@entity5 Screening in a XXXX Clinic: Screening Adoption Experiences From a Midwestern Clinic.

@entity1 @entity5 @entity2953
UNASSIGNED: Objectives. We examined whether a @entity2953 ( @entity2953 ) clinic could reach @entity1 who had not received a Papanicolau (Pap) test in the past 3 years. We also explored staff attitudes and implementation of @entity5 screening. Methods. @entity1 (n   =   123) aged 30 to 50 years were offered @entity5 screening in an Indiana @entity2953 clinic. We measured effectiveness by the @entity1 ' self-reported last Pap test. We explored adoption of screening through focus groups with 34 staff members by documenting their attitudes about @entity5 screening and screening strategy adaptation. We also documented recruitment and screening implementation. Results. Almost half (47.9%) of @entity1 reported a last Pap test 3 or more years previously; 30% had reported a last Pap more than 5 years ago, and 11.4% had a high-risk test outcome that required referral to colposcopy. Staff supported screening because of mission alignment and perceived @entity1 benefit. Screening adaptations included eligibility, results provision, and follow-up. Conclusions. @entity5 screening was possible and potentially beneficial in @entity2953 clinics. Future effectiveness implementation studies should expand to include all female @entity1 , and should examine the degree to which adaptation of selected adoption frameworks is feasible. (Am J Public Health. Published online ahead of print February 17, 2015: e1-e7. doi:10.2105/AJPH.2014.302272).
