{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T13:17:35Z","timestamp":1779196655992,"version":"3.51.4"},"reference-count":28,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:00:00Z","timestamp":1779148800000},"content-version":"unspecified","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005275","name":"Region Hovedstaden","doi-asserted-by":"publisher","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/501100005275","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,4,29]]},"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To demonstrate women\u2019s preferences for three human papillomavirus (HPV) self-sampling devices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional, programme-embedded paired comparative study with randomised sampling order within device pairs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Organised cervical cancer screening programme in the Capital Region of Denmark.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>1760\u2009women eligible for cervical cancer screening (April 2024 to May 2025), assigned to one of three groups: (1) Evalyn versus FLOQSwab (n=518), (2) Evalyn versus SensiGrip (n=657) and (3) FLOQSwab versus SensiGrip (n=585).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>Primary: device preference. Secondary: sampling-experience (self-reported). Data were assessed with \u03c7\u00b2 tests for preference, logistic regression for predictor analysis and Wilcoxon signed-rank equivalence test with two one-sided test procedures to assess sampling experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 95.7% rated HPV self-sampling a positive experience and 87.3% preferred HPV self-sampling in future screening. SensiGrip was preferred significantly over FLOQSwab (p&lt;0.001), with participants rating ease of use and sampling certainty higher for SensiGrip. No significant differences in preference were observed between Evalyn and either alternative device in the primary analysis (p&gt;0.05) although Evalyn scored higher in sampling certainty. Sampling order influenced preference in Evalyn comparisons. Prior experience with self-sampling, screening history and subcohort membership did not significantly influence device preference.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Overall, participants rated self-sampling a positive experience. SensiGrip was preferred over FLOQSwab, while Evalyn demonstrated comparable overall acceptability to both alternative devices in the primary implementation-focused analysis. These findings suggest that device replacement would be acceptable from a screening participation perspective, particularly a shift from FLOQSwab to SensiGrip.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-112643","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T13:00:25Z","timestamp":1779195625000},"page":"e112643","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Women\u2019s preference for HPV self-sampling devices: a programme-embedded, large-scale paired comparative study within the cervical cancer screening programme in the Capital Region of Denmark"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0859-362X","authenticated-orcid":false,"given":"Emilie Korsgaard","family":"Andreasen","sequence":"first","affiliation":[{"name":"Department of Pathology, afs. 134, AHH-Hvidovre Hospital, Copenhagen University Hospital, Hvidovre, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Arum","sequence":"additional","affiliation":[{"name":"Department of Pathology, afs. 134, AHH-Hvidovre Hospital, Copenhagen University Hospital, Hvidovre, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helle","family":"Pedersen","sequence":"additional","affiliation":[{"name":"Department of Pathology, afs. 134, AHH-Hvidovre Hospital, Copenhagen University Hospital, Hvidovre, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trine","family":"Dahl Nielsen","sequence":"additional","affiliation":[{"name":"Department of Pathology, afs. 134, AHH-Hvidovre Hospital, Copenhagen University Hospital, Hvidovre, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Frandsen","sequence":"additional","affiliation":[{"name":"Department of Pathology, afs. 134, AHH-Hvidovre Hospital, Copenhagen University Hospital, Hvidovre, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Birgitte T\u00f8nnes","family":"Pedersen","sequence":"additional","affiliation":[{"name":"Department of Pathology, afs. 134, AHH-Hvidovre Hospital, Copenhagen University Hospital, Hvidovre, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reza","family":"Serizawa","sequence":"additional","affiliation":[{"name":"Department of Pathology, afs. 134, AHH-Hvidovre Hospital, Copenhagen University Hospital, Hvidovre, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesper","family":"Bonde","sequence":"additional","affiliation":[{"name":"Department of Pathology, afs. 134, AHH-Hvidovre Hospital, Copenhagen University Hospital, Hvidovre, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"2026051906001574000_16.5.e112643.1","unstructured":"Organisation WHO . Goal 3: good health, cervical cancer. 2016."},{"key":"2026051906001574000_16.5.e112643.2","unstructured":"Organization WHO . Global strategy to accelerate the elimination of cervical cancer as a public health problem. Geneva:World Health Organization; 2020."},{"key":"2026051906001574000_16.5.e112643.3","unstructured":"Organization WHO . Target product profiles for human papillomavirus screening tests to detect cervical pre-cancer and cancer. In: The cervical cancer elimination initiative under the department of noncommunicable diseases RaDNatWHOW. 2024."},{"key":"2026051906001574000_16.5.e112643.4","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/j.ypmed.2014.04.011","article-title":"Reasons for non-attendance to cervical screening and preferences for HPV self-sampling in Dutch women","volume":"64","author":"Bosgraaf","year":"2014","journal-title":"Prev Med"},{"key":"2026051906001574000_16.5.e112643.5","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgh-2020-003743","article-title":"HPV self-sampling for cervical cancer screening: a systematic review of values and preferences","volume":"6","author":"Nishimura","year":"2021","journal-title":"BMJ Glob Health"},{"key":"2026051906001574000_16.5.e112643.6","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-024-17723-7","article-title":"Older women\u2019s perceptions of HPV self-sampling and HPV-sampling performed by a midwife - a phenomenographic 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