In two minds about screening: an investigation of cervical cancer prevention among Irish women

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dc.contributor.advisor Murphy, Mike en
dc.contributor.advisor Hammond, Sean en
dc.contributor.author Kotzur, Marie-Christin
dc.date.accessioned 2016-10-21T11:52:08Z
dc.date.available 2016-10-21T11:52:08Z
dc.date.issued 2016
dc.date.submitted 2016
dc.identifier.citation Kotzur, M. C. 2016. In two minds about screening: an investigation of cervical cancer prevention among Irish women. PhD Thesis, University College Cork. en
dc.identifier.endpage 283 en
dc.identifier.uri http://hdl.handle.net/10468/3207
dc.description.abstract Cervical cancer is the second most common female cancer worldwide. Cervical screening programmes can reduce the incidence of cervical cancer by up to 80 percent if the invited women participate. Previous Irish research has associated screening attendance with subjective norms, anticipated regret, higher socio-economic status and education. Greater perceived screening barriers and lacking knowledge were associated with avoidance. These findings support a variety of expectancy-value theories of behaviour. They also suggest that expectancy-value theories could benefit from the inclusion of affective predictors of behaviour, like anticipated regret. In 2008 the Republic of Ireland introduced the National Cervical Screening Programme (NCSP). This research seeks to identify the predictors of participation in the NCSP. A systematic review of reviews showed that predictors of screening participation clustered into environmental and psychological influences. There is a gap in the evidence synthesis of associations with personal characteristics and health beliefs. Thematic analysis of focus group interviews confirmed the validity of many screening predictors identified by the systematic review and expectancy-value theories. A survey of these predictors suggested that reduced screening barriers might encourage first-time participation, while regular attendance requires greater endorsement of screening benefits and stronger subjective norm and intention. Positive attitude, rather than knowledge, appeared to be crucial for strong intention, so the final study piloted an experiment comparing the utility of positive attitude in strengthening intention to the utility of information provision. Despite lacking significant differences between conditions, content analysis of participant comments suggested that a full trial would be worthwhile, given purposive sampling and improved sample retention. These findings agree with previous Irish research on the importance of screening intention, although its association with attitude appeared to be stronger in the present research. The findings further indicate that future screening promotion should consider interventions based on patients’ experiences of screening. en
dc.format.mimetype application/pdf en
dc.language English en
dc.language.iso en en
dc.publisher University College Cork en
dc.rights © 2016, Marie-Christin Kotzur. en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/ en
dc.subject Health Belief Model en
dc.subject Cervical cancer en
dc.subject Screening en
dc.subject Smear test en
dc.subject Attitude en
dc.subject Theory of planned behaviour en
dc.subject Dual-process model en
dc.title In two minds about screening: an investigation of cervical cancer prevention among Irish women en
dc.type Doctoral thesis en
dc.type.qualificationlevel Doctoral en
dc.type.qualificationname PhD (Arts) en
dc.internal.availability Full text available en
dc.check.info No embargo required en
dc.description.version Accepted Version
dc.description.status Not peer reviewed en
dc.internal.school Applied Psychology en
dc.check.type No Embargo Required
dc.check.reason No embargo required en
dc.check.opt-out No en
dc.thesis.opt-out false
dc.check.embargoformat Not applicable en
ucc.workflow.supervisor mike.murphy@ucc.ie
dc.internal.conferring Summer 2016 en


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© 2016, Marie-Christin Kotzur. Except where otherwise noted, this item's license is described as © 2016, Marie-Christin Kotzur.
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