A qualitative study to assess the potential of the XXXX vaccination programme to encourage under-screened mothers to attend for cervical screening.

@entity1 @entity5 @entity1082
BACKGROUND: Coverage of the UK National Health Service Cervical Screening Programme is declining. Under-screened @entity1 whose daughters participate in the @entity1082 ) vaccination programme could be stimulated to attend. We investigated whether factors associated with the vaccination programme changed mothers' intentions for future screening. METHODS: Questionnaires were sent to mothers of @entity1 aged 12-13   years across two North West primary care trusts (n=2387) to assess the effect of the HPV vaccination programme on screening intentions. This identified mothers whose intentions had changed. Consent was sought to contact them for a semi-structured interview to discuss their screening intentions. Key themes were identified using framework analysis. RESULTS: 97/606 @entity1 responding to the questionnaire had changed their views about cervical screening. 23 @entity1 were interviewed, 10 of whom expressed a positive change and 13 no change. Most had discussed the vaccine information, including cervical screening, with their daughters. Mothers who made a positive change decision recognised their daughters' risk of @entity5 , the need for future screening, and the importance of their own example. In this way daughters became 'significant others' in reinforcing their mothers' cervical screening motivation. CONCLUSIONS: A daughter's invitation for HPV vaccination instigates a reassessment of cervical screening intention in some under-screened mothers.
