Advancing understanding of influences on cervical screening (non)‐participation among younger and older women: A qualitative study using the theoretical domains framework and the COM‐B model
| العنوان: | Advancing understanding of influences on cervical screening (non)‐participation among younger and older women: A qualitative study using the theoretical domains framework and the COM‐B model |
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| المؤلفون: | John J. O'Leary, Linda Sharp, Patricia Fitzpatrick, Lorraine Doherty, Mairead O'Connor, Bernadine O’Donovan, Therese Mooney, Grainne Flannelly, Cara Martin, Ben Rimmer |
| المصدر: | Health Expectations : An International Journal of Public Participation in Health Care and Health Policy Health Expectations, Vol 24, Iss 6, Pp 2023-2035 (2021) |
| بيانات النشر: | Wiley, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Medicine (General), medicine.medical_specialty, Coping (psychology), cervical cancer, barriers, Psychological intervention, Uterine Cervical Neoplasms, cancer risk, screening coverage, Social support, R5-920, Cognitive resource theory, medicine, Humans, Mass Screening, COM‐B model, Early Detection of Cancer, Qualitative Research, Aged, Cervical cancer, Motivation, Cervical screening, Public Health, Environmental and Occupational Health, Original Articles, medicine.disease, Risk perception, Family medicine, Original Article, Female, Public aspects of medicine, RA1-1270, Theoretical Domains Framework, Psychology, Qualitative research |
| الوصف: | Background Effective screening can prevent cervical cancer, but many women choose not to attend their screening tests. Objective This study aimed to investigate behavioural influences on cervical screening participation using the Theoretical Domains Framework (TDF) and COM‐B models of behaviour change. Design A qualitative study and semistructured phone interviews were conducted with women invited for routine screening tests within the national cervical screening programme in Ireland. Setting and Participants Forty‐eight women aged 25–65 years were recruited from the national screening register. Results Seven core themes were identified that mapped to three COM‐B components and 11 TDF domains: (1) knowledge of cervical cancer and screening, (2) coping with smear tests, (3) competing motivational processes—automatic and reflective, (4) cognitive resources, (5) role of social support, (6) environmental influences and (7) perceputal and practical influences. A range of knowledge about screening, perceived risk of cervical cancer and human papillomavirus infection was evident. Factors that influenced screening behaviours may be hierarchical—some were assigned greater importance than others. Positive screening behaviours were linked to autonomous motivation. Deficits in physical and psychological capability (inadequate coping skills) were barriers to screening, while physical and social opportunity (e.g. healthcare professional ‘champions’) could facilitate participation. Older women raised age‐related issues (e.g. screening no longer necessary) and had more negative attitudes to screening, while younger women identified practical barriers. Conclusions This study provides insight into screening participation and will aid development of theoretically informed interventions to increase uptake. Patient or Public Contribution Women invited for screening tests through the national screening programme were interviewed. A Public & Patient Involvement (PPI) Panel, established to provide input into all CERVIVA research projects, advised the research team on recruitment materials and were given the opportunity to review and comment on the interview topic guide. This panel is made up of six women with various cervical screening histories and experiences. |
| تدمد: | 1369-7625 1369-6513 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::26dc73ab317e909908ea6f420c1a9ad8 https://doi.org/10.1111/hex.13346 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....26dc73ab317e909908ea6f420c1a9ad8 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13697625 13696513 |
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