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    Preferences of Underserved Chilean Women on a Mobile Technology Intervention for Cervical Cancer Screening: Qualitative Study

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    Author
    Soto, M; Martinez-Gutierrez, J; Momany, M; Capurro, D; Ciampi Spode, F; Cea, E; Mergudich, T; Puschel, K
    Date
    2018
    Source Title
    JMIR mHealth and uHealth
    Publisher
    JMIR Publications Inc.
    University of Melbourne Author/s
    Martinez Gutierrez, Javiera; Capurro, Daniel
    Affiliation
    General Practice
    Computing and Information Systems
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Soto, M., Martinez-Gutierrez, J., Momany, M., Capurro, D., Ciampi Spode, F., Cea, E., Mergudich, T. & Puschel, K. (2018). Preferences of Underserved Chilean Women on a Mobile Technology Intervention for Cervical Cancer Screening: Qualitative Study. JMIR mHealth and uHealth, 6 (11), https://doi.org/10.2196/mhealth.9494.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/252805
    DOI
    10.2196/mhealth.9494
    Open Access URL
    https://mhealth.jmir.org/2018/11/e196/
    Abstract
    Background: 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. Objective: 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. Methods: 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. Results: 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. Conclusions: 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.

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