Evidence map›Paper›PMID 31659850›Full record

Trial reportHealth expectations : an international journal of public participation in health care and health policy2020

Preferences for interventions designed to increase cervical screening uptake in non-attending young women: How findings from a discrete choice experiment compare with observed behaviours in a trial.

Helen E Campbell, Alastair M Gray, Judith Watson, Cath Jackson, Carly Moseley, Margaret E Cruickshank, Henry C Kitchener, Oliver Rivero-Arias

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
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

8 authors.

Helen E CampbellNational Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.ORCID 0000-0003-2070-7794
Alastair M GrayHealth Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.ORCID 0000-0003-0239-7278
Judith WatsonDepartment of Health Sciences, University of York, York, UK.ORCID 0000-0003-0694-3854
Cath JacksonDepartment of Health Sciences, University of York, York, UK.ORCID 0000-0003-3181-7091
Carly MoseleyInstitute of Cancer Sciences, The University of Manchester, St Mary's Hospital, Manchester, UK.
Margaret E CruickshankUniversity of Aberdeen, Aberdeen Centre for Women's Health Research, Aberdeen, UK.
Henry C KitchenerInstitute of Cancer Sciences, The University of Manchester, St Mary's Hospital, Manchester, UK.
Oliver Rivero-AriasNational Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.ORCID 0000-0003-2233-6544

Funding

Department of Health 09/164/01
6 · The paper itself

Abstract

backgroundYoung women's attendance at cervical screening in the UK is continuing to fall, and the incidence of invasive cervical cancer is rising.

objectivesWe assessed the preferences of non-attending young women for alternative ways of delivering cervical screening.

designPostal discrete choice experiment (DCE) conducted during the STRATEGIC study of interventions for increasing cervical screening uptake. Attributes included action required to arrange a test, location of the test, availability of a nurse navigator and cost to the National Health Service. SETTING AND

participantsNon-attending young women in two UK regions.

main outcome measuresResponses were analysed using a mixed multinomial logit model. A predictive analysis identified the most preferable strategy compared to current screening. Preferences from the DCE were compared with observed behaviours during the STRATEGIC trial.

resultsThe DCE response rate was 5.5% (222/4000), and 94% of respondents agreed screening is important. Preference heterogeneity existed around attributes with strong evidence for test location. Relative to current screening, unsolicited self-sampling kits for home use appeared most preferable. The STRATEGIC trial showed this same intervention to be most effective although many women who received it and were screened, attended for conventional cytology instead.

conclusionsThe DCE and trial identified the unsolicited self-sampling kit as the most preferred/effective intervention. The DCE suggested that the decision of some women receiving the kit in the trial to attend for conventional cytology may be due to anxieties around home testing coupled with a knowledge that ignoring the kit could potentially have life-changing consequences.

Indexed as

Early Detection of CancerPatient PreferenceUterine Cervical NeoplasmsAdultChoice BehaviorFemaleHealth Services AccessibilityHumansState MedicineSurveys and QuestionnairesUnited KingdomYoung Adultcervical cancerdiscrete choice experimentsheterogeneitypreferencesscreening uptakeUnited Kingdomyoung women

Identifiers

PMID31659850
PMCPMC6978852

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.