Table 3.

Participant recommendations to improve implementation of primary HPV cervical cancer screening.

Clinician training	Patient education
•Create a short (≈10 min) video for clinicians explaining the evidence for the practice change	•Inform patients of the practice change PRIOR to the rollout
•Plan for multiple reinforcement webinars post-rollout of the practice change	•Deliver materials to patients directly rather than relying on providers to offer them to patients during busy visits
•Communication and training opportunities targeting all staff should be standardized (e.g., nurses and physicians)	•Offer different modes of patient education (i.e., posters, handouts, clinician scripts)
•Provide communication about the practice change in (1) repeated and (2) multiple formats	•Educate patients about the sequencing of testing (e.g., a reflexive PAP is performed if the HPV test is positive) and the time required for processing tests (to avoid patient anxiety while they await their results)
•Account for retraining of new staff, float pool nurses and staff redeployments	•Remove patient instruction templates referring to PAP test from any patient-facing materials; use “cervical cancer screening' instead