Talking about human papillomavirus and cancer: development of consultation guides through lay and professional stakeholder coproduction using qualitative, quantitative and secondary data

Hendry, Maggie; Pasterfield, Diana; Gollins, Simon; Adams, Rachel; Evans, Mererid; Fiander, Alison; Robling, Michael; Campbell, Christine; Bekkers, Marie-Jet; Hiscock, Julia; Nafees, Sadia; Rose, Janice; Stanley, Margaret; Williams, Olwen; Makin, Matthew; Wilkinson, Clare

doi:10.1136/bmjopen-2016-015413

Cited by 10 publications

(12 citation statements)

References 34 publications

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“…Despite public awareness campaigns, many women have a limited understanding of HPV, its mode of transmission, and its link to various cancers [ 59 ]. Primary care practitioners have reported that, in addition to lacking in-depth knowledge about HPV, they find discussions regarding HPV particularly challenging [ 60 , 61 ]. To facilitate these discussions, evidence-based consultation guides have recently been developed [ 61 ].…”

Section: Cervical Cancermentioning

confidence: 99%

Recognizing Gynecological Cancer in Primary Care: Risk Factors, Red Flags, and Referrals

et al. 2018

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Early diagnosis of symptomatic gynecological cancer is likely to improve patient outcomes, including survival. The primary care practitioner has a key role to play in this—they must recognize the symptoms and signs of gynecological cancer and make prompt evidence-based decisions regarding further investigation and referral. However, this is often difficult as many of the symptoms of gynecological cancers are nonspecific and are more likely to be caused by benign rather than malignant disease. As primary care is generally the first point of patient contact, those working in this setting usually encounter cancer patients at an earlier, and possibly less symptomatic, stage than practitioners in secondary care. Despite these challenges, research has improved our understanding of the symptoms patients present to primary care with, and a range of tests and referral pathways now exist in the UK and other countries to aid early diagnosis. Primary care practitioners can also play a key role in gynecological cancer prevention. A significant proportion of gynecological cancer is preventable either through lifestyle changes such as weight loss, or, for cervical cancer, vaccination and/or engagement with screening programs. Primary care provides an excellent opportunity to discuss cancer risk with patients and to promote risk reduction strategies and lifestyle change. In this article, the first in a series discussing cancer detection in primary care, we concentrate on gynecological cancer and focus on the three most common forms that a primary care practitioner is likely to encounter: ovarian, endometrial, and cervical cancer. We outline key risk factors, briefly discuss prevention and screening strategies, and offer practical guidance on the recognition of symptoms and signs and the investigation and referral of women with suspected cancer. While this article is written from a UK primary care perspective, much of what is discussed will be of relevance to those working in other healthcare systems.

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Section: Cervical Cancermentioning

confidence: 99%

Recognizing Gynecological Cancer in Primary Care: Risk Factors, Red Flags, and Referrals

et al. 2018

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“…Recent research conducted by a team at Bangor University in the United Kingdom resulted in the development of various “consultation guides” to assist clinicians in discussing HPV with patients diagnosed with a range of HPV-associated cancers (Hendry et al, 2017). However, to our knowledge, there have been no studies conducted in United States involving development and rigorous testing of messages to assist with patient–provider communication about HPV and cancer.…”

Section: Discussionmentioning

confidence: 99%

“…One study indicated that some medical providers found it difficult to discuss HPV with patients, and described it as opening a “can of worms” (McSherry et al, 2012). Furthermore, much of the educational material about HPV is focused on cancer prevention and is not targeted toward individuals who already have an HPV-associated cancer (Hendry et al, 2017). To date, very little research has been conducted to explore how patients diagnosed with an HPV-associated cancer understand the link between HPV and their cancer diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Application of a Health Literacy Framework to Explore Patients’ Knowledge of the Link between HPV and Cancer

