Implementation of an mHealth intervention to increase adherence to triage among HPV positive women with HPV-self-collection (ATICA study): post-implementation evaluation from the women's perspective

Fil: Kohler, Racquel E. Cancer Health Equity, Cancer Institute of New Jersey, Rutgers, The State University of New Jersey; Estados Unidos.

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Autores principales: Kohler, Racquel E., Arrossi, Silvina, Viswanath, Kasisomayajula, Paolino, Melisa, Sánchez Antelo, Victoria
Formato: publishedVersion Artículo
Lenguaje:Inglés
Publicado: 2023
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Acceso en línea:http://repositorio.cedes.org/handle/123456789/4731
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record_format dspace
institution Centro de Estudios de Estado y Sociedad (CEDES)
institution_str I-61
repository_str R-167
collection Respositorio Digital CRIS del CEDES - Centro de Estudios de Estado y Sociedad
language Inglés
topic Telemedicina
Infecciones por Papillomavirus
Triaje
Tamizaje Masivo
Neoplasias de Cuello Uterino
Detección Precóz del Cáncer
Estudio de Evaluación
Humanos
Mujeres
spellingShingle Telemedicina
Infecciones por Papillomavirus
Triaje
Tamizaje Masivo
Neoplasias de Cuello Uterino
Detección Precóz del Cáncer
Estudio de Evaluación
Humanos
Mujeres
Kohler, Racquel E.
Arrossi, Silvina
Viswanath, Kasisomayajula
Paolino, Melisa
Sánchez Antelo, Victoria
Implementation of an mHealth intervention to increase adherence to triage among HPV positive women with HPV-self-collection (ATICA study): post-implementation evaluation from the women's perspective
topic_facet Telemedicina
Infecciones por Papillomavirus
Triaje
Tamizaje Masivo
Neoplasias de Cuello Uterino
Detección Precóz del Cáncer
Estudio de Evaluación
Humanos
Mujeres
description Fil: Kohler, Racquel E. Cancer Health Equity, Cancer Institute of New Jersey, Rutgers, The State University of New Jersey; Estados Unidos.
format publishedVersion
Artículo
Artículo
author Kohler, Racquel E.
Arrossi, Silvina
Viswanath, Kasisomayajula
Paolino, Melisa
Sánchez Antelo, Victoria
author_facet Kohler, Racquel E.
Arrossi, Silvina
Viswanath, Kasisomayajula
Paolino, Melisa
Sánchez Antelo, Victoria
author_sort Kohler, Racquel E.
title Implementation of an mHealth intervention to increase adherence to triage among HPV positive women with HPV-self-collection (ATICA study): post-implementation evaluation from the women's perspective
title_short Implementation of an mHealth intervention to increase adherence to triage among HPV positive women with HPV-self-collection (ATICA study): post-implementation evaluation from the women's perspective
title_full Implementation of an mHealth intervention to increase adherence to triage among HPV positive women with HPV-self-collection (ATICA study): post-implementation evaluation from the women's perspective
title_fullStr Implementation of an mHealth intervention to increase adherence to triage among HPV positive women with HPV-self-collection (ATICA study): post-implementation evaluation from the women's perspective
title_full_unstemmed Implementation of an mHealth intervention to increase adherence to triage among HPV positive women with HPV-self-collection (ATICA study): post-implementation evaluation from the women's perspective
title_sort implementation of an mhealth intervention to increase adherence to triage among hpv positive women with hpv-self-collection (atica study): post-implementation evaluation from the women's perspective
publishDate 2023
url http://repositorio.cedes.org/handle/123456789/4731
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spelling I61-R167-123456789-47312023-09-16T22:01:04Z Implementation of an mHealth intervention to increase adherence to triage among HPV positive women with HPV-self-collection (ATICA study): post-implementation evaluation from the women's perspective Implementación de una intervención de mHealth para aumentar la adherencia al triaje entre mujeres VPH positivas con auto-recolección de VPH (estudio ATICA): evaluación posterior a la implementación desde la perspectiva de las mujeres Kohler, Racquel E. Arrossi, Silvina Viswanath, Kasisomayajula Paolino, Melisa Sánchez Antelo, Victoria Telemedicina Infecciones por Papillomavirus Triaje Tamizaje Masivo Neoplasias de Cuello Uterino Detección Precóz del Cáncer Estudio de Evaluación Humanos Mujeres Fil: Kohler, Racquel E. Cancer Health Equity, Cancer Institute of New Jersey, Rutgers, The State University of New Jersey; Estados Unidos. Fil: Arrossi, Silvina. CEDES. Centro de Estudio de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina. Fil: Viswanath, Kasisomayajula. Harvard University. Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health; Estados Unidos. Fil: Paolino, Melisa. CEDES. Centro de Estudio de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina. Fil: Sánchez Antelo, Victoria. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina. Background: Low adherence to triage after positive screening is a widespread problem for cervical cancer screening programs in Low- and Middle-income Countries. Adherence to cytology-based triage can be challenging, especially among women with self-collected tests. SMS-based interventions are accepted by women and can increase screening uptake. The ATICA study was an effectiveness-implementation hybrid type I trial, combining a cluster randomized controlled trial (RCT) with a mixed-methods implementation evaluation involving quantitative and qualitative methods. Although the RCT provided evidence regarding the effectiveness of the SMS-based intervention, less is known about its acceptability, relevance, and usefulness from the women´s perspective. Methods: We carried out a cross-sectional study based on a structured questionnaire among HPV-positive women who were enrolled in ATICA's intervention group. We measured acceptability, appropriateness, and message content comprehension. Also, we evaluated if the SMS message was considered a cue to encourage women to pick up their HPV test results and promote the triage. Results: We interviewed 370 HPV-positive women. Acceptability of SMS messages among women who had received at least one message was high (97%). We found high levels of agreement in all appropriateness dimensions. More than 77% of women showed high comprehension of the content. Among women who received at least one SMS message, 76% went to the health center to pick up their results. Among those who got their results, 90% reported that the SMS message had influenced them to go. We found no significant differences in acceptability, appropriateness or message comprehension between women who adhered to triage and those who did not adhere after receiving the SMS messages. Conclusion: The intervention was highly acceptable, and women reported SMS was an appropriate channel to be informed about HPV test results availability. SMS was also a useful cue to go to the health center to pick up results. The implementation did not encounter barriers associated with the SMS message itself, suggesting the existence of other obstacles to triage adherence. Our results support the RCT findings that scaling up SMS is a highly acceptable intervention to promote cervical screening triage adherence. 2023-07-12T23:10:48Z 2023-07-12T23:10:48Z 2023-06 info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article info:ar-repo/semantics/artículo Paolino M, Sánchez Antelo V, Kohler RE, Viswanath K, Arrossi S. Implementation of an mHealth intervention to increase adherence to triage among HPV positive women with HPV-self-collection (ATICA study): post-implementation evaluation from the women's perspective. BMC Womens Health. 2023 Jun 23;23(1):332. Disponible en: http://repositorio.cedes.org/handle/123456789/4731. 1472-6874 http://repositorio.cedes.org/handle/123456789/4731 10.1186/s12905-023-02475-0 37353835 eng info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by/4.0/ application/pdf Argentina BMC Womens Health. 2023 Jun 23;23(1):332