Content Analysis of Continuing Medical Education for Cervical Cancer Screening

Roland, Katherine B.; Larkins, Teri; Benard, Vicki B.; Berkowitz, Zahava; Saraiya, Mona

doi:10.1089/jwh.2009.1928

Cited by 8 publications

(13 citation statements)

References 27 publications

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“…It should be noted that only implementation of a long-term nationwide and population survey system of screening tests can decrease the incidence of cancer in women [21][22][23]. In many countries, as a result of a well-functioning screening programme, morbidity and mortality rates of women with cervical cancer have been radically reduced [2,9,10,16,[23][24][25]. However, in many countries where due to numerous obstacles and restrictions women rarely or never participate in prophylaxis, the factors mentioned above remain at a high level [1,7].…”

Section: Discussionmentioning

confidence: 99%

Behaviour among women in the scope of cervical cancer prevention

Słopiecka¹

2013

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Introduction: Cytological examination is a simple and inexpensive method used in the prevention of cervical cancer. In Poland, too low proportions of women still have the test. Aim of the research: To analyse the attitudes towards cervical cancer prevention. Material and methods: Two hundred and ten hospitalized women were invited to take part in the investigation. The research used the diagnostic poll method, using the author's original questionnaire form. The research was carried out in four gynaecological wards. Results: Of the women who participated in the research, 16.2% by the time of diagnosis had never received a Pap test. In the analysed group, 88.2% of women were not referred to a specialist for a Pap test. Among all respondents, only 35.7% underwent cervix cytology regularly, i.e. once a year or once every 2 years. Conclusions:The effort made by the women towards the attitudes of cervical cancer prevention was insufficient; still too many women had not reported to the specialist for taking material from the cervix, or did not do so regularly. A significant relation in the behaviour of women was found depending on their level of education and place of residence. Greater activity of nurses, midwives and family physicians in stimulating Polish women to participate in prevention programmes for cervical cancer is advisable. To increase the health awareness of girls and women, it is important to include in the curriculum, especially in secondary schools, the issues of prevention of female reproductive system cancer.

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Section: Discussionmentioning

confidence: 99%

Behaviour among women in the scope of cervical cancer prevention

Słopiecka¹

2013

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“…We analyzed the CME activities via a content analysis in the manner described by Roland and colleagues [18]. To identify key messages, all authors independently conducted open coding of 3 of the 15 activities.…”

Section: Methodsmentioning

confidence: 99%

Content of web-based continuing medical education about HPV vaccination

Kornides

Garrell

Gilkey

2017

Vaccine

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Background Addressing low HPV vaccination coverage will require U.S. health care providers to improve their recommendation practices and vaccine delivery systems. Because readily available continuing medical education (CME) could be an important tool for supporting providers in this process, we sought to assess the content of web-based CME activities related to HPV vaccination. Methods We conducted a content analysis of web-based CME activities about HPV vaccination available to U.S. primary care providers in May-September 2016. Using search engines, educational clearinghouses, and our professional networks, we identified 15 activities eligible for study inclusion. Through a process of open coding, we identified 45 commonly occurring messages in the CME activities, which we organized into five topic areas: delivering recommendations for HPV vaccination, addressing common parent concerns, implementing office-based strategies to increase HPV vaccination coverage, HPV epidemiology, and guidelines for HPV vaccine administration and safety. Using a standardized abstraction form, two coders then independently assessed which of the 45 messages each CME activity included. Results CME activities varied in the amount of content they delivered, with inclusion of the 45 messages ranging from 17% to 86%. Across activities, the most commonly included messages were related to guidelines for HPV vaccine administration and safety. For example, all activities (100%) specified that routine administration is recommended for ages 11 and 12. Most activities (73%) also noted that provider recommendations are highly influential. Fewer activities modeled examples of effective recommendations (47%), gave specific approaches to addressing common parent concerns (47%), or included guidance on office-based strategies to increase coverage (40%). Conclusions Given that many existing CME activities lack substantive content on how to change provider practice, future activities should focus on the practical application of interpersonal and organizational approaches for improving HPV vaccine delivery in the clinical setting.

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“…A qualitative design and descriptive statistics were used to conduct a content analysis. An abstraction tool developed by Roland et al 8 …”

Section: Methodsmentioning

confidence: 99%

“…was used to evaluate the 15 CE activities. This tool was previously used in a similar study to evaluate web‐based continuing medical education activities following the 2003 cervical cancer screening guidelines 8 …”

Section: Methodsmentioning

confidence: 99%