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Eliciting women's cervical screening preferences: a mixed methods systematic review protocol.

Brianne Wood1, Susan Rogers Van Katwyk2, Ziad El-Khatib3,4

  • 1School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Roger-Guindon Hall, Room 3105, 451 Smyth Road, Ottawa, K1H 8M5, Ontario, Canada. Bwood096@uottawa.ca.

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This systematic review examines women's preferences for cervical cancer screening. Understanding these preferences is crucial for developing patient-centered screening guidelines and improving program effectiveness.

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Area of Science:

  • Public Health
  • Gynecologic Oncology
  • Health Services Research

Background:

  • Growing evidence highlights potential harms of cancer screening, increasing scrutiny of population-based programs.
  • High-quality screening programs necessitate incorporating individual values and preferences into recommendations.
  • In cervical cancer screening, patient autonomy aligns with a person-centered approach but may affect participation and program effectiveness.

Purpose of the Study:

  • To systematically review quantitative and qualitative studies on women's preferences for cervical cancer screening.
  • To identify methods used to elicit these preferences.
  • To inform the development of tools for eliciting women's cervical screening preferences.

Main Methods:

  • A mixed-methods synthesis employing thematic analysis.
  • Searches across five databases and gray literature using a peer-reviewed strategy.
  • Quality appraisal using the Mixed Methods Appraisal Tool and data extraction by three reviewers.
  • Analysis guided by PRISMA reporting guidelines, with findings assessed by GRADE and CERQual.

Main Results:

  • Data synthesis will focus on tools used, theoretical frameworks, outcomes measured, and identified screening preferences.
  • Relationships between study results, population, intervention (tools/instruments), and context will be described.
  • Findings will be compared across studies and between qualitative and quantitative designs.

Conclusions:

  • This review will provide insights into women's cervical screening preferences and methods for eliciting them.
  • Results will aid guideline developers in creating woman-centered cervical screening guidelines.
  • Understanding preferences is key to enhancing the effectiveness and patient-centeredness of cervical cancer screening programs.