Table 3. Practitioners’ comfort in implementing the renewed program in the pre- and post-renewal samples*.
Key components | Questions/indicators | Pre-renewal | Post-renewal | Crude RR (95% CI) | P-value | Adjusted RR (95% CI) | P-value | ||
---|---|---|---|---|---|---|---|---|---|
n | % | n | % | ||||||
Age and interval | 1. Only offering routine cervical screening to women 25 years and over | 108/156 | 69.2 | 151/175 | 86.3 | 1.25 (1.11 to 1.41) | <0.001 | 1.20 (1.06 to 1.36) | 0.005α |
2. Screening HPV negative women every 5 years | 131/157 | 83.4 | 159/175 | 91.0 | 1.09 (1.00 to 1.19) | 0.04 | 1.05 (0.96 to 1.15) | 0.26β | |
Sample collection | 3. Collecting only a liquid based sample (not preparing a slide) | 139/157 | 88.5 | 158/174 | 91.0 | 1.03 (0.95 to 1.10) | 0.50 | 1.02 (0.95 to 1.10) | 0.57£ |
Referral pathways | 4. Referring all HPV16/18 positive women for colposcopy regardless of their cytology result | 117/153 | 76.5 | 148/175 | 84.6 | 1.11 (0.99 to 1.23) | 0.06 | 1.09 (0.99 to 1.21) | 0.08£ |
5. Not referring women with oncogenic HPV non 16/18positive tests who have low grade/negative cytology for colposcopy | 63/152 | 41.4 | 108/173 | 62.4 | 1.51 (1.21 to 1.88) | <0.001 | 1.35 (1.10 to 1.69) | 0.01Ψ | |
Self-collection | 6. Recommending self-collection to an under-screened woman who refuses a practitioner-collected cervical sample | 73/156 | 46.8 | 101/176 | 57.4 | 1.23 (0.99 to 1.51) | 0.05 | 1.09 (0.87 to 1.37) | 0.44€ |
7. Having to wait to offer a repeat self-collection until the woman is overdue again (7 years since last screen) | 29/152 | 19.1 | 53/175 | 30.2 | 1.59 (1.07 to 2.36) | 0.023 | 1.30 (0.86 to 1.97) | 0.21α |
* Non responders removed from each item denominator
α Adjusted for place of practice
β Adjusted for place of practice, role and years in practice
£ Adjusted for role and years in practice
Ψ Adjusted for place of practice and role in practice
€ Adjusted for place of practice and an interaction between the renewal time period and place of practice (p = 0.045).