{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T06:21:22Z","timestamp":1778134882784,"version":"3.51.4"},"reference-count":47,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Women's Health Reports"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Vaginal self-collection offers an effective option for cervical cancer (CC) screening that can improve screening experiences and engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>\n                      This article presents data from a multi-center pilot study (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 185) across the United States, evaluating experiences and preferences reported with an at-home self-collection device compared with clinician-collected screening using a speculum. The device is designed specifically for at-home self-collection and optimized for performance and usability, where collected samples are tested for high-risk human papillomavirus (hrHPV) using the Roche cobas HPV test. In an earlier report, self-collected samples using this device showed high agreement for hrHPV detection when compared with clinician-collection with a speculum and cervical brush.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Participants were screened with a self-collection device and a clinician-collection. They provided feedback about their experiences via usability and preference surveys.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Significantly more participants reported pain (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001), discomfort (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001), embarrassment (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001), and nervousness (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) during clinician-collection compared with self-collection. In contrast, being at-ease (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) and in-control (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) were reported significantly more during self-collection. Similar patterns held across demographic groups relevant to CC screening engagement and related risk (i.e., sexual orientation, menopause status, income, and prior HPV diagnosis). Almost all (94% [156\/166]) felt confident using the at-home self-collection device if they knew the results would be equivalent to clinician-collection. The device demonstrated wide usability, with 96% (163\/170) successfully self-collecting using only the device\u2019s provided instructions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>By improving screening experiences and accessibility, at-home self-collection can increase screening participation and accelerate progress toward eliminating CC as a public health concern in the United States.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/whr.2025.0017","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T10:02:30Z","timestamp":1747648950000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Experiences and Preferences Reported with an At-Home Self-Collection Device Compared with In-Clinic Speculum-Based Cervical Cancer Screening in the United States"],"prefix":"10.1177","volume":"6","author":[{"given":"LaShonda","family":"Crane","sequence":"first","affiliation":[{"name":"Planned Parenthood Gulf Coast, Inc, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Jennings","sequence":"additional","affiliation":[{"name":"University of Wisconsin, Madison, Wisconsin, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan B.","family":"Fitzpatrick","sequence":"additional","affiliation":[{"name":"Teal Health, Inc, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghna","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"Teal Health, Inc, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Callie","family":"Pitchford","sequence":"additional","affiliation":[{"name":"Woman\u2019s Hospital, Baton Rouge, Louisiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Nacht","sequence":"additional","affiliation":[{"name":"University of Colorado School of Medicine, Aurora, Colorado, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nia\u2019Ja","family":"Mack","sequence":"additional","affiliation":[{"name":"Woman\u2019s Hospital, Baton Rouge, Louisiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina","family":"Krueger","sequence":"additional","affiliation":[{"name":"University of Wisconsin, Madison, Wisconsin, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Favreau","sequence":"additional","affiliation":[{"name":"Crescendo, MD, Portola Valley, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristin","family":"Conway","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Gillis","sequence":"additional","affiliation":[{"name":"NxGen BioStats, LLC, Mount Airy, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Conageski","sequence":"additional","affiliation":[{"name":"University of Colorado School of Medicine, Aurora, Colorado, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8807-6434","authenticated-orcid":false,"given":"Elizabeth","family":"Sutton","sequence":"additional","affiliation":[{"name":"Woman\u2019s Hospital, Baton Rouge, Louisiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,19]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.43582"},{"issue":"22","key":"e_1_3_7_3_2","first-page":"1124","article-title":"Cervical cancer and vital statistics","volume":"88","author":"McKinnon NE","year":"1963","unstructured":"McKinnon NE. 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