{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T20:37:22Z","timestamp":1794429442016,"version":"4.9.1"},"reference-count":81,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"9","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO Global Oncology"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec><jats:title>PURPOSE<\/jats:title><jats:p> Although cervical cancer is a disease of inequity, it can be eliminated as a public health problem through vaccination, screening, and treatment. Human papillomavirus vaginal self-collection cervical screening is a high-performance test that can increase reach of screening. This review describes the different contexts and models of care used to pilot or implement self-collection within the Asia-Pacific, measures the extent that implementation outcome measures are reported and, where available, summarizes key implementation findings. <\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p> A scoping review was conducted by searching five databases of the peer-reviewed literature on June 20, 2022. Two researchers assessed eligibility and extracted data independently to the model of care used and the Conceptual Framework for Implementation Outcomes. A mixed-method consolidation of findings (quantitative: count and frequencies; qualitative: content analysis) was undertaken to narratively report findings. <\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p> Fifty-seven articles, comprising 50 unique studies from 11 countries and two special autonomous regions, were included; 82% were conducted in trials. The implementation of self-collection was conducted in low- (2%), lower-middle\u2013 (32%), upper-middle\u2013 (32%), and high-income (35%) settings, with 10 different delivery models used; 80% delivered through practitioner-supported models with diversity in how samples were processed, and treatment was offered. Acceptability (73%) and appropriateness (64%) measures were most reported, followed by adoption (57%), feasibility (48%), and fidelity (38%). Only 7% of articles reported implementation cost or penetration measures. No articles reported sustainability measures. <\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p> The literature confirms that self-collection cervical screening has been implemented within the Asia-Pacific region, with evidence demonstrating that it is acceptable and appropriate from the user's perspective. Well-designed, high-quality implementation trials and real-world evaluations of self-collection that report the breadth of implementation outcomes can support the progression toward the elimination of cervical cancer. <\/jats:p><\/jats:sec>","DOI":"10.1200\/go.22.00297","type":"journal-article","created":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T20:59:51Z","timestamp":1675285191000},"update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":17,"title":["Self-Collection Cervical Screening in the Asia-Pacific Region: A Scoping Review of Implementation Evidence"],"prefix":"10.1200","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0908-5453","authenticated-orcid":false,"given":"Nicola Stephanie","family":"Creagh","sequence":"first","affiliation":[{"name":"Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8287-6978","authenticated-orcid":false,"given":"Lucy Ann Patricia","family":"Boyd","sequence":"additional","affiliation":[{"name":"Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Bavor","sequence":"additional","affiliation":[{"name":"Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Zammit","sequence":"additional","affiliation":[{"name":"Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3702-9029","authenticated-orcid":false,"given":"Tessa","family":"Saunders","sequence":"additional","affiliation":[{"name":"Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2932-7827","authenticated-orcid":false,"given":"Anu Mary","family":"Oommen","sequence":"additional","affiliation":[{"name":"Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia"},{"name":"Community Health Department, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0715-1405","authenticated-orcid":false,"given":"Nicole Marion","family":"Rankin","sequence":"additional","affiliation":[{"name":"Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia Mary Louise","family":"Brotherton","sequence":"additional","affiliation":[{"name":"Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia"},{"name":"Australian Centre for the Prevention of Cervical Cancer, Carlton, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire Elizabeth","family":"Nightingale","sequence":"additional","affiliation":[{"name":"Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"233","reference":[{"key":"b1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"b2","volume-title":"GLOBOCAN 2020: Estimated Cancer Incidence, Mortality and Prevalence Worldwide in 2020","author":"World Health Organization International Agency for Research on Cancer (IARC)","year":"2020"},{"key":"b3","volume-title":"Global Strategy to Accelerate the Elimination of Cervical Cancer as a Public Health Problem","author":"World Health Organisation","year":"2020"},{"key":"b4","volume-title":"WHO Guideline for Screening and Treatment of Cervical Pre-cancer Lesions for Cervical Cancer Prevention","volume":"115","author":"World Health Organisation","year":"2021"},{"key":"b5","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30157-4"},{"key":"b6","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k4823"},{"key":"b7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2015.07.006"},{"key":"b8","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2018-001351"},{"key":"b9","doi-asserted-by":"publisher","DOI":"10.6061\/clinics\/2017(03)09"},{"key":"b10","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13873"},{"key":"b11","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-05214-5"},{"key":"b12","doi-asserted-by":"publisher","DOI":"10.3390\/cancers12041053"},{"key":"b13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2021.106900"},{"key":"b14","doi-asserted-by":"publisher","DOI":"10.30875\/6ea5eb67-en"},{"key":"b15","doi-asserted-by":"publisher","DOI":"10.30875\/6ea5eb67-en"},{"key":"b16","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-010-0319-7"},{"key":"b17","volume-title":"A Scoping Review on