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Vázquez-Otero

et al. 2018

Journal of Health Communication

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The human papillomavirus (HPV) is a sexually transmitted infection and causes most oropharyngeal (e.g., throat) and anogenital (e.g., anal, cervical) cancers. Research indicates low knowledge about the link between HPV and cancer among the general population, and similar low knowledge of HPV among individuals diagnosed with HPV-associated cancers. This is important because HPV status can have implications for treatment, prognosis, and future sexual decisions. Using a health literacy framework, this study explored how patients diagnosed with HPV-associated cancers accessed, understood, appraised, and applied HPV information. We conducted 27 in-depth interviews with patients seeking care at a comprehensive cancer center; and data were analyzed using applied thematic analysis. Findings revealed that patients' primary source of HPV information was medical providers (access); and many patients exhibited limited understanding of HPV and its role in their cancer diagnosis (understand). Most patients (17 of 27) did not mention HPV as the cause of their cancer. Many patients displayed difficulty connecting HPV with their lifestyles (appraise); and few discussed plans to engage in HPV prevention practices going forward (apply). Future research should focus on strategies to improve understanding of HPV which could increase vaccine uptake, reduce stigma, and enhance informed decision-making among HPV-associated cancer patients.

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“…Two researchers analyzed the opinions from doctors using a card-sorting method [16] to derive key functions for the cardiovascular mHealth tool. Researchers extracted meaningful sentences or words from the recorded interviews and categorized them into groups.…”

Section: Methodsmentioning

confidence: 99%

Enhancing User Experience Through User Study: Design of an mHealth Tool for Self-Management and Care Engagement of Cardiovascular Disease Patients

Baek¹,

Suh²,

Kang³

et al. 2018

JMIR Cardio

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BackgroundAs patient communication, engagement, personal health data tracking, and up-to-date information became more efficient through mobile health (mHealth), cardiovascular diseases (CVD) and other diseases that require behavioral improvements in daily life are now capable of being managed and prevented more effectively. However, to increase patient engagement through mHealth, it is important for the initial design to consider functionality and usability factors and accurately assess user demands during the developmental process so that the app can be used continuously.ObjectiveThe purpose of the study was to provide insightful information for developing mHealth service for patients with CVD based on user research to help enhance communication between patients and doctors.MethodsTo drive the mobile functions and services needed to manage diseases in CVD patients, user research was conducted on patients and doctors at a tertiary general university hospital located in the Seoul metropolitan area of South Korea. Interviews and a survey were performed on patients (35 participants) and a focus group interview was conducted with doctors (5 participants). A mock-up mobile app was developed based on the user survey results, and a usability test was then conducted (8 participants) to identify factors that should be considered to improve usability.ResultsThe majority of patients showed a positive response in terms of their interest or intent to use an app for managing CVD. Functional features, such as communication with doctors, self-risk assessment, exercise, tailored education, blood pressure management, and health status recording had a score of 4.0 or higher on a 5-point Likert scale, showing that these functions were perceived to be useful to patients. The results of the mock-up usability test showed that inputting and visualizing blood pressure and other health conditions was required to be easier. The doctors requested a function that offered a comprehensive view of the patient’s daily health status by linking the mHealth app data with the hospital’s electronic health record system.ConclusionsInsights derived from a user study for developing an mHealth tool for CVD management, such as self-assessment and a communication channel between patients and doctors, may be helpful to improve patient engagement in care.

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Talking about human papillomavirus and cancer: development of consultation guides through lay and professional stakeholder coproduction using qualitative, quantitative and secondary data

Cited by 10 publications

References 34 publications

Recognizing Gynecological Cancer in Primary Care: Risk Factors, Red Flags, and Referrals

Recognizing Gynecological Cancer in Primary Care: Risk Factors, Red Flags, and Referrals

Application of a Health Literacy Framework to Explore Patients’ Knowledge of the Link between HPV and Cancer

Enhancing User Experience Through User Study: Design of an mHealth Tool for Self-Management and Care Engagement of Cardiovascular Disease Patients

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