Could changing invitation and booking processes help women translate their cervical screening intentions into action? A population-based survey of women’s preferences in Great Britain
Objectives Many women who do not attend screening intend to go, but do not get around to booking an appointment. Qualitative work suggests that these ‘intenders’ face more practical barriers to screening than women who are up-to-date (‘maintainers’). This study explored practical barriers to booking...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2019-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/7/e028134.full |
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| author | Jo Waller Mairead Ryan Laura AV Marlow |
| author_facet | Jo Waller Mairead Ryan Laura AV Marlow |
| author_sort | Jo Waller |
| collection | DOAJ |
| description | Objectives Many women who do not attend screening intend to go, but do not get around to booking an appointment. Qualitative work suggests that these ‘intenders’ face more practical barriers to screening than women who are up-to-date (‘maintainers’). This study explored practical barriers to booking a screening appointment and preferences for alternative invitation and booking methods that might overcome these barriers.Design A cross-sectional survey was employed.Setting Great Britain.Participants Women aged 25–64, living in Great Britain who intended to be screened but were overdue (‘intenders’, n=255) and women who were up-to-date with screening (‘maintainers’, n=359).Results ‘Intenders’ reported slightly more barriers than ‘maintainers’ overall (mean=1.36 vs 1.06, t=3.03, p<0.01) and were more likely to think they might forget to book an appointment (OR=2.87, 95% CI: 2.01 to 4.09). Over half of women said they would book on a website using a smartphone (62%), a computer (58%) or via an app (52%). Older women and women from lower social grades were less likely to say they would use online booking methods (all ps <0.05). Women who reported two or more barriers were more likely to say they would use online booking than women who reported none (ps <0.01).Conclusions Women who are overdue for screening face practical barriers to booking appointments. Future interventions may assess the efficacy of changing the architecture of the invitation and booking system. This may help women overcome logistical barriers to participation and increase coverage for cervical screening. |
| format | Article |
| id | doaj-art-4f0d05937ab74a16b5862847b4e6f050 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-4f0d05937ab74a16b5862847b4e6f0502024-11-23T07:00:09ZengBMJ Publishing GroupBMJ Open2044-60552019-07-019710.1136/bmjopen-2018-028134Could changing invitation and booking processes help women translate their cervical screening intentions into action? A population-based survey of women’s preferences in Great BritainJo Waller0Mairead Ryan1Laura AV Marlow22Wolfson institute of Population Health, Queen Mary University of LondonDepartment of Behavioural Science and Health, University College London, London, UKDepartment of Behavioural Science and Health, University College London, London, UKObjectives Many women who do not attend screening intend to go, but do not get around to booking an appointment. Qualitative work suggests that these ‘intenders’ face more practical barriers to screening than women who are up-to-date (‘maintainers’). This study explored practical barriers to booking a screening appointment and preferences for alternative invitation and booking methods that might overcome these barriers.Design A cross-sectional survey was employed.Setting Great Britain.Participants Women aged 25–64, living in Great Britain who intended to be screened but were overdue (‘intenders’, n=255) and women who were up-to-date with screening (‘maintainers’, n=359).Results ‘Intenders’ reported slightly more barriers than ‘maintainers’ overall (mean=1.36 vs 1.06, t=3.03, p<0.01) and were more likely to think they might forget to book an appointment (OR=2.87, 95% CI: 2.01 to 4.09). Over half of women said they would book on a website using a smartphone (62%), a computer (58%) or via an app (52%). Older women and women from lower social grades were less likely to say they would use online booking methods (all ps <0.05). Women who reported two or more barriers were more likely to say they would use online booking than women who reported none (ps <0.01).Conclusions Women who are overdue for screening face practical barriers to booking appointments. Future interventions may assess the efficacy of changing the architecture of the invitation and booking system. This may help women overcome logistical barriers to participation and increase coverage for cervical screening.https://bmjopen.bmj.com/content/9/7/e028134.full |
| spellingShingle | Jo Waller Mairead Ryan Laura AV Marlow Could changing invitation and booking processes help women translate their cervical screening intentions into action? A population-based survey of women’s preferences in Great Britain BMJ Open |
| title | Could changing invitation and booking processes help women translate their cervical screening intentions into action? A population-based survey of women’s preferences in Great Britain |
| title_full | Could changing invitation and booking processes help women translate their cervical screening intentions into action? A population-based survey of women’s preferences in Great Britain |
| title_fullStr | Could changing invitation and booking processes help women translate their cervical screening intentions into action? A population-based survey of women’s preferences in Great Britain |
| title_full_unstemmed | Could changing invitation and booking processes help women translate their cervical screening intentions into action? A population-based survey of women’s preferences in Great Britain |
| title_short | Could changing invitation and booking processes help women translate their cervical screening intentions into action? A population-based survey of women’s preferences in Great Britain |
| title_sort | could changing invitation and booking processes help women translate their cervical screening intentions into action a population based survey of women s preferences in great britain |
| url | https://bmjopen.bmj.com/content/9/7/e028134.full |
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