{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T22:54:35Z","timestamp":1777071275235,"version":"3.51.4"},"reference-count":13,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,8,31]],"date-time":"2018-08-31T00:00:00Z","timestamp":1535673600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000289","name":"Cancer Research UK","doi-asserted-by":"publisher","award":["C7492\/A17219"],"award-info":[{"award-number":["C7492\/A17219"]}],"id":[{"id":"10.13039\/501100000289","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>According to the precaution adoption process model, cervical screening nonparticipants represent a heterogeneous group including those who are unaware of, unengaged with, or undecided about screening, as well as intenders and decliners. We aimed to explore beliefs about cervical screening among these different types of nonparticipant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Semistructured interviews were carried out with women aged 26 to 65\u00a0years living in Britain (n\u00a0=\u00a029). Women were purposively sampled to represent different nonparticipant types. Interviews were transcribed verbatim, and data were analysed thematically using framework analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The salience of some barriers to screening varied between different types of nonparticipant. Bad experiences were prominent in the discussions of women who had decided not to attend, while practical barriers were more prominent among <jats:italic>intenders<\/jats:italic>. There was also some overlap between nonparticipant types. For example, many of the <jats:italic>undecided<\/jats:italic> women described not wanting to go for screening, but with less certainty than <jats:italic>decliners<\/jats:italic>. Some <jats:italic>intenders<\/jats:italic> (particularly those who had not been screened before) described not really wanting to attend but feeling they ought to. Women's views on the invitation\/reminder process also varied; <jats:italic>intenders<\/jats:italic> and <jats:italic>maintainers<\/jats:italic> appreciated written reminders and general practitioner (GP) prompts but <jats:italic>decliners<\/jats:italic> sometimes perceived these as \u201cbadgering.\u201d Throughout the interviews, women described changing views on screening in the wider context of ageing and motherhood.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The salience of screening barriers varies by nonparticipant type, offering possibilities for tailored interventions. However, the fluidity of women's stage of screening adoption might have implications for this approach to intervention design.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.4857","type":"journal-article","created":{"date-parts":[[2018,8,10]],"date-time":"2018-08-10T13:09:52Z","timestamp":1533906592000},"page":"2488-2493","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Decision\u2010making about cervical screening in a heterogeneous sample of nonparticipants: A qualitative interview study"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1709-2397","authenticated-orcid":false,"given":"Laura A.V.","family":"Marlow","sequence":"first","affiliation":[{"name":"Cancer Communication and Screening Group, Research Department of Behavioural Science and Health University College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda J.","family":"Chorley","sequence":"additional","affiliation":[{"name":"Cancer Communication and Screening Group, Research Department of Behavioural Science and Health University College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Rockliffe","sequence":"additional","affiliation":[{"name":"Cancer Communication and Screening Group, Research Department of Behavioural Science and Health University College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo","family":"Waller","sequence":"additional","affiliation":[{"name":"Cancer Communication and Screening Group, Research Department of Behavioural Science and Health University College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,31]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2016.290"},{"key":"e_1_2_6_3_1","unstructured":"Screening and Immunisations Team NHS digital. Cervical screening programme: England 2016\u20102017.7\u201011\u20102017."},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2017.04.017"},{"issue":"4","key":"e_1_2_6_5_1","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1037\/0278-6133.7.4.355","article-title":"The precaution adoption process","volume":"7","author":"Weinstein ND","year":"1988","journal-title":"Health Psychol"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2018.03.014"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4126"},{"key":"e_1_2_6_8_1","unstructured":"Public Health England.Cervical screening: programme overview. Available at:https:\/\/www.gov.uk\/guidance\/cervical\u2010screening\u2010programme\u2010overview[Accessed 18.07.18]."},{"key":"e_1_2_6_9_1","unstructured":"Public Health Wales.Cervical screening. Available at:http:\/\/www.cervicalscreeningwales.wales.nhs.uk\/about\u2010screening[Accessed 18.07.18]."},{"key":"e_1_2_6_10_1","unstructured":"NHS Health Scotland.Cervical screening. Avaliable at:http:\/\/www.healthscotland.scot\/health\u2010topics\/screening\/cervical\u2010screening[Accessed 18.07.18]."},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/17482631.2018.1479582"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/08858190802039094"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/14792772143000003"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2015.07.006"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fpon.4857","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.4857","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T02:26:17Z","timestamp":1694831177000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.4857"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,31]]},"references-count":13,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["10.1002\/pon.4857"],"URL":"https:\/\/doi.org\/10.1002\/pon.4857","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8,31]]},"assertion":[{"value":"2018-06-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-31","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-08-31","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}