Group concept mapping to develop a salon-based HPV self-collection intervention

TL;DR

This study explores using hair salons to offer HPV self-collection kits to improve cervical cancer screening access for Black women in the US.

Contribution

The novel approach uses group concept mapping to design a salon-based cervical cancer screening intervention tailored to Black women's needs.

Findings

Community insights identified six key clusters for salon-based screening, including communication and sample collection.

Communication Considerations and Sample Collection were rated most important and feasible for implementation.

Collaborative concept mapping helped prioritize strategies to increase screening access in non-clinical settings.

Abstract

Black women in the US face higher cervical cancer mortality rates due to delayed diagnoses linked to lower screening rates. Contributing factors include provider bias, costs, and limited access, particularly affecting women aged 40–64. While innovative approaches like clinical and home-based HPV self-collection exist, equitable dissemination remains challenging. Distributing HPV self-collection kits in unconventional sites like hair salons may offer a solution. Using concept mapping, we gathered community insights to design a salon-based cervical cancer screening intervention.

We employed groupwisdom™ and REDCap platforms for community-based participatory intervention development. Participants included members of the Black Community Advisory Council of Tucson (Black CACTus), comprising hairstylists (n = 3), salon clients (n = 4), and healthcare providers(n = 3), all identifying as Black women aged 23–53. Concept mapping included: 1) Brainstorming statements, 2) Sorting statements into thematic clusters, 3) Rating importance and feasibility, 4) Reviewing the cluster map, and 5) Evaluating a draft intervention.

Brainstorming produced 39 statements, forming six clusters: 1) Program Promotion, 2) Insurance, Cost & Benefits, 3) Communication Considerations, 4) Information and Education, 5) Overall Logistics and Process, and 6) Sample Collection. Communication Considerations and Sample Collection were rated most important, with Communication Considerations also ranking highest for feasibility. Communication Considerations, Information and Education, and Sample Collection were the highest rated when importance and feasibility were considered together.

Engaging community perspectives is essential for adapting cancer screening from clinical settings to community spaces like hair salons. This collaborative concept mapping approach identified strategies to enhance cervical cancer screening access and uptake among Black women.

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