, QC, Canada.
  • Daley EM; Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
  • Guichon JR; Department of Behavioural Science & Health, University College London, London, United Kingdom.
  • Waller J; Department of Biostatistics and Epidemiology, School of Public Health, The University of North Texas Health Science Center, Fort Worth, TX, United States.
  • Steben M; BC Cancer Agency, Vancouver, BC, Canada.
  • Decker KM; Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
  • Mayrand MH; Department of Family and Community Medicine, Women's College Hospital, Toronto, ON, Canada.
  • Brotherton JML; College of Public Health, University of South Florida, Tampa, FL, United States.
  • Ogilvie GS; Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
  • Zimet GD; School of Cancer and Pharmaceutical Sciences, King's College London, London, United Kingdom.
  • Norris T; HPV Global Action, Montreal, QC, Canada.
  • Rosberger Z; School of Public Health, Université de Montréal, Montreal, QC, Canada.
JMIR Res Protoc ; 11(6): e38917, 2022 Jun 16.
Article en En | MEDLINE | ID: mdl-35708742
BACKGROUND: The human papillomavirus (HPV) test has emerged as a significant improvement over cytology for primary cervical cancer screening. In Canada, provinces and territories are moving toward implementing HPV testing in cervical cancer screening programs. Although an abundance of research exists on the benefits of HPV-based screening, there is a dearth of research examining women's understanding of HPV testing. In other countries, failure to adequately address women's concerns about changes has disrupted the implementation of HPV-based screening. OBJECTIVE: The aims of the multipart study described in this paper are to develop psychometrically valid measures of cervical cancer screening-related knowledge, attitudes, and beliefs; to examine the feasibility of a questionnaire examining psychosocial factors related to HPV-based screening; and to investigate psychosocial correlates of women's intentions to participate in HPV-based screening. METHODS: We conducted a web-based survey (study 1) of Canadian women to assess the acceptability and feasibility of a questionnaire, including the validation of scales examining cervical cancer knowledge, HPV testing knowledge, HPV testing attitudes and beliefs, and HPV test self-sampling attitudes and beliefs. Preferences for cervical cancer screening were assessed using the best-worst scaling methodology. A second web-based survey (study 2) will be administered to a national sample of Canadian women between June 2022 and July 2022 using the validated scales. Differences in the knowledge, attitudes, beliefs, and preferences of women who are currently either underscreened or adequately screened for cervical cancer will be examined through bivariate analyses. Multinomial logistic regression will be used to estimate the associations between psychosocial and sociodemographic factors and intentions to undergo HPV-based screening. RESULTS: Between October 2021 and November 2021, a total of 1230 participants completed the questionnaire in study 1, and 1027 (83.49%) responses were retained after data cleaning methods were applied. Feasibility was comparable with similar population-based surveys in terms of survey length, participant attrition, and the number of participants excluded after data cleaning. As of May 2022, analysis of study 1 is ongoing, and results are expected to be published in the summer of 2022. Data collection is expected to begin for study 2 in the summer of 2022. Results are expected to be published between late 2022 and early 2023. CONCLUSIONS: Findings will provide direction for Canadian public health authorities to align guidelines to address women's concerns and optimize the acceptability and uptake of HPV-based primary screening. Validated scales can be used by other researchers to improve and standardize the measurement of psychosocial factors affecting HPV test acceptability. Study results will be disseminated through peer-reviewed journal articles; conference presentations; and direct communication with researchers, clinicians, policy makers, media, and specialty organizations. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/38917.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies / Qualitative_research / Screening_studies Idioma: En Revista: JMIR Res Protoc Año: 2022 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Canadá

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies / Qualitative_research / Screening_studies Idioma: En Revista: JMIR Res Protoc Año: 2022 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Canadá