Assessing Cervical Cancer Screening Guidelines in Patient Education Materials

Abstract

Background: Adjunct human papillomavirus (HPV) testing with cervical cytology (Pap test) is one option that can increase screening intervals for women aged ≥30 years who have concurrent negative (normal) test results. Previous research suggests that most women are unaware of the relationship between HPV and cervical cancer. In addition, patients often do not understand the significance of their HPV test results, let alone the implications of negative results for future cervical cancer risk or screening options. Patient education materials that explain new screening methods and guidelines for cervical cancer screening with HPV testing can improve resource utilization and support patients making screening decisions. Methods: We identified cervical cancer screening materials published from 2004 through 2006 by U.S. government and nonprofit agencies, pharmaceutical companies, and professional associations via a web-based search. We reviewed those materials for content relating to HPV and HPV testing, screening guidelines, and reading grade level. Results: Eleven patient education materials met selection criteria for this review. Seven materials (five of which were industry sponsored or produced) promoted updated guidelines for women with concurrent negative HPV and cytology test results. The mean reading grade level of materials was found to be approximately ninth grade. Conclusions: This review highlights the need for more comprehensive, plainer language patient education materials that explain new technologies in cervical cancer screening.