Evidence map›Paper›PMID 37935320›Full record

ArticleAmerican journal of preventive medicine2024

Self-Sampling for Human Papillomavirus Testing: Acceptability in a U.S. Safety Net Health System.

Susan L Parker, Trisha L Amboree, Shaun Bulsara, Maria Daheri, Matthew L Anderson, Susan G Hilsenbeck, Maria L Jibaja-Weiss, Mohammed Zare, Kathleen M Schmeler, Ashish A Deshmukh and 3 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in American journal of preventive medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03898167 (A Randomized Controlled Trial of Mailed Self-Sample HPV Testing to Increase Cervical Cancer Screening Participation Among Minority/Underserved Women in an Integrated Safety Net Healthcare System), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.2field-weighted citation impact, top 7% of its field
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.

NCT03898167 nacompletednot on this map

A Randomized Controlled Trial of Mailed Self-Sample HPV Testing to Increase Cervical Cancer Screening Participation Among Minority/Underserved Women in an Integrated Safety Net Healthcare System

TypeinterventionalSponsorBaylor College of MedicineRan2020 to 2025Enrolled2,474ConditionsCervical Cancer, Human Papillomavirus InfectionArmsTelephone Recall, Mailed HPV Self-Sampling Kit, Patient Navigation
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 15 citations in OpenAlex.

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  16. To eliminate cervical cancer in Canada, nationwide funding of self-sampling for human papillomavirus is needed.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    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

13 authors at 6 institutions in 1 country.

Susan L ParkerDepartment of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas. Electronic address: sclackey@mdanderson.org.
Trisha L AmboreeDepartment of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Shaun BulsaraDan L. Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, Texas.
Maria DaheriAmbulatory Care Services, Harris Health System, Houston, Texas.
Matthew L AndersonDepartment of Obstetrics and Gynecology, Morsani School of Medicine, University of South Florida, Tampa, Florida.
Susan G HilsenbeckDan L. Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, Texas.
Maria L Jibaja-WeissSchool of Health Professions, Baylor College of Medicine, Houston, Texas.
Mohammed ZareDepartment of Community & Family Medicine, McGovern Medical School, The University of Texas Health Science Center-Houston, Houston, Texas.
Kathleen M SchmelerDepartment of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Ashish A DeshmukhDepartment of Public Health, College of Medicine, Medical University of South Carolina, Charleston, South Carolina.
Elizabeth Y ChiaoDepartment of Epidemiology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Michael E ScheurerDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas.
Jane R MontealegreDepartment of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas.
The University of Texas MD Anderson Cancer Center · USBaylor College of Medicine · USHarris Health System · USMedical University of South Carolina · USThe University of Texas Health Science Center at Houston · USUniversity of South Florida · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Expanding a pragmatic randomized trial to assess mailed self-sample HPV testing to increase cervical cancer screening participation among Asian immigrant women in a safety net health systemR01MD013715 · NIMHD · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI MONTEALEGRE, JANE R · 2019 to 2023
$3.4M
NCATS NIH HHS UL1 TR000445NIMHD NIH HHS R01 MD013715
6 · The paper itself

Abstract

introductionSelf-sampling for human papillomavirus testing is increasingly recognized as a strategy to expand cervical cancer screening access and utilization. Acceptability is a key determinant of uptake. This study assesses the acceptability of and experiences with mailed self-sampling kits for human papillomavirus testing among underscreened patients in a safety net health system.

methodsA nested telephone survey was administered between 2021 and 2023 to a sample (n=272) of the 2,268 participants enrolled in the Prospective Evaluation of Self-Testing to Increase Screening trial. Trial participants include patients of a safety net health system aged 30-65 years who were not up to date on screening. Participants were asked about barriers to provider-performed screening. Kit users and nonusers were asked about their experiences.

resultsPrevalent barriers to provider-performed screening included perceived discomfort of pelvic examination (69.4%), being uncomfortable with male providers (65.4%), and embarrassment (57.0%). Among participants who reported using the mailed kit (n=164), most reported good experiences (84.8%). Most reported self-sampling as more/equally convenient (89.0%), less/equally embarrassing (99.4%), and less/equally stressful (95.7%) than provider-performed screening. Among kit nonusers (n=43), reasons for not using the kit included forgetting about it (76.7%), preferring provider-performed screening (76.7%), and fearing cancer (67.4%).

conclusionsProspective Evaluation of Self-Testing to Increase Screening trial participants generally had a positive experience with self-sampling for human papillomavirus testing. Increased comfort and reduced embarrassment/anxiety with self-sampling are relevant attributes because these were the most prevalent reported barriers to provider-performed screening. High acceptability suggests potentially high uptake when self-sampling for human papillomavirus testing receives regulatory approval and is available in safety net health systems.

Indexed as

Papillomavirus InfectionsUterine Cervical NeoplasmsEarly Detection of CancerFemaleHuman Papillomavirus VirusesHumansMaleMass ScreeningPapillomaviridaePatient Acceptance of Health CareSelf CareVaginal Smears

Identifiers

PMID37935320
PMCPMC12177980
OpenAlexW4388378920

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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.