{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T07:48:32Z","timestamp":1787903312668,"version":"build-2784847793"},"reference-count":58,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T00:00:00Z","timestamp":1743033600000},"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","id":[{"id":"10.13039\/501100000289","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cervical screening for high\u2010risk Human Papillomavirus subtypes is offered to those eligible in the UK via the NHS cervical screening programmes. However, uptake of cervical screening continues to remain below the national target of 80%. Groups less likely to participate include people from low socioeconomic groups, ethnic minority backgrounds, younger\/older age and\/or LGBTQ group identity. The cervical screening\u2010eligible population could soon, for the first time in the UK, have a choice of mode between clinician taken or self\u2010sampling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To understand information and decision\u2010support needs of diverse cervical screening\u2010eligible individuals when presented with a choice of cervical screening mode and develop recommendations for a communication strategy to support informed decision\u2010making.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Qualitative co\u2010production explored communication preferences and decision\u2010support needs in a diverse sample of cervical screening\u2010eligible individuals using semi\u2010structured interviews with individuals eligible for cervical screening (<jats:italic>n<\/jats:italic>\u2009=\u200930) and stakeholders (<jats:italic>n<\/jats:italic>\u2009=\u200923). Interviews were transcribed, thematically analysed and mapped to behavioural and decision\u2010making theories to inform a communication strategy for offering choice in cervical screening mode in the UK.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four main themes across both participant groups were identified: misunderstanding of clinician screening, attitudes towards choice, communication launch preferences and decision\u2010support needs. Logic models to inform a communication strategy in preparation for the future launch of choice in cervical screening mode in the UK were developed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications<\/jats:title><jats:p>The communication launch strategy can inform interventions to support informed decision\u2010making if HPV self\u2010sampling is incorporated into UK cervical screening programmes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient and Public Contribution<\/jats:title><jats:p>Two public partners were involved in the study from inception to completion. They advised on recruitment, participant facing documents and were involved in analysis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.70191","type":"journal-article","created":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T16:16:12Z","timestamp":1743351372000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Recommendations for a Communication Strategy to Support Informed Decision\u2010Making About Self or Clinician Sampling for Cervical Screening in the UK: Qualitative Study"],"prefix":"10.1111","volume":"28","author":[{"given":"Denitza","family":"Williams","sequence":"first","affiliation":[{"name":"Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleanor","family":"Clarke","sequence":"additional","affiliation":[{"name":"Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate J.","family":"Lifford","sequence":"additional","affiliation":[{"name":"Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay","family":"Haywood","sequence":"additional","affiliation":[{"name":"Public Partner  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7397-4074","authenticated-orcid":false,"given":"Fiona","family":"Wood","sequence":"additional","affiliation":[{"name":"Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4025-9132","authenticated-orcid":false,"given":"Jo","family":"Waller","sequence":"additional","affiliation":[{"name":"Centre of Cancer Screening, Prevention and Early Diagnosis, Wolfson Institute of Population Health Queen Mary University of London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Edwards","sequence":"additional","affiliation":[{"name":"Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8944-2969","authenticated-orcid":false,"given":"Natalie","family":"Joseph\u2010Williams","sequence":"additional","affiliation":[{"name":"Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Evans","sequence":"additional","affiliation":[{"name":"Public Partner  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gareth","family":"Powell","sequence":"additional","affiliation":[{"name":"PHW Screening Laboratory, Public Health Wales Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhiannon","family":"Phillips","sequence":"additional","affiliation":[{"name":"Cardiff School of Sport and Health Sciences Cardiff Metropolitan University Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Carson\u2010Stevens","sequence":"additional","affiliation":[{"name":"Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Walbeoff","sequence":"additional","affiliation":[{"name":"Cervical Screening Wales, Public Health Wales Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ardiana","family":"Gjini","sequence":"additional","affiliation":[{"name":"Hywel Dda Health Board, NHS Wales  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Brain","sequence":"additional","affiliation":[{"name":"Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences Cardiff University and PRIME Centre Wales Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,27]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"Cancer Research U.K. Cervical Cancer Statistics 2019 http:\/\/www.cancerresearchuk.org\/health-professional\/cancer-statistics\/statistics-by-cancer-type\/cervical-cancer#heading-Zero."},{"key":"e_1_2_13_3_1","unstructured":"P. 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