PDF(Pubmed)
Abstract：
BACKGROUND: Cervical cancer is a common cancer among young women aged 25-29 in England, and the NHS cervical screening leaflet is the first point of contact for those being invited for their first screening. This study aimed to explore how young women (18-24) understand and engage with the leaflet, as well as the barriers and facilitators associated with its interpretation, engagement, and screening intentions.
METHODS: The study used a mixed-methods approach, including a survey (n = 120) to identify interpretation difficulties and how they were affected by different characteristics, and a follow-up interview (n = 10) to assess the utility of the leaflet, identify issues with its practicality, and determine the factors that influence screening intentions.
RESULTS: The survey results showed that interpretation difficulties were common, particularly regarding HPV assessment, screening results, additional tests/treatment, and screening risks. Lower interpretation accuracy was associated with lower numeracy scores and non-white ethnicity. Despite these difficulties, participants had high confidence and motivation to engage with the leaflet. The interviews revealed knowledge gaps, issues with the leaflet\'s practicality, and a preference for digital information. Factors that were identified as barriers and facilitators of leaflet interpretation, engagement, and screening intentions included knowledge, social influence, beliefs about consequences, environmental context and resources, social role and identity, emotions and intentions.
CONCLUSIONS: The current leaflet does not provide enough information for young women to make an informed decision about screening attendance. Implementing a digital invitation featuring simplified gist representation, targeted behaviour change techniques (BCTs), videos, and interactive tools can enhance education and promote screening behaviour. Future research should consider using digital tools and strategies to address existing barriers related to interpretation and engagement.
METHODS: The study used a mixed-methods approach, including a survey (n = 120) to identify interpretation difficulties and how they were affected by different characteristics, and a follow-up interview (n = 10) to assess the utility of the leaflet, identify issues with its practicality, and determine the factors that influence screening intentions.
RESULTS: The survey results showed that interpretation difficulties were common, particularly regarding HPV assessment, screening results, additional tests/treatment, and screening risks. Lower interpretation accuracy was associated with lower numeracy scores and non-white ethnicity. Despite these difficulties, participants had high confidence and motivation to engage with the leaflet. The interviews revealed knowledge gaps, issues with the leaflet\'s practicality, and a preference for digital information. Factors that were identified as barriers and facilitators of leaflet interpretation, engagement, and screening intentions included knowledge, social influence, beliefs about consequences, environmental context and resources, social role and identity, emotions and intentions.
CONCLUSIONS: The current leaflet does not provide enough information for young women to make an informed decision about screening attendance. Implementing a digital invitation featuring simplified gist representation, targeted behaviour change techniques (BCTs), videos, and interactive tools can enhance education and promote screening behaviour. Future research should consider using digital tools and strategies to address existing barriers related to interpretation and engagement.
摘要：
背景：宫颈癌是英格兰25-29岁的年轻女性中常见的癌症，NHS宫颈筛查传单是被邀请进行首次筛查的人的第一个接触点。这项研究旨在探讨年轻女性（18-24岁）如何理解和参与传单，以及与解释相关的障碍和促进者，订婚,和筛选意图。
方法：研究采用混合方法，包括一项调查(n=120)，以确定解释困难以及它们如何受到不同特征的影响，并进行后续访谈（n=10）以评估传单的实用性，找出其实用性的问题，并确定影响筛查意图的因素。
结果：调查结果显示，口译困难很普遍，特别是关于HPV评估，筛选结果,额外的测试/治疗，筛查风险。较低的解释准确性与较低的算术分数和非白人种族有关。尽管有这些困难,参与者有很高的信心和动力参与传单。采访揭示了知识差距，传单的实用性问题，以及对数字信息的偏好。被确定为传单解释的障碍和促进因素，订婚,筛选意图包括知识，社会影响力,关于后果的信念，环境背景和资源，社会角色和身份，情感和意图。
结论：当前的传单没有为年轻女性提供足够的信息来做出有关筛查出勤率的明智决定。实施具有简化要点表示的数字邀请，有针对性的行为改变技术(BCT)，视频,互动工具可以加强教育和促进筛查行为。未来的研究应该考虑使用数字工具和策略来解决与解释和参与相关的现有障碍。
方法：研究采用混合方法，包括一项调查(n=120)，以确定解释困难以及它们如何受到不同特征的影响，并进行后续访谈（n=10）以评估传单的实用性，找出其实用性的问题，并确定影响筛查意图的因素。
结果：调查结果显示，口译困难很普遍，特别是关于HPV评估，筛选结果,额外的测试/治疗，筛查风险。较低的解释准确性与较低的算术分数和非白人种族有关。尽管有这些困难,参与者有很高的信心和动力参与传单。采访揭示了知识差距，传单的实用性问题，以及对数字信息的偏好。被确定为传单解释的障碍和促进因素，订婚,筛选意图包括知识，社会影响力,关于后果的信念，环境背景和资源，社会角色和身份，情感和意图。
结论：当前的传单没有为年轻女性提供足够的信息来做出有关筛查出勤率的明智决定。实施具有简化要点表示的数字邀请，有针对性的行为改变技术(BCT)，视频,互动工具可以加强教育和促进筛查行为。未来的研究应该考虑使用数字工具和策略来解决与解释和参与相关的现有障碍。
