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Perceived barriers and facilitators to attendance for cervical cancer screening in EU member states: A systematic review and synthesis using the Theoretical Domains Framework

Stuart, G; D'Lima, D; (2021) Perceived barriers and facilitators to attendance for cervical cancer screening in EU member states: A systematic review and synthesis using the Theoretical Domains Framework. Psychology and Health: an international journal 10.1080/08870446.2021.1918690. (In press). Green open access

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Abstract

AIMS: To identify and synthesise peer-reviewed, published literature reporting perceived barriers and facilitators associated with cervical cancer screening attendance in EU member states with organised population-based screening programmes. METHODS: Quantitative and qualitative studies reporting perceived barriers/facilitators to attendance for cervical cancer screening were searched for in databases Embase, HMIC, Medline and PsycInfo. Data were extracted and deductively coded to the Theoretical Domains Framework domains and inductive thematic analysis within domains was employed to identify specific barriers or facilitators to attendance for cervical cancer screening. RESULTS: 38 studies were included for data extraction. Five theoretical domains [‘Emotion’ (89% of the included studies), ‘Social influences’ (79%), ‘Knowledge’ (76%), ‘Environmental Context and Resources’ (74%) and ‘Beliefs about Consequences’ (68%)] were identified as key domains influencing cervical cancer screening attendance. CONCLUSION: Five theoretical domains were identified as prominent influences on cervical cancer screening attendance in EU member states with organised population-based screening programmes. Further research is needed to identify the relative importance of different influences for different sub-populations and to identify the influences that are most appropriate and feasible to address in future interventions.

Type: Article
Title: Perceived barriers and facilitators to attendance for cervical cancer screening in EU member states: A systematic review and synthesis using the Theoretical Domains Framework
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/08870446.2021.1918690
Publisher version: https://doi.org/10.1080/08870446.2021.1918690
Language: English
Additional information: © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
Keywords: Behaviour change; Behaviour Change Wheel; cervical cancer; cervical cancer screening attendance; Theoretical Domains Framework
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10127539
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