Lessons learned from the “Goodie Box”: A message design study developed and evaluated in community settings for cervical cancer prevention
Despite the availability of free pap testing services, Jamaican women have low human papillomavirus (HPV) screening rates; 16% of women in the Kingston Metropolitan Area have been screened within the prior 3 years. This paper discusses the testing of theory-based messages to increase HPV screening u...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.935704/full |
| _version_ | 1811275552033603584 |
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| author | Soroya Julian McFarlane Susan E. Morgan Nick Carcioppolo |
| author_facet | Soroya Julian McFarlane Susan E. Morgan Nick Carcioppolo |
| author_sort | Soroya Julian McFarlane |
| collection | DOAJ |
| description | Despite the availability of free pap testing services, Jamaican women have low human papillomavirus (HPV) screening rates; 16% of women in the Kingston Metropolitan Area have been screened within the prior 3 years. This paper discusses the testing of theory-based messages to increase HPV screening uptake in a low-resource setting, using HPV self-test kits designed for this intervention. A total of 163 Jamaican women, aged 30–65 years, who had not had a pap test in at least 3 years, from two low socioeconomic status communities in Kingston, were enrolled and assigned to one of two versions of an HPV self-test kit, either with or without culturally targeted fear appeal messages. The uptake of screening was high across conditions; 95.6% of participants used the HPV self-test and returned their kits. However, surprising variations were observed in self-test acceptability, explained by differing attitudes toward the message conditions. Based on the results, we recommend four key components to increase HPV screening in low-resource settings: 1) focus on perceived threat in message design, 2) avoid written materials due to literacy concerns, 3) use culturally appropriate interpersonal or community-based channels, and 4) consider alternative solutions (such as a self-test) available at no or low cost to address structural barriers. |
| first_indexed | 2024-04-12T23:40:52Z |
| format | Article |
| id | doaj.art-dd310a05bbc14bdebe98b581157d3177 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-04-12T23:40:52Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-dd310a05bbc14bdebe98b581157d31772022-12-22T03:12:00ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-09-011210.3389/fonc.2022.935704935704Lessons learned from the “Goodie Box”: A message design study developed and evaluated in community settings for cervical cancer preventionSoroya Julian McFarlane0Susan E. Morgan1Nick Carcioppolo2University of Georgia, Athens, GA, United StatesUniversity of Miami, Coral Gables, FL, United StatesUniversity of Miami, Coral Gables, FL, United StatesDespite the availability of free pap testing services, Jamaican women have low human papillomavirus (HPV) screening rates; 16% of women in the Kingston Metropolitan Area have been screened within the prior 3 years. This paper discusses the testing of theory-based messages to increase HPV screening uptake in a low-resource setting, using HPV self-test kits designed for this intervention. A total of 163 Jamaican women, aged 30–65 years, who had not had a pap test in at least 3 years, from two low socioeconomic status communities in Kingston, were enrolled and assigned to one of two versions of an HPV self-test kit, either with or without culturally targeted fear appeal messages. The uptake of screening was high across conditions; 95.6% of participants used the HPV self-test and returned their kits. However, surprising variations were observed in self-test acceptability, explained by differing attitudes toward the message conditions. Based on the results, we recommend four key components to increase HPV screening in low-resource settings: 1) focus on perceived threat in message design, 2) avoid written materials due to literacy concerns, 3) use culturally appropriate interpersonal or community-based channels, and 4) consider alternative solutions (such as a self-test) available at no or low cost to address structural barriers.https://www.frontiersin.org/articles/10.3389/fonc.2022.935704/fullcervical cancerscreeningmessage designself-testlow resource setting |
| spellingShingle | Soroya Julian McFarlane Susan E. Morgan Nick Carcioppolo Lessons learned from the “Goodie Box”: A message design study developed and evaluated in community settings for cervical cancer prevention Frontiers in Oncology cervical cancer screening message design self-test low resource setting |
| title | Lessons learned from the “Goodie Box”: A message design study developed and evaluated in community settings for cervical cancer prevention |
| title_full | Lessons learned from the “Goodie Box”: A message design study developed and evaluated in community settings for cervical cancer prevention |
| title_fullStr | Lessons learned from the “Goodie Box”: A message design study developed and evaluated in community settings for cervical cancer prevention |
| title_full_unstemmed | Lessons learned from the “Goodie Box”: A message design study developed and evaluated in community settings for cervical cancer prevention |
| title_short | Lessons learned from the “Goodie Box”: A message design study developed and evaluated in community settings for cervical cancer prevention |
| title_sort | lessons learned from the goodie box a message design study developed and evaluated in community settings for cervical cancer prevention |
| topic | cervical cancer screening message design self-test low resource setting |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2022.935704/full |
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