Soto Mauricio, Martinez-Gutierrez Javiera, Momany McKenzie, Capurro Daniel, Ciampi Spode Francis, Cea Emilia, Mergudich Tania, Puschel Klaus
Department of Family Medicine, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
École de Santé Publique, Université de Montréal, Montreal, QC, Canada.
JMIR Mhealth Uhealth. 2018 Nov 20;6(11):e196. doi: 10.2196/mhealth.9494.
In Chile and Latin America, cervical cancer disproportionately affects women of low socioeconomic status. Mobile technology (mobile health, mHealth) may be able to address this disparity by targeting women in underserved populations. However, there is a lack of information regarding barriers to the implementation of mHealth interventions in underserved populations.
The objective of this study was to investigate the use of cell phones and text messaging (short message service, SMS) in Latina women from disadvantaged communities to design an mHealth intervention for improving cervical cancer screening rates.
We conducted 9 focus groups among women aged 25-64 years to better understand the implementation barriers and perceptions of a text message (SMS)-based intervention designed to improve cervical cancer screening rates. We used the PRECEDE-PROCEED model to categorize identified themes using template analysis.
Focus group results indicated that older women use mobile phones to receive calls from family and friends but seldom send text messages. Furthermore, they prefer personal contact with their health care providers regarding Papanicolaou (Pap) testing. Younger women, on the other hand, find text messaging easy to use and frequently send texts to family and friends. Importantly, women of all ages mentioned they would like to receive text messages about Pap tests. Factors that facilitate the uptake of the intervention include ease of access to Pap testing, inclusion of family members, and reminder messaging. Potential barriers include cost and the impersonal nature of messaging. Health team members support an mHealth intervention even though they acknowledge the potential barriers to this strategy. Overall, these results support the implementation of an mHealth intervention to increase cervical cancer screening rates.
This study describes the opinions of women nonadherent to Pap testing on the potential use of mobile technologies for cervical cancer screening. Although the overall acceptance was positive, older women prefer personal contact and phone calls over text messaging. Information surrounding these preferences will aid in the implementation of effective strategies to improve cancer screening in underserved populations.
在智利和拉丁美洲，宫颈癌对社会经济地位较低的女性影响尤为严重。移动技术（移动健康，mHealth）或许能够通过针对服务不足人群中的女性来解决这一差异。然而，关于在服务不足人群中实施移动健康干预措施的障碍，目前缺乏相关信息。
本研究的目的是调查弱势社区拉丁裔女性对手机和短信（短消息服务，SMS）的使用情况，以设计一项移动健康干预措施来提高宫颈癌筛查率。
我们对25至64岁的女性进行了9次焦点小组讨论，以更好地了解旨在提高宫颈癌筛查率的基于短信（SMS）干预措施的实施障碍和看法。我们使用PRECEDE-PROCEED模型，通过模板分析对确定的主题进行分类。
焦点小组讨论结果表明，年长女性使用手机接听家人和朋友的电话，但很少发送短信。此外，她们在巴氏涂片检查方面更喜欢与医疗服务提供者进行面对面接触。另一方面，年轻女性觉得短信易于使用，并经常给家人和朋友发送短信。重要的是，各年龄段的女性都表示希望收到有关巴氏涂片检查的短信。促进该干预措施采用的因素包括巴氏涂片检查的便捷获取、家庭成员的参与以及提醒短信。潜在障碍包括成本和短信的非个性化性质。卫生团队成员支持移动健康干预措施，尽管他们承认该策略存在潜在障碍。总体而言，这些结果支持实施移动健康干预措施以提高宫颈癌筛查率。
本研究描述了未坚持进行巴氏涂片检查的女性对移动技术用于宫颈癌筛查的潜在用途的看法。尽管总体接受度是积极的，但年长女性更喜欢面对面接触和电话交流而非短信。围绕这些偏好的信息将有助于实施有效策略，以改善服务不足人群的癌症筛查。
