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dc.contributor.author
Paolino, Melisa Delia
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dc.contributor.author
Sánchez Antelo, Victoria Inés María
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dc.contributor.author
Kohler, Racquel
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dc.contributor.author
Viswanath, Kasisomayajula
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dc.contributor.author
Arrossi, Silvina
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dc.date.available
2023-12-12T14:40:06Z
dc.date.issued
2023-06
dc.identifier.citation
Paolino, Melisa Delia; Sánchez Antelo, Victoria Inés María; Kohler, Racquel; Viswanath, Kasisomayajula; Arrossi, Silvina; 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; BioMed Central; BMC Women's Health; 23; 1; 6-2023; 1-12
dc.identifier.uri
http://hdl.handle.net/11336/220015
dc.description.abstract
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.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
BioMed Central
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by/2.5/ar/
dc.subject
ARGENTINA
dc.subject
CERVICAL CANCER PREVENTION
dc.subject
HPV SELF-COLLECTION TEST
dc.subject
IMPLEMENTATION SCIENCE
dc.subject
SHORT TEXT MESSAGES
dc.subject.classification
Políticas y Servicios de Salud
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dc.subject.classification
Ciencias de la Salud
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dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
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dc.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
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2023-12-11T18:01:26Z
dc.identifier.eissn
1472-6874
dc.journal.volume
23
dc.journal.number
1
dc.journal.pagination
1-12
dc.journal.pais
Reino Unido
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dc.journal.ciudad
Londres
dc.description.fil
Fil: Paolino, Melisa Delia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro de Estudios de Estado y Sociedad; Argentina
dc.description.fil
Fil: Sánchez Antelo, Victoria Inés María. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro de Estudios de Estado y Sociedad; Argentina
dc.description.fil
Fil: Kohler, Racquel. State University of New Jersey; Estados Unidos
dc.description.fil
Fil: Viswanath, Kasisomayajula. Harvard University. Harvard School of Public Health; Estados Unidos
dc.description.fil
Fil: Arrossi, Silvina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro de Estudios de Estado y Sociedad; Argentina
dc.journal.title
BMC Women's Health
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-023-02475-0
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1186/s12905-023-02475-0
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