Optimisation of a cervical cancer screening model based on self-sampling for human papillomavirus testing

The use of self-sampling devices in population-based cervical cancer screening programmes (CCSP) is both an opportunity and a challenge in terms of implementation. ObjectiveTo understand the expectations, preferences, and difficulties perceived by women as regards different screening models and self-sampling devices, with the aim of identifying strategies to achieve high CCSP participation rates. MethodsThis study is based on qualitative research techniques, consisting of an individual interview using a questionnaire with semi-structured questions, followed by a group interview. Sessions were held simultaneously with 4 groups (7-8 women aged between 35 and 65). Women assessed various aspects of the programme (information dissemination, invitation, receipt of results, etc.) and five self-sampling devices. ResultsIf screening were carried out via self-sampling, 96.4% of women said they would take the test. Most women preferred to receive information on the CCSP or return their samples at their health centres (86.2% and 86.2%), and the most popular method for receiving both the programme invitation and results is by SMS (58.6%, 65.5%). Simplicity and ease of use are the key features of the device accepted by the largest number of women, the FLOQSwab. Another highly rated feature is the attractive design of the Evalyn Brush, as this was the preferred device of the largest number of women. The existence of other screening programmes that use self-sampling devices (the colorectal cancer prevention programme) is an opportunity as regards acceptance of this new programme. Some women are unsure of how to use the devices correctly. A large number of women accept self-sampling and reveals significant differences in the degree of acceptance of different self-sampling devices. Selecting the most accepted device is key to achieving high CCSP participation rates, and these programmes should be accompanied by adapted information campaigns to reach the most vulnerable groups and ensure equity.