{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:09:38Z","timestamp":1777928978301,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,11,11]],"date-time":"2020-11-11T00:00:00Z","timestamp":1605052800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,11,11]],"date-time":"2020-11-11T00:00:00Z","timestamp":1605052800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"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":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Med Screen"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The NHS Cervical Screening Programme plans to increase the screening interval from 3 to 5\u2009years for women aged 25\u201349 who test negative for human papillomavirus (HPV). This exploratory cross-sectional online survey tested the impact of different levels of information about the proposed change on acceptability of a longer interval.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Women aged 18\u201345 (n\u2009=\u2009585) were individually randomised to one of three information exposure groups differing in the level of information provided about the screening interval change: (1) basic information; (2) basic information with additional detail about timeline of HPV infection; (3) as (2) but with the addition of a diagram. Acceptability of the change (\n                      <jats:italic toggle=\"yes\">favourable<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">unfavourable attitudes<\/jats:italic>\n                      ) was assessed post-exposure alongside HPV timeline beliefs. We used ANOVA and regression analyses to test for between-group differences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Women in Group 3 had higher scores on the\n                      <jats:italic toggle=\"yes\">favourable attitudes<\/jats:italic>\n                      sub-scale compared with Group 1. Women in Groups 2 and 3 had more accurate timeline beliefs than those in Group 1. There were no between-group differences in\n                      <jats:italic toggle=\"yes\">unfavourable attitudes<\/jats:italic>\n                      . After adjusting for demographic factors, a higher\n                      <jats:italic toggle=\"yes\">favourable attitudes<\/jats:italic>\n                      score was independently predicted by being in Group 3 compared to Group 1, more accurate HPV timeline beliefs, and previous irregular or non-attendance at screening.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Overall, acceptability of an increased screening interval was moderate, but providing women with information about the safety and rationale for this change may improve acceptability. In particular, communicating the long timeline from HPV exposure to cervical cancer may reassure women about the safety of the proposed changes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0969141320970591","type":"journal-article","created":{"date-parts":[[2020,11,11]],"date-time":"2020-11-11T12:40:41Z","timestamp":1605098441000},"page":"333-340","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Maximising the acceptability of extended time intervals between screens in the NHS Cervical Screening Programme: An online experimental study"],"prefix":"10.1177","volume":"28","author":[{"given":"Emily","family":"Hill","sequence":"first","affiliation":[{"name":"Department of Behavioural Science and Health, Institute of Epidemiology and Health Care, UCL, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Nemec","sequence":"additional","affiliation":[{"name":"Cancer Prevention Group, School of Cancer and Pharmaceutical Sciences, King\u2019s College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Marlow","sequence":"additional","affiliation":[{"name":"Department of Behavioural Science and Health, Institute of Epidemiology and Health Care, UCL, London, UK"},{"name":"Cancer Prevention Group, School of Cancer and Pharmaceutical Sciences, King\u2019s College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan Mary","family":"Sherman","sequence":"additional","affiliation":[{"name":"School of Psychology, Keele University, Keele, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4025-9132","authenticated-orcid":false,"given":"Jo","family":"Waller","sequence":"additional","affiliation":[{"name":"Department of Behavioural Science and Health, Institute of Epidemiology and Health Care, UCL, London, UK"},{"name":"Cancer Prevention Group, School of Cancer and Pharmaceutical Sciences, King\u2019s College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,11,11]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-019-1460-0"},{"key":"e_1_3_3_3_2","unstructured":"Australian Government Department of Health. National cervical screening program https:\/\/www.woncaeurope.org\/page\/definition-of-general-practice-family-medicine (2017 accessed 15 May 2020)."},{"key":"e_1_3_3_4_2","unstructured":"PHE. Significant landmark as primary HPV screening is offered across England https:\/\/phescreening.blog.gov.uk\/2020\/01\/23\/significant-landmark-as-primary-hpv-screening-is-offered-across-england\/ (2020 accessed 19 March 2020)."},{"key":"e_1_3_3_5_2","article-title":"Cytology versus HPV testing for cervical cancer screening in the general population","volume":"8","author":"Koliopoulos G","year":"2017","unstructured":"Koliopoulos G, Nyaga VN, Santesso N, et\u00a0al. Cytology versus HPV testing for cervical cancer screening in the general population. Cochrane Database Syst Rev 2017; 8: CD008587\u2013\/11. 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