Development, usability & acceptability of a cervical screening informed choice tool for women living with severe mental illness and/or trauma history
PHE ePoster Library. Lamontagne-Godwin F. 09/12/19; 274339; 147
Mrs. Frederique Lamontagne-Godwin
Mrs. Frederique Lamontagne-Godwin
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Abstract Background
People with severe mental illness (SMI) die on average 10-25 years sooner than the general population, including from cancer. They face barriers to screening uptake and have poorer survival rates following diagnosis of cancer. The aim of this research is to develop a cervical screening informed choice tool for women with SMI.
A realist review of interventions to increase access to/uptake of physical health screening for people with SMI and a systematic review of informed choice tools for this population were conducted, with important findings. A mixed-methods design was used to develop the tool, informed by these reviews. The usability and acceptability of the tool (leaflet) was tested by patients and clinicians in NHS Trusts, using semi-structured interviews and the think-aloud method. In Spring 2019, a preliminary evaluation of the tool's impact on decision-making to attend screening will be conducted with service users. Results: Feedback from a national Expert Group, patients and clinicians demonstrates the tool's acceptability and usability. A dissemination strategy will involve CCGs, NHS Trusts, Jo's Cervical Cancer Trust and third sector organisations. An animated video of the leaflet is being developed.
The tool is designed to help women with SMI to make an informed decision about whether to attend cervical screening. It can be used by women themselves or as a tool for clinicians to help their patients. This may impact on screening uptake and mortality rates. External funding details This research is funded by a Vice-Chancellor's PhD Scholarship (Allied Health) from the University of West London.
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