{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T00:58:08Z","timestamp":1793408288897,"version":"4.5.0"},"reference-count":36,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T00:00:00Z","timestamp":1775174400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T00:00:00Z","timestamp":1775174400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","award":["CBIG-SCREEN - EU Horizon 2020 Research and Innovat"],"award-info":[{"award-number":["CBIG-SCREEN - EU Horizon 2020 Research and Innovat"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003196","name":"Ministero della Salute","doi-asserted-by":"publisher","award":["Ricerca Corrente - annual program 2026"],"award-info":[{"award-number":["Ricerca Corrente - annual program 2026"]}],"id":[{"id":"10.13039\/501100003196","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":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Vulnerable women face a higher risk of cervical cancer and reduced access to screening. Self-sampling may increase access to human papillomavirus screening. In this article, we report the co-creation of a document to guide the implementation of human papillomavirus self-sampling in Italy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Working CollaBoratively with vulnerable women to Identify the best implementation Gains by SCREEning cervical cancer more effectively in European countries (CBIG-SCREEN) project, a Collaborative User Board has been set up in Italy, including national decision-makers, healthcare providers, and vulnerable women. To ensure that women's direct perspectives were incorporated into the process, informal individual interviews were carried out and brought to the Collaborative User Board meetings. The Collaborative User Board discussion was based on systematic reviews, screening program reports, and Italy's self-sampling pilots. Results were summarized with a matrix of vulnerable groups and barriers to evaluate interventions\u2019 potential ability to remove barriers. Considerations were collected in a document for screening program coordinators and decision-makers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The Collaborative User Board identified major barriers to cervical cancer screening among different vulnerable groups and assessed five evidence-based strategies to address them: multilingual structured invitation letters, group training led by cultural mediators, training for healthcare professionals, training for third-sector operators, and self-sampling. Evaluating the potential of these strategies to remove barriers led to a focus on self-sampling. Mailing the device to all non-responders was the only strategy with sufficient evidence to increase participation in Italy. An opportunistic offer in a setting attended by vulnerable women is promising. The Collaborative User Board underscored the importance of improving healthcare providers\u2019 communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The final document, created through a transparent and collaborative bottom-up process, collects considerations for implementing self-sampling for human papillomavirus testing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09691413261429385","type":"journal-article","created":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T10:58:33Z","timestamp":1775213913000},"page":"163-171","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The co-creation of a document to guide the use of self-sampling for human papillomavirus screening in Italy"],"prefix":"10.1177","volume":"33","author":[{"given":"Laura","family":"Bonvicini","sequence":"first","affiliation":[{"name":"Azienda USL-IRCCS di Reggio Emilia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6572-3560","authenticated-orcid":false,"given":"Giusy","family":"Iorio","sequence":"additional","affiliation":[{"name":"Azienda USL-IRCCS di Reggio Emilia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7632-1271","authenticated-orcid":false,"given":"Luca","family":"Ghirotto","sequence":"additional","affiliation":[{"name":"Azienda USL-IRCCS di Reggio Emilia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5852-697X","authenticated-orcid":false,"given":"Noemi","family":"Auzzi","sequence":"additional","affiliation":[{"name":"Screening and Secondary Prevention Unit, Istituto per lo Studio, la Prevenzione e la Rete Oncologica"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Bardou","sequence":"additional","affiliation":[{"name":"CIC-P INSERM 1432, Centre Hospitalier Universitaire de Dijon, Dijon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0924-1057","authenticated-orcid":false,"given":"Rikke","family":"Buus B\u00f8je","sequence":"additional","affiliation":[{"name":"Research Centre for Social Marginalisation, VIA University College, Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pia","family":"Kirkegaard","sequence":"additional","affiliation":[{"name":"UNICCA - University Research Clinic for Cancer Screening"},{"name":"Department of Clinic Medicine, Aarhus Universitet faculty of Health, Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4114-4011","authenticated-orcid":false,"given":"Paola","family":"Mantellini","sequence":"additional","affiliation":[{"name":"Screening and Secondary Prevention Unit, Istituto per lo Studio, la Prevenzione e la Rete Oncologica"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9703-2460","authenticated-orcid":false,"given":"Paolo","family":"Giorgi Rossi","sequence":"additional","affiliation":[{"name":"Azienda USL-IRCCS di Reggio Emilia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Italian Collaborative User Board Working Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"CBIG-SCREEN Consortium","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,3]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"Global strategy to accelerate the elimination of cervical cancer as a public health problem","author":"World Health Organization","year":"2020","unstructured":"World Health Organization. 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