Article ; Online: HPV self-collection: what are we waiting for? Exploration of attitudes from frontline healthcare providers.
2022 Volume 32, Issue 12, Page(s) 1519–1523
Abstract: Objective: Polymerase 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 ...
| Abstract | Objective: Polymerase 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. Methods: An 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. Results: Eighteen 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. Conclusion: While 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. |
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| MeSH term(s) | Female ; Humans ; Uterine Cervical Neoplasms ; Early Detection of Cancer/methods ; Papillomavirus Infections ; Qualitative Research ; Health Personnel ; Health Knowledge, Attitudes, Practice ; Mass Screening/methods |
| Language | English |
| Publishing date | 2022-12-05 |
| Publishing country | England |
| Document type | Observational Study ; Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't |
| ZDB-ID | 1070385-8 |
| ISSN | 1525-1438 ; 1048-891X |
| ISSN (online) | 1525-1438 |
| ISSN | 1048-891X |
| DOI | 10.1136/ijgc-2022-003860 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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