{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T01:24:01Z","timestamp":1793496241493,"version":"4.5.0"},"reference-count":22,"publisher":"American Medical Association (AMA)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"\n Importance<\/jats:title>\n Cervical cancer screening is a crucial public health intervention, but screening disparities exist for women with physical disabilities (WWPD).<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To explore the experiences of WWPD with both traditional speculum examination\u2013based screening and at-home self-sampling for cervical cancer screening.<\/jats:p>\n <\/jats:sec>\n \n Design, Setting, and Participants<\/jats:title>\n This qualitative study enrolled 56 WWPD to test self-sampling kits, provide feedback via a survey, and participate in a qualitative interview. An interprofessional team conducted semistructured interviews with 16 key informants and 40 pilot participants for 56 WWPD from November 1, 2021, through April 30, 2023. All completed a self-administered quantitative survey. Key informants\u2019 experiences with 4 self-sampling devices helped determine which 2 self-sampling kits would be offered to participants in a pilot study.<\/jats:p>\n <\/jats:sec>\n \n Main Outcomes and Measures<\/jats:title>\n A coding scheme was developed to represent inductive codes generated through preliminary coding and deductive codes representing domains from the Theoretical Domains Framework. This coding scheme was used to conduct a 2-pass thematic analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Of the 56 WWPD (mean [SD] age, 45.4 [9.1] years) who participated in the study, 28 (50.0%) were up to date with cervical cancer screening. Participants described accessibility barriers and clinician ableism that made speculum-based in-office examinations difficult, leading some participants to delay or avoid screening. In contrast, participants described self-screening as more comfortable and convenient, regardless of whether they prefer future speculum-based screening. Their responses also allowed for the exploration of how screening preferences may impact future screening behavior.<\/jats:p>\n <\/jats:sec>\n \n Conclusions and Relevance<\/jats:title>\n Interviews with WWPD suggested that access to self-sampling screening options would be more comfortable for cervical cancer screening participation. Understanding participants\u2019 experiences with self-sampling devices generates insights into improving screening experiences for WWPD.<\/jats:p>\n <\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2024.57290","type":"journal-article","created":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T12:39:55Z","timestamp":1738154395000},"page":"e2457290","source":"Crossref","is-referenced-by-count":16,"title":["Cervical Cancer Screening in Women With Physical Disabilities"],"prefix":"10.1001","volume":"8","author":[{"given":"Alexandra H.","family":"Vinson","sequence":"first","affiliation":[{"name":"Department of Learning Health Sciences, University of Michigan, Ann Arbor"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corrianne","family":"Norrid","sequence":"additional","affiliation":[{"name":"Short Term Biomedical Research Training Program, University of Michigan, Ann Arbor"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth 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