the Implementation of HPV-Based Self-Collection Cervical Screening in the Asia Pacific Region (Protocol Registration)","author":"Creagh N","year":"2022"},{"key":"b18","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-5-69"},{"key":"b19","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"b20","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2031-8"},{"key":"b21","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2021.100265"},{"key":"b22","volume-title":"Empirical Methods for Bioethics: A Primer","author":"Forman J","year":"2008"},{"key":"b23","first-page":"139","volume":"14","author":"Chen S-L","year":"2014","journal-title":"BMC Womens Health"},{"key":"b24","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12859"},{"key":"b25","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-596"},{"key":"b26","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2014.03.006"},{"key":"b27","doi-asserted-by":"publisher","DOI":"10.31557\/APJCP.2021.22.3.971"},{"key":"b28","doi-asserted-by":"publisher","DOI":"10.1200\/GO.20.00061"},{"key":"b29","first-page":"21","volume":"132","author":"Brewer N","year":"2019","journal-title":"N Z Med J"},{"key":"b30","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph181910050"},{"key":"b31","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2012-050477"},{"key":"b32","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000241"},{"key":"b33","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000462"},{"key":"b34","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.32881"},{"key":"b35","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-031957"},{"key":"b36","doi-asserted-by":"publisher","DOI":"10.7314\/APJCP.2014.15.17.7437"},{"key":"b37","doi-asserted-by":"publisher","DOI":"10.3747\/co.25.3916"},{"key":"b38","doi-asserted-by":"publisher","DOI":"10.3747\/co.25.3915"},{"key":"b39","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-016309"},{"key":"b40","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0262213"},{"key":"b41","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2017.1379061"},{"key":"b42","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.51137"},{"key":"b43","volume":"18","author":"Creagh NS","year":"2022","journal-title":"Womens Health (Lond)"},{"key":"b44","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.13084"},{"key":"b45","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019171"},{"key":"b46","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0228042"},{"key":"b47","doi-asserted-by":"publisher","DOI":"10.1071\/PY20209"},{"key":"b48","doi-asserted-by":"crossref","first-page":"e068582","DOI":"10.1136\/bmj-2021-068582","volume":"376","author":"Smith MA","year":"2022","journal-title":"BMJ"},{"key":"b49","doi-asserted-by":"publisher","DOI":"10.1016\/S2055-6640(20)30063-7"},{"key":"b50","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(22)00271-6"},{"key":"b51","doi-asserted-by":"publisher","DOI":"10.1016\/j.pvr.2018.10.009"},{"key":"b52","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.00529-16"},{"key":"b53","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2021-007380"},{"key":"b54","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-026887"},{"key":"b55","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.33759"},{"key":"b56","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(08)70210-9"},{"key":"b57","doi-asserted-by":"publisher","DOI":"10.1158\/1940-6207.CAPR-20-0280"},{"key":"b58","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-011022"},{"key":"b59","doi-asserted-by":"publisher","DOI":"10.1111\/jog.13258"},{"key":"b60","doi-asserted-by":"publisher","DOI":"10.1177\/0969141315625702"},{"key":"b61","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-08-1171"},{"key":"b62","doi-asserted-by":"publisher","DOI":"10.1097\/00128360-200304000-00007"},{"key":"b63","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-017-0460-2"},{"key":"b64","first-page":"298","volume":"76","author":"Tan CS","year":"2021","journal-title":"Med J Malaysia"},{"key":"b65","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0000000000000560"},{"key":"b66","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-035153"},{"key":"b67","doi-asserted-by":"publisher","DOI":"10.1186\/s13027-020-00329-0"},{"key":"b68","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2015.10.014"},{"key":"b69","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19052610"},{"key":"b70","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17176245"},{"key":"b71","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-015-1804-x"},{"key":"b72","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.30031"},{"key":"b73","doi-asserted-by":"publisher","DOI":"10.1177\/09691413221080635"},{"key":"b74","doi-asserted-by":"publisher","DOI":"10.1007\/s40944-016-0045-5"},{"key":"b75","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1742642"},{"key":"b76","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-6350-4"},{"key":"b77","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-11554-6"},{"key":"b78","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcv.2020.104375"},{"key":"b79","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2020.106314"},{"key":"b80","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-022-02291-7"},{"key":"b81","unstructured":"United Nations: The Sustainable Development Goals Report 2022. New York, NY, The United Nations Publications, 2022, pp 68"}],"container-title":["JCO Global Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ascopubs.org\/doi\/pdfdirect\/10.1200\/GO.22.00297","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,26]],"date-time":"2023-06-26T20:02:34Z","timestamp":1687809754000},"score":1,"resource":{"primary":{"URL":"https:\/\/ascopubs.org\/doi\/10.1200\/GO.22.00297"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6]]},"references-count":81,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1200\/GO.22.00297"],"URL":"https:\/\/doi.org\/10.1200\/go.22.00297","relation":{},"ISSN":["2687-8941"],"issn-type":[{"value":"2687-8941","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6]]},"assertion":[{"value":"2022-09-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-21","order":1,"name":"revised","label":"Revised","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e2200297"}}