Marlow, L;
Chorley, A;
Rockliffe, L;
Waller, J;
(2018)
Decision-making about cervical screening in a heterogeneous sample of non-participants: a qualitative interview study.
Psycho-Oncology
, 27
(10)
pp. 2488-2493.
10.1002/pon.4857.
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Abstract
Objective: According to the Precaution Adoption Process Model, cervical screening non-participants represent a heterogeneous group including those who are unaware of, unengaged with or undecided about screening, as well as intenders and decliners. We aimed to explore beliefs about cervical screening among these different types of non-participant. Methods: Semi-structured interviews were carried out with women aged 26-65 years living in Britain (n=29). Women were purposively sampled to represent different non-participant types. Interviews were transcribed verbatim and data were analysed thematically using Framework Analysis. Results: The salience of some barriers to screening varied between different types of nonparticipant. Bad experiences were prominent in the discussions of women who had decided not to attend, while practical barriers were more prominent among intenders. There was also some overlap between non-participant types. For example, many of the undecided women described not wanting to go for screening, but with less certainty than decliners. Some intenders (particularly those who had not been screened before), described not really wanting to attend, but feeling they ought to. Women’s views on the invitation/reminder process also varied; intenders and maintainers appreciated written reminders and GP prompts but decliners sometimes perceived these as ‘badgering’. Throughout the interviews women described changing views on screening in the wider context of ageing and motherhood. Conclusions: The salience of screening barriers varies by non-participant type, offering possibilities for tailored intervention. However, the fluidity of women’s stage of screening adoption might have implications for this approach to intervention design.
| Type: | Article |
|---|---|
| Title: | Decision-making about cervical screening in a heterogeneous sample of non-participants: a qualitative interview study |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1002/pon.4857 |
| Publisher version: | https://doi.org/10.1002/pon.4857 |
| Language: | English |
| Additional information: | © 2018 The Authors. This is an open access article under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
| Keywords: | Precaution adoption process model, PAPM, decision making, cervical screening, theory, qualitative, beliefs, tailored, cancer, oncology |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10053612 |
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