Evidence map›Paper›PMID 30481121›Full record

ArticleJournal of women's health (2002)2019

Understanding Patients' Perspectives and Information Needs Following a Positive Home Human Papillomavirus Self-Sampling Kit Result.

Jasmin A Tiro, Andrea C Betts, Kilian Kimbel, Diana S M Buist, Constance Mao, Hongyuan Gao, Lisa Shulman, Colin Malone, Tara Beatty, John Lin and 3 more

Abstract read
In one paragraph

Article in Journal of women's health (2002), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  12. Experiences of human papillomavirus self-sampling by women >60 years old: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Jasmin A Tiro1 Department of Clinical Sciences, University of Texas Southwestern Medical Center , Dallas, Texas.
Andrea C Betts1 Department of Clinical Sciences, University of Texas Southwestern Medical Center , Dallas, Texas.
Kilian Kimbel3 Kaiser Permanente Washington Health Research Institute , Seattle, Washington.
Diana S M Buist3 Kaiser Permanente Washington Health Research Institute , Seattle, Washington.
Constance Mao4 Department of Obstetrics and Gynecology, University of Washington , Seattle, Washington.
Hongyuan Gao3 Kaiser Permanente Washington Health Research Institute , Seattle, Washington.
Lisa Shulman3 Kaiser Permanente Washington Health Research Institute , Seattle, Washington.
Colin Malone5 Department of Epidemiology, University of Washington , Seattle, Washington.
Tara Beatty3 Kaiser Permanente Washington Health Research Institute , Seattle, Washington.
John Lin6 Department of Pathology, University of Washington , Seattle, Washington.
Chris Thayer7 Kaiser Permanente Washington , Renton, Washington.
Diana L Miglioretti3 Kaiser Permanente Washington Health Research Institute , Seattle, Washington.
Rachel L Winer3 Kaiser Permanente Washington Health Research Institute , Seattle, Washington.

Funding

Staff InvestigatorsP30CA093373 · NCI · UNIVERSITY OF CALIFORNIA DAVIS · PI KC KENT LLOYD · 2002 to 2026
$84.9M
BEHAVIORAL SCIENCE EDUCATION--CANCER PREVENTION/CONTROLR25CA057712 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MULLEN, PATRICIA DOLAN · 1992 to 2017
$8.6M
Cancer Prevention and Control Research Training and Career Development ProgramT32CA057712 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Bijal A. Balasubramanian, Maria Eulalia Fernandez · 2018 to 2026
$3.2M
Randomized Trial of In-Home Cervical Cancer Screening in Underscreened WomenR01CA168598 · NCI · UNIVERSITY OF WASHINGTON · PI WINER, RACHEL L. · 2013 to 2017
$2.9M
NCI NIH HHS P30 CA093373NCI NIH HHS R01 CA168598NCI NIH HHS R25 CA057712NCI NIH HHS T32 CA057712
6 · The paper itself

Abstract

objectiveWe explored patient perspectives after a positive human papillomavirus (HPV) self-sampling result to describe experiences and information needs for this home-based screening modality. MATERIALS AND

methodsWe recruited women who tested high-risk (hr) HPV positive during a pragmatic trial evaluating mailed hrHPV self-sampling kits as an outreach strategy for women overdue for Pap screening in a U.S. integrated health care system. Telephone interviews were conducted from 2014 to 2017. Five independent coders analyzed transcripts using iterative content analysis.

resultsForty-six women (61% of invited; median age 55.5 years) completed a semistructured interview. Six themes emerged: (1) convenience of home-based screening, (2) intense feelings and emotions after receiving positive kit results, (3) importance of seeing provider and discussing kit results, (4) information seeking from various sources, (5) confusion about purpose and meaning of HPV versus Pap tests, and (6) concern that HPV self-sampling is inaccurate when the subsequent Pap test is normal.

conclusionsAlthough women liked the kit's convenience, discussion about discordant home HPV and in-clinic Pap results led them to question the accuracy of HPV self-sampling. Patient-provider communication around home HPV kits is more complex than for reflex or cotesting because clinician-collected Pap results are unknown at the time of the positive kit result. Patients need education about differences between HPV and Pap tests and how they are used for screening and follow-up. To reassure patients and keep them interested in self-sampling, education should be provided at multiple time points during the screening process.

Indexed as

Health Knowledge, Attitudes, PracticeSelf-ExaminationAdultEarly Detection of CancerFemaleHumansMass ScreeningMiddle AgedPapanicolaou TestPapillomaviridaePapillomavirus InfectionsPatient Education as TopicUterine Cervical Neoplasmsearly detection of cancerhuman papillomavirus DNA testsmass screeningqualitative researchuterine cervical neoplasms

Identifiers

PMID30481121
PMCPMC6444912

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.