Evidence map›Paper›PMID 35440375›Full record

Trial reportPatient education and counseling2022

Testing key messages about extending cervical screening intervals.

Laura A V Marlow, Martin Nemec, Jessica Barnes, Jo Waller

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Patient education and counseling, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Acceptability of risk stratification within population-based cancer screening from the perspective of the general public: A mixed-methods systematic review.Health expectations : an international journal of public participation in health care and health policy · 2023
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

4 authors.

Laura A V MarlowCancer Prevention Group, School of Cancer and Pharmaceutical Sciences, King's College London, London, UK. Electronic address: l.marlow@kcl.ac.uk.
Martin NemecCancer Prevention Group, School of Cancer and Pharmaceutical Sciences, King's College London, London, UK.
Jessica BarnesCancer Prevention Group, School of Cancer and Pharmaceutical Sciences, King's College London, London, UK.
Jo WallerCancer Prevention Group, School of Cancer and Pharmaceutical Sciences, King's College London, London, UK.

Funding

Cancer Research UK 17219Cancer Research UK C7492/A17219Cancer Research UK C8162/A25356
6 · The paper itself

Abstract

objectivesWe tested the impact of different messages about the rationale for extended cervical screening intervals on acceptability of an extension.

methodsWomen in England aged 25-49 years (n = 2931) were randomised to a control group or one of 5 groups given different messages about extending cervical screening intervals from 3 to 5 years. Outcome measures were general acceptability and six components from the Theoretical Framework of Acceptability (TFA).

resultsThe groups who saw additional messages (47-63%) were more likely to find the change acceptable than controls (43%). Messages about interval safety, test accuracy and speed of cell changes resulted in more positive affective-attitudes, higher ethicality beliefs, a better understanding of the reasons for extended intervals and greater belief in the safety of 5-year intervals. Being up-to-date with screening and previous abnormal results were associated with finding 5-yearly screening unacceptable.

conclusionsEmphasising the slow development of cell changes following an HPV negative result and the safety of longer intervals, alongside the accuracy of HPV primary screening is important. PRACTICAL IMPLICATIONS: Campaigns explaining the rationale for extended cervical screening intervals are likely to improve acceptability. Though women who feel at increased risk, may remain worried even when the rationale is explained.

Indexed as

Papillomavirus InfectionsUterine Cervical NeoplasmsEarly Detection of CancerEnglandFemaleHumansMass ScreeningAcceptabilityCommunicationEducationHPVIntervalsPolicyScreening

Identifiers

PMID35440375
PMCPMC9925386

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.