Optimisation of a Cervical Cancer Screening Model Based on Self-Sampling for Human Papillomavirus Testing

Area of Science:

• Gynecologic Oncology
• Public Health
• Preventive Medicine

Background:

• Cervical cancer screening is crucial for reducing morbidity and mortality globally.
• Self-sampling devices for human papillomavirus (HPV) testing offer a promising strategy to enhance screening participation.
• Understanding women's preferences is vital for effective and equitable cervical cancer screening programs.

Purpose of the Study:

• To explore women's expectations, preferences, and perceived barriers regarding cervical cancer self-sampling.
• To inform the implementation of a population-based cervical screening program in the Valencian Community, Spain.
• To identify optimal invitation methods and device designs for maximizing screening uptake.

Main Methods:

• A qualitative study involving four focus groups with 29 women aged 35-65.
• Participants assessed five self-sampling devices and discussed preferences via questionnaires and group discussions.
• Data analyzed using descriptive statistics and thematic content analysis.

Main Results:

• Self-sampling demonstrated high acceptance (96.4% willingness to perform at home).
• SMS and local health centers were preferred for invitations and results delivery.
• Device simplicity (FLOQSwab) and design (Evalyn Brush) influenced preferences, with concerns about reliability noted.

Conclusions:

• Self-sampling is a feasible and widely accepted method for cervical cancer screening.
• Successful implementation hinges on validated devices, culturally relevant information, and digital engagement tools.
• Optimizing device selection and communication strategies can enhance participation and promote health equity.