ArticleHealth expectations : an international journal of public participation in health care and health policy2021
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.
Article in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- What are the views and experiences of human papillomavirus (HPV) self-sampling for cervical screening in high-income countries? A qualitative systematic review using the Theoretical Domains Framework.BMC public health · 2026Pooled it
- Facilitators and Barriers That Influence Oral Health Behaviours Among Adolescents: A Systematic Review.International dental journal · 2026Pooled it
- Factors promoting breast, cervical and colorectal cancer screenings participation: A systematic review.Psycho-oncology · 2022Pooled it
- Identifying the key barriers, facilitators and factors associated with cervical cancer screening attendance in young women: A systematic review.Women's health (London, England)Pooled it
- Perspectives of women and healthcare providers on facilitators and barriers to cervical cancer screening in the rural Kilimanjaro region Tanzania: a qualitative study.Global health action · 2026Article
- The Effects of Cancer Fear and Ruminative Thinking Styles on Attitudes Toward Cancer Screening Among Cancer Caregivers.Journal of clinical psychology in medical settings · 2026Article
- Co-designing solutions to promote awareness of cervical screening with women of low socio-economic position living in urban areas.BMC public health · 2026Article
- Utilizing the COM-B model to identify childhood routine vaccination barriers and uptake among parents and caregivers living in the frontline and Zakarpattia regions of Ukraine amidst Russia's full-scale invasion.Conflict and health · 2026Article
- Factors affecting women's participation in cervical cancer screening through the theory of planned behavior: a cross- sectional study in Türkiye.Frontiers in medicine · 2026Article
- Utilising the COM-B model to interpret barriers and facilitators to cervical cancer screening in young women.Journal of health psychology · 2025Article
- Iterative Situated Engagement Perspective: Meaning-Making Challenges Across Cancer Screening Phases.Cancers · 2025Article
- Association of Cancer Risk Perception and Patient-provider Communication with Pap Test Among African American and Sub-Saharan African-born Women.Journal of community health · 2025Article
- Influencing factors of health promotion behaviour in patients with aortic dissection: a qualitative study using the COM-B model.BMJ open · 2025Article
- Exploring the Perspectives of Lung Cancer Chemotherapy Patients on Self-Management: A Qualitative Interview Study Using the COM-B Model.Patient preference and adherence · 2025Article
- Using a behaviour-change approach to support uptake of population genomic screening and management options for breast or prostate cancer.European journal of human genetics : EJHG · 2025Article
- Mediating and moderating factors between stigma and adaptability to return to work for cancer survivors.Scientific reports · 2024Article
- Barriers and facilitators to viral hepatitis testing in Uzbekistan: scoping qualitative study among key stakeholders, healthcare workers, and the general population.BMC public health · 2024Article
- Stakeholder perceptions of cervical screening accessibility and attendance in Ireland: a qualitative study.Health promotion international · 2024Article
- Food Insecurity Screening in High-Income Countries, Tool Validity, and Implementation: A Scoping Review.Nutrients · 2024Article
- Barriers to Cervical Cancer Screening and Satisfaction with Self-Sampling among Black Women in Michigan: a Mixed Methods Study.Medical research archives · 2024Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEffective screening can prevent cervical cancer, but many women choose not to attend their screening tests.
objectiveThis study aimed to investigate behavioural influences on cervical screening participation using the Theoretical Domains Framework (TDF) and COM-B models of behaviour change.
designA 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
participantsForty-eight women aged 25-65 years were recruited from the national screening register.
resultsSeven 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.
conclusionsThis 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.
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