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. 2024 Feb 23;52:101349. doi: 10.1016/j.gore.2024.101349

Table 2.

Health practitioners (n = 12) consensus using Fuzzy Delphi Method assessment.

Construct PMT / Item generate by informants Triangular Fuzzy Numbers
Fuzzy Evaluation Process
Expert Agreement
Threshold value
(d)
Expert agreement (%) m1 m2 m3 Fuzzy score (A) Ranking
Perceived vulnerability
CC is asymptomatic at the early stage, making women unaware the changes of the cervical cells 0.095 91.7 0.817 0.950 0.992 0.919 Accepted 1
Women will be infected with HPV at some point in their lifetime as early as the age 20–24 years old 0.098 91.7 0.800 0.942 0.992 0.911 Accepted 2
Cervical cancer is a slow-growing disease, which take up to 10 years in developing into precancerous lesions. 0.234 91.7 0.717 0.858 0.933 0.836 Accepted 3



Perceived severity
Early detection and treatment is more effective when women perform the screening at the younger age. 0.023 100.0 0.883 0.992 1.000 0.958 Accepted 1
If diagnosed with cervical cancer, the effects of severity will also be felt by the surrounding family (spouse, children). 0.074 100.0 0.817 0.958 1.000 0.925 Accepted 2
The incidence of cervical cancer diagnosis begins to increase at the age of 35 years and the peak incidence at the age of 50–74 years 0.217 83.3 0.750 0.883 0.942 0.858 Accepted 3



Fear (Threat appraisal)
If embarrassed of having a Pap smear screening, there is an option that can reduce the pain and embarrassment, which is the HPV DNA screening (self-sampling). 0.068 100.0 0.833 0.967 1.000 0.933 Accepted 1
The screening procedure will cause some discomfort but is carried out by an experienced staff to reduce the discomfort. 0.128 91.7 0.800 0.933 0.975 0.903 Accepted 2



Perceived self-efficacy
Feelings of discomfort and embarrass need to be overcome to ensure own personal health. 0.042 100.0 0.867 0.983 1.000 0.950 Accepted 1
Healthy women making of the healthy families, therefore women are responsible for taking care of their own health. 0.128 91.7 0.800 0.933 0.975 0.903 Accepted 2
Involve your partner in getting a Pap smear test for emotional support and avoid fear. 0.119 83.3 0.767 0.917 0.983 0.889 Accepted 3



Response efficacy
Pap smear screening is performed by trained health workers 0.023 100.0 0.883 0.992 1.000 0.958 Accepted 1
HPV DNA screening is a self-screening. The procedure is easier and painless. 0.023 100.0 0.883 0.992 1.000 0.958 Accepted 1
Women should prioritize Pap smear and HPV DNA screening 0.023 100.0 0.883 0.992 1.000 0.958 Accepted 1



Response costs (Coping appraisal)
Cervical cancer screening helps early diagnosis and prevents the development of cervical cancer 0.000 100.0 0.900 1.000 1.000 0.967 Accepted 1
Early diagnosis saves the women's life. 0.000 100.0 0.900 1.000 1.000 0.967 Accepted 1
Cervical cancer is prevented and can be detected early through a screening program for women aged 21 to 65 years. 0.104 91.7 0.850 0.958 0.975 0.928 Accepted 3



Protection motivation
Immediately seek advice from the health practitioner if there are unusual symptoms from vagina, for example smelly discharge, bleeding after menopause 0.087 91.7 0.833 0.958 0.992 0.928 Accepted 1
Regular cervical cancer screening should be done every three years (Pap smear) and five years (HPV test) even if the previous results are negative. 0.124 91.7 0.817 0.942 0.975 0.911 Accepted 2
Choose an indicator as the reminder for the next screening (example: use the child's age as a reminder with multiples of age 3 years, 6 years, 9 years and so on) 0.238 75.0 0.685 0.842 0.925 0.817 Accepted 3

CC = cervical cancer; HPV = human papilloma virus; DNA = deoxyribonucleic acid.