Table 4. Practitioners’ confidence to convey information about the renewed program in 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 | % | ||||||
| HPV based screening | 1. Recommend HPV screening to a woman | 141/157 | 89.8 | 169/177 | 95.5 | 1.06 (1.00 to 1.13) | 0.05 | 1.06 (1.00 to 1.13) | 0.05α |
| 2. Explain the association between HPV and cervical cancer to a woman | 147/156 | 94.2 | 168/177 | 94.9 | 1.01 (0.96 to 1.06) | 0.78 | 0.98 (0.93 to 1.03) | 0.47β | |
| Age and interval | 3. Explain to a woman why more frequent cervical screening (i.e. every 2 years) is no longer recommended | 113/157 | 71.9 | 150/176 | 85.2 | 1.18 (1.05 to 1.33) | 0.004 | 1.12 (0.99 to 1.26) | 0.08β |
| 4. Explain to a woman aged less than 25 years why she is not eligible for routine cervical screening | 96/155 | 61.9 | 141/175 | 80.6 | 1.30 (1.13 to 1.50) | <0.001 | 1.21 (1.04 to 1.41) | 0.015£ | |
| Explaining HPV test results | 5. Explain a negative HPV test result to a woman who will be asked to return in 5 years | 135/157 | 85.9 | 163/177 | 92.1 | 1.07 (0.99 to 1.16) | 0.07 | 1.03 (0.95 to 1.12) | 0.43β |
| 6. Explain a HPV16/18 positive HPV test to a woman | 116/156 | 74.4 | 155/177 | 87.6 | 1.18 (1.06 to 1.31) | 0.003 | 1.12 (1.00 to 1.25) | 0.04β | |
| 7. Explain a non 16/18 (other oncogenic) HPV positive test result to a woman | 95/156 | 60.9 | 139/177 | 78.5 | 1.29 (1.11 to 1.49) | 0.001 | 1.22 (1.04 to 1.44) | 0.013Ψ | |
| Self-collection | 8. Discuss the self-collection option with an eligible (under-screened) woman | 70/157 | 44.6 | 104/176 | 59.1 | 1.33 (1.07 to 1.64) | 0.010 | 1.14 (0.91 to 1.44) | 0.25€ |
| 9. Explain to a woman who is not eligible for self-collection why this is the case | 61/157 | 38.8 | 107/176 | 60.8 | 1.56 (1.24 to 1.97) | <0.001 | 1.39 (1.08 to 1.78) | 0.01£ | |
* Non-responders removed from each item denominator
α Adjusted for role in practice
β Adjusted for place of practice and role in practice
£ Adjusted for place of practice
Ψ Adjusted for place of practice, role and years in practice
€ Adjusted for place of practice and an interaction between the renewal time period and place of practice (p = 0.028)