{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T12:29:35Z","timestamp":1793104175975,"version":"4.5.0"},"reference-count":49,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"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":["Cancer Control"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Cervical cancer remains a significant cause of morbidity and mortality among women globally, despite the availability of effective prevention tools. The use of self-sampling devices for human papillomavirus (HPV) testing is a promising strategy to increase screening participation, particularly in settings dominated by opportunistic models. Understanding women\u2019s preferences regarding invitation methods and device design is essential to ensure effective and equitable programme implementation. This study explored the expectations, preferences, and perceived barriers of women aged 35 to 65 in the Valencian Community (VC), Spain, in anticipation of launching a population-based cervical screening program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative study was conducted using four face-to-face focus groups involving 29 women, selected from the target population of the screening programme (healthy women aged 35-65 residing in the VC). The session combined an individual assessment (questionnaire and electronic response system of five self-sampling devices) with a structured group discussion. Preferences regarding invitation channels, test communication, and device usability were analyzed through descriptive statistics and thematic content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Self-sampling was highly accepted, with 96.4% of women stating they would perform it at home. Preferred channels for both invitations and results were SMS and local health centers. Simplicity and ease of use were the key features of the device accepted by the largest number of women\u2014FLOQSwab. Evalyn Brush was also positively valued for its attractive design and was the preferred option for some women. Participants expressed concerns about reliability and proper use, particularly among older women or those with limited body awareness. Familiarity with colorectal screening supported acceptance. Importantly, device selection emerged as a key factor in facilitating participation. The integration of digital technologies (SMS, health apps) was positively valued as a means of increasing accessibility, improving communication, and supporting equity in outreach efforts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Self-sampling is a feasible and widely accepted strategy for cervical cancer screening. Effective implementation requires validated devices, culturally adapted information campaigns, and digital engagement tools to maximize participation and reduce inequalities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10732748251378812","type":"journal-article","created":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T18:25:15Z","timestamp":1763576715000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Optimisation of a Cervical Cancer Screening Model Based on Self-Sampling for Human Papillomavirus Testing"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6677-4434","authenticated-orcid":false,"given":"Mar\u00eda","family":"Bes\u00f3 Delgado","sequence":"first","affiliation":[{"name":"Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO-Public Health)"},{"name":"Directorate-General of Public Health, Ministry of Universal Health and Public Health, Department of Population Screening Programmes, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josefa","family":"Ib\u00e1\u00f1ez Cabanell","sequence":"additional","affiliation":[{"name":"Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO-Public Health)"},{"name":"Directorate-General of Public Health, Ministry of Universal Health and Public Health, Department of Population Screening Programmes, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susana","family":"Cast\u00e1n Cameo","sequence":"additional","affiliation":[{"name":"Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO-Public Health)"},{"name":"Directorate-General of Public Health, Ministry of Universal Health and Public Health, Department of Population Screening Programmes, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Joaqu\u00edn","family":"Mira Solves","sequence":"additional","affiliation":[{"name":"Miguel Hern\u00e1ndez University"},{"name":"Foundation for the Promotion of Health and Biomedical Research of the Valencia Region, FISABIO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mercedes","family":"Guilabert Mora","sequence":"additional","affiliation":[{"name":"Miguel Hern\u00e1ndez University"},{"name":"Foundation for the Promotion of Health and Biomedical Research of the Valencia Region, FISABIO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mercedes","family":"Vanaclocha Esp\u00ed","sequence":"additional","affiliation":[{"name":"Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO-Public Health)"},{"name":"Directorate-General of Public Health, Ministry of Universal Health and Public Health, Department of Population Screening Programmes, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Pinto Carb\u00f3","sequence":"additional","affiliation":[{"name":"Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO-Public Health)"},{"name":"Directorate-General of Public Health, Ministry of Universal Health and Public Health, Department of Population Screening Programmes, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dolores","family":"Salas Trejo","sequence":"additional","affiliation":[{"name":"Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO-Public Health)"},{"name":"Directorate-General of Public Health, Ministry of Universal Health and Public Health, Department of Population Screening Programmes, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7279-432X","authenticated-orcid":false,"given":"Oscar","family":"Zurriaga Llorens","sequence":"additional","affiliation":[{"name":"University of Valencia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Molina-Barcel\u00f3","sequence":"additional","affiliation":[{"name":"Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO-Public Health)"},{"name":"Directorate-General of Public Health, Ministry of Universal Health and Public Health, Department of Population Screening Programmes, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,19]]},"reference":[{"key":"e_1_3_6_2_2","unstructured":"IARC TIA for R on C. 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Council recommendation of 2 December 2003 of cancer screening (2003\/873\/EC). 2003;Published online."},{"key":"e_1_3_6_5_2","unstructured":"Proposal for a COUNCIL RECOMMENDATION on strengthening prevention through early detection: A new EU approach on cancer screening replacing Council Recommendation 2003\/878\/EC {SWD(2022) 296 final}."},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/ANNONC\/MDP471"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/IJC.31043"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmi.2019.09.006"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1086\/657321"},{"key":"e_1_3_6_10_2","volume-title":"Cervical Cancer Prevention Policy Atlas","author":"Abramowitz L","year":"2020","unstructured":"Abramowitz L, Bernard BC, Stanley M. Cervical Cancer Prevention Policy Atlas. Epf; 2020. 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