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.