TY - JOUR
T1 - Cervical cancer screening in a sexually transmitted disease clinic
T2 - Screening adoption experiences from a midwestern clinic
AU - Meyerson, Beth E.
AU - Sayegh, M. Aaron
AU - Davis, Alissa
AU - Arno, Janet N.
AU - Zimet, Gregory D.
AU - LeMonte, Ann M.
AU - Williams, James A.
AU - Barclay, Lynn
AU - Van Der Pol, Barbara
PY - 2015/4/1
Y1 - 2015/4/1
N2 - Objectives: We examined whether a sexually transmitted disease (STD) clinic could reach women who had not received a Papanicolau (Pap) test in the past 3 years. We also explored staff attitudes and implementation of cervical cancer screening. Methods: Women (n = 123) aged 30 to 50 years were offered cervical cancer screening in an Indiana STD clinic. We measured effectiveness by the patients' self-reported last Pap test. We explored adoption of screening through focus groups with 34 staff members by documenting their attitudes about cervical cancer screening and screening strategy adaptation. We also documented recruitment and screening implementation. Results. Almost half (47.9%) of participants reported a last Pap test 3 or more years previously; 30%had reported a last Pap more than 5 years ago, and 11.4%had a high-risk test outcome that required referral to colposcopy. Staff supported screening because of mission alignment and perceived patient benefit. Screening adaptations included eligibility, results provision, and follow-up. Conclusions. Cervical cancer screening was possible and potentially beneficial in STD clinics. Future effectiveness-implementation studies should expand to include all female patients, and should examine the degree to which adaptation of selected adoption frameworks is feasible.
AB - Objectives: We examined whether a sexually transmitted disease (STD) clinic could reach women who had not received a Papanicolau (Pap) test in the past 3 years. We also explored staff attitudes and implementation of cervical cancer screening. Methods: Women (n = 123) aged 30 to 50 years were offered cervical cancer screening in an Indiana STD clinic. We measured effectiveness by the patients' self-reported last Pap test. We explored adoption of screening through focus groups with 34 staff members by documenting their attitudes about cervical cancer screening and screening strategy adaptation. We also documented recruitment and screening implementation. Results. Almost half (47.9%) of participants reported a last Pap test 3 or more years previously; 30%had reported a last Pap more than 5 years ago, and 11.4%had a high-risk test outcome that required referral to colposcopy. Staff supported screening because of mission alignment and perceived patient benefit. Screening adaptations included eligibility, results provision, and follow-up. Conclusions. Cervical cancer screening was possible and potentially beneficial in STD clinics. Future effectiveness-implementation studies should expand to include all female patients, and should examine the degree to which adaptation of selected adoption frameworks is feasible.
UR - http://www.scopus.com/inward/record.url?scp=84924752791&partnerID=8YFLogxK
U2 - 10.2105/AJPH.2014.302272
DO - 10.2105/AJPH.2014.302272
M3 - Article
C2 - 25689199
AN - SCOPUS:84924752791
SN - 0090-0036
VL - 105
SP - e8-e14
JO - American Journal of Public Health
JF - American Journal of Public Health
ER -