Romli Rodziah, Mohd Hashim Syahnaz, Abd Rahman Rahana, Chew Kah Teik, Mohamad Emma Mirza Wati, Mohammed Nawi Azmawati
Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.
Institut Latihan Kementerian Kesihatan Malaysia (Pembantu Perubatan) Alor Setar, Ministry of Health, Alor Setar, Kedah, Malaysia.
Gynecol Oncol Rep. 2024 Feb 23;52:101349. doi: 10.1016/j.gore.2024.101349. eCollection 2024 Apr.
Cervical cancer (CC) screening remains challenging, where the motivational focus towards utilizing CC screening services is rarely highlighted. This study aimed to understand the motivation to undergo CC screening from women and healthcare practitioners' perspectives based on Protection Motivation Theory (PMT).
This qualitative study used the nominal group technique (NGT) and in-depth interview (IDI), where the NGT participants were healthcare practitioners from various disciplines (n = 12). Nominal group discussions were conducted via Zoom and involved one moderator, facilitator and observer. The IDI was conducted via Google Meet among seven women who had been included based on purposive sampling. All nominal group discussions and interviews were transcribed, verbatim and underwent deductive thematic analysis.
Healthcare practitioners emphasized input on CC knowledge of epidemiology, risk, etiology, nature, and outcome to encourage motivation. Women underlined their important role in the family, and reducing the negative perception as a motivational focus. Having living example of witnessing the CC patient dying and fear of stigma of cancer could be the driven force to undergo screening. Emphasis on the important of sufficient knowledge and correct the misconceptions towards screening could impart the motivation among women.
The motivational focus was enriched by the differing perspectives of the healthcare practitioners and women. The findings can guide intervention program development towards enhancing CC screening in the future.
宫颈癌（CC）筛查仍然具有挑战性，利用CC筛查服务的动机重点很少被突出强调。本研究旨在基于保护动机理论（PMT），从女性和医疗从业者的角度了解接受CC筛查的动机。
这项定性研究采用了名义小组技术（NGT）和深入访谈（IDI），其中NGT的参与者是来自各个学科的医疗从业者（n = 12）。名义小组讨论通过Zoom进行，有一名主持人、协调人和观察员参与。IDI通过谷歌Meet在七名基于目的抽样纳入的女性中进行。所有名义小组讨论和访谈都进行了逐字记录，并进行了演绎主题分析。
医疗从业者强调提供有关CC的流行病学、风险、病因、性质和结果等方面的知识，以鼓励积极性。女性强调她们在家庭中的重要角色，并将减少负面认知作为一个动机重点。目睹CC患者死亡的活生生的例子以及对癌症污名的恐惧可能是促使她们接受筛查的驱动力。强调足够知识的重要性并纠正对筛查的误解可以增强女性的积极性。
医疗从业者和女性的不同观点丰富了动机重点。这些发现可为未来加强CC筛查的干预项目开发提供指导。
