Overview
This project looks to improve the return rate of HPV self-sampling (HPVss) as well as the management of women HPVss positive.
Description
France has already implemented a cervical screening programme based on HPV test for the whole female population aged 30-65 years. Non-participant women can perform HPV test at their home. However, less than 20% of French women performed vaginal self-sampling when a kit was sent to their home. Women with lower income and educational levels participate less to cervical screening. A variety of personal, practitioner, test-related and logistical barriers negatively impact the screening participation of French women. Key barriers to participation could be addressed by overcoming disparities in HPV-related knowledge and perceptions about cervical cancer screening. This study aims to evaluate the impact of sending HPV self-sampling kit at women's home, associated with providing, through multiple mobile channels, a multi-language decision aid designed for women with lower education accessible via artificial intelligence-based ChatBot. This decision aid will help women review high quality evidence on cervical cancer disease and screening modalities.
Eligibility
Inclusion criteria: eligible women will be:
- aged 30-65
- did not perform a pap smear in the last 4 years
- are living in deprived clusters in the Occitanie region.
- did not answer to a first "invitation" letter to perform a clinician-collected HPV testing
Exclusion criteria: ineligible women will be those:
- outside the target age group
- had a Pap smear in the past 3 years
- had hysterectomy including cervix
- are pregnant
- already scheduled a screening appointment or had just attended a HPV screening
- had a cervical abnormality that was under exploration and/or treatment.
- participated to the study pilot
