title: Eliciting women's cervical screening preferences: a mixed methods systematic review protocol.
abstract: With the accumulation of evidence regarding potential harms of cancer screening in recent years, researchers, policy-makers, and the public are becoming more critical of population-based cancer screening. Consequently, a high-quality cancer screening program should consider individuals' values and preferences when determining recommendations. In cervical cancer screening, offering women autonomy is considered a "person-centered" approach to health care services; however, it may impact the effectiveness of the program should women choose to not participate. As part of a larger project to investigate women's cervical screening preferences and correlates of these preferences, this systematic review will capture quantitative and qualitative investigations of women's cervical screening preferences and the methods used to elicit them.
  
  
  
  This mixed methods synthesis will use a thematic analysis approach to synthesize qualitative, quantitative, and mixed methods evidence. This protocol describes the methods that will be used in this investigation. A search strategy has been developed with a health librarian and peer reviewed using PRESS. Based on this strategy, five databases and the gray literature will be searched for studies that meet the inclusion criteria. The quality of the included individual studies will be examined using the Mixed Methods Appraisal Tool. Three reviewers will extract data from the primary studies on the tools or instruments used to elicit women's preferences regarding cervical cancer screening, theoretical frameworks used, outcomes measured, the outstanding themes from quantitative and qualitative evidence, and the identified preferences for cervical cancer screening. We will describe the relationships between study results and the study population, "intervention" (e.g., tool or instrument), and context. We will follow the PRISMA reporting guideline. We will compare findings across studies and between study methods (e.g., qualitative versus quantitative study designs). The strength of the synthesized findings will be assessed using the validated GRADE and CERQual tool.
  
  
  
  This review will inform the development of a tool to elicit women's cervical screening preferences. Understanding the methods used to elicit women's preferences and what is known about women's cervical screening preferences will be useful for guideline developers who wish to incorporate a woman-centered approach specifically for cervical screening guidelines.
  
  
  
  PROSPERO CRD42016035737.
authors: School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Roger-Guindon Hall, Room 3105, 451 Smyth Road, Ottawa, K1H 8M5, Ontario, Canada. Bwood096@uottawa.ca.
authors: Brianne
authors: 0000-0001-9958-4824
authors: B
authors: Wood
authors: School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Roger-Guindon Hall, Room 3105, 451 Smyth Road, Ottawa, K1H 8M5, Ontario, Canada.
authors: Susan Rogers
authors: SR
authors: Van Katwyk
authors: Department of Public Health Sciences, K9, Karolinska Institutet, Tomtebodavägen 18A; Widerströmska huset, 171 77, Stockholm, Sweden.|World Health Programme, Université du Québec en Abitibi-Témiscamingue, 79, rue Côté Notre-Dame-du-Nord, Québec, J0Z 3B0, Canada.
authors: Ziad
authors: Z
authors: El-Khatib
authors: Department of Obstetrics and Gynecology, University of Ottawa, 1919 Riverside Dr., Suite 201, Ottawa, K1H 1A2, Ontario, Canada.
authors: Susan
authors: S
authors: McFaul
authors: School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Roger-Guindon Hall, Room 3105, 451 Smyth Road, Ottawa, K1H 8M5, Ontario, Canada.|Clinical Epidemiology Program, Ottawa Hospital Research Institute, 725 Parkdale Ave., Ottawa, K1Y 4E9, Ontario, Canada.
authors: Monica
authors: M
authors: Taljaard
authors: Health Sciences Library, University of Ottawa, Roger-Guindon Hall, Room 1020, 451 Smyth Road, Ottawa, K1H 8M5, Ontario, Canada.
authors: Erica
authors: E
authors: Wright
authors: School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Roger-Guindon Hall, Room 3105, 451 Smyth Road, Ottawa, K1H 8M5, Ontario, Canada.
authors: Ian D
authors: ID
authors: Graham
authors: School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Roger-Guindon Hall, Room 3105, 451 Smyth Road, Ottawa, K1H 8M5, Ontario, Canada.
authors: Julian
authors: J
authors: Little
mesh_terms: D003142:Communication; D003258:Consumer Behavior; D003657:Decision Making; D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D010342:Patient Acceptance of Health Care; D026684:Personal Autonomy; D010817:Physician-Patient Relations; D012107:Research Design; D000078202:Systematic Reviews as Topic; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*