Jennifer L. Moss, Veronica E. Bernacchi, Juliette Entenman, Heather Costigan, Heather L. Stuckey, Mack T. Ruffin
{"title":"在服务不足的患者中接受自我抽样结直肠癌和宫颈癌筛查试验异常结果后的随访","authors":"Jennifer L. Moss, Veronica E. Bernacchi, Juliette Entenman, Heather Costigan, Heather L. Stuckey, Mack T. Ruffin","doi":"10.1002/cam4.71283","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>Increasing cancer screening through at-home self-sampling test modalities is a public health priority. Patients with abnormal screening results should receive diagnostic follow-up care; optimizing this process is a challenge. We conducted a mixed methods study to examine the cancer screening process among underserved patients who received abnormal results on a self-sampled cancer screening test.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Participants were drawn from a parent study examining the impact of self-sampled colorectal and cervical cancer screening tests among patients at federally qualified health centers in Pennsylvania. Those who had received abnormal results on their screening were completed a survey and semi-structured interview about their experience (<i>n</i> = 5). We conducted mixed methods analysis to examine participants' (1) understanding and follow-up care for abnormal results and (2) satisfaction with the self-sampling cancer screening process.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Quantitatively, participants indicated very high satisfaction with each self-sampled cancer screening, and 60% preferred a self-sampled test for their next cancer screening. Qualitatively, participants differed in the extent to which they seemed to understand their screening results, but they were generally satisfied with the self-sampling process. In mixed methods analysis, participants' baseline knowledge about cancer screening supported better understanding of abnormal screening results, and participants' preference for their next cancer screening was related to their experiences with self-sampling.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Among this sample of patients who received abnormal results on their self-sampled colorectal or cervical cancer screening test, knowledge and understanding were not prerequisites for accessing follow-up care. Satisfaction with the self-sampling screening process was very high. These findings provide additional support for public health priorities to expand access to self-sampling cancer screening tests.</p>\n </section>\n </div>","PeriodicalId":139,"journal":{"name":"Cancer Medicine","volume":"14 19","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cam4.71283","citationCount":"0","resultStr":"{\"title\":\"Follow-Up After Receiving Abnormal Results From Self-Sampled Colorectal and Cervical Cancer Screening Tests Among Underserved Patients\",\"authors\":\"Jennifer L. Moss, Veronica E. Bernacchi, Juliette Entenman, Heather Costigan, Heather L. Stuckey, Mack T. Ruffin\",\"doi\":\"10.1002/cam4.71283\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Introduction</h3>\\n \\n <p>Increasing cancer screening through at-home self-sampling test modalities is a public health priority. Patients with abnormal screening results should receive diagnostic follow-up care; optimizing this process is a challenge. We conducted a mixed methods study to examine the cancer screening process among underserved patients who received abnormal results on a self-sampled cancer screening test.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Participants were drawn from a parent study examining the impact of self-sampled colorectal and cervical cancer screening tests among patients at federally qualified health centers in Pennsylvania. Those who had received abnormal results on their screening were completed a survey and semi-structured interview about their experience (<i>n</i> = 5). We conducted mixed methods analysis to examine participants' (1) understanding and follow-up care for abnormal results and (2) satisfaction with the self-sampling cancer screening process.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Quantitatively, participants indicated very high satisfaction with each self-sampled cancer screening, and 60% preferred a self-sampled test for their next cancer screening. Qualitatively, participants differed in the extent to which they seemed to understand their screening results, but they were generally satisfied with the self-sampling process. In mixed methods analysis, participants' baseline knowledge about cancer screening supported better understanding of abnormal screening results, and participants' preference for their next cancer screening was related to their experiences with self-sampling.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Among this sample of patients who received abnormal results on their self-sampled colorectal or cervical cancer screening test, knowledge and understanding were not prerequisites for accessing follow-up care. Satisfaction with the self-sampling screening process was very high. 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Follow-Up After Receiving Abnormal Results From Self-Sampled Colorectal and Cervical Cancer Screening Tests Among Underserved Patients
Introduction
Increasing cancer screening through at-home self-sampling test modalities is a public health priority. Patients with abnormal screening results should receive diagnostic follow-up care; optimizing this process is a challenge. We conducted a mixed methods study to examine the cancer screening process among underserved patients who received abnormal results on a self-sampled cancer screening test.
Methods
Participants were drawn from a parent study examining the impact of self-sampled colorectal and cervical cancer screening tests among patients at federally qualified health centers in Pennsylvania. Those who had received abnormal results on their screening were completed a survey and semi-structured interview about their experience (n = 5). We conducted mixed methods analysis to examine participants' (1) understanding and follow-up care for abnormal results and (2) satisfaction with the self-sampling cancer screening process.
Results
Quantitatively, participants indicated very high satisfaction with each self-sampled cancer screening, and 60% preferred a self-sampled test for their next cancer screening. Qualitatively, participants differed in the extent to which they seemed to understand their screening results, but they were generally satisfied with the self-sampling process. In mixed methods analysis, participants' baseline knowledge about cancer screening supported better understanding of abnormal screening results, and participants' preference for their next cancer screening was related to their experiences with self-sampling.
Conclusions
Among this sample of patients who received abnormal results on their self-sampled colorectal or cervical cancer screening test, knowledge and understanding were not prerequisites for accessing follow-up care. Satisfaction with the self-sampling screening process was very high. These findings provide additional support for public health priorities to expand access to self-sampling cancer screening tests.
期刊介绍：
Cancer Medicine is a peer-reviewed, open access, interdisciplinary journal providing rapid publication of research from global biomedical researchers across the cancer sciences. The journal will consider submissions from all oncologic specialties, including, but not limited to, the following areas:
Clinical Cancer Research
Translational research ∙ clinical trials ∙ chemotherapy ∙ radiation therapy ∙ surgical therapy ∙ clinical observations ∙ clinical guidelines ∙ genetic consultation ∙ ethical considerations
Cancer Biology:
Molecular biology ∙ cellular biology ∙ molecular genetics ∙ genomics ∙ immunology ∙ epigenetics ∙ metabolic studies ∙ proteomics ∙ cytopathology ∙ carcinogenesis ∙ drug discovery and delivery.
Cancer Prevention:
Behavioral science ∙ psychosocial studies ∙ screening ∙ nutrition ∙ epidemiology and prevention ∙ community outreach.
Bioinformatics:
Gene expressions profiles ∙ gene regulation networks ∙ genome bioinformatics ∙ pathwayanalysis ∙ prognostic biomarkers.
Cancer Medicine publishes original research articles, systematic reviews, meta-analyses, and research methods papers, along with invited editorials and commentaries. Original research papers must report well-conducted research with conclusions supported by the data presented in the paper.
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