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

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dc.check.embargoformatNot applicableen
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dc.contributor.advisorMurphy, Mikeen
dc.contributor.advisorHammond, Seanen
dc.contributor.authorKotzur, Marie-Christin
dc.date.accessioned2016-10-21T11:52:08Z
dc.date.available2016-10-21T11:52:08Z
dc.date.issued2016
dc.date.submitted2016
dc.description.abstractCervical 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.description.statusNot peer revieweden
dc.description.versionAccepted Version
dc.format.mimetypeapplication/pdfen
dc.identifier.citationKotzur, 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.endpage283en
dc.identifier.urihttps://hdl.handle.net/10468/3207
dc.languageEnglishen
dc.language.isoenen
dc.publisherUniversity College Corken
dc.rights© 2016, Marie-Christin Kotzur.en
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/en
dc.subjectHealth Belief Modelen
dc.subjectCervical canceren
dc.subjectScreeningen
dc.subjectSmear testen
dc.subjectAttitudeen
dc.subjectTheory of planned behaviouren
dc.subjectDual-process modelen
dc.thesis.opt-outfalse
dc.titleIn two minds about screening: an investigation of cervical cancer prevention among Irish womenen
dc.typeDoctoral thesisen
dc.type.qualificationlevelDoctoralen
dc.type.qualificationnamePhD (Arts)en
ucc.workflow.supervisormike.murphy@ucc.ie
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