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88<br />

ABSTRACT #P-J5<br />

BARRIERS TO COMPLIANCE WITH COLPOSCOPY/FOLLOW-UP IN A<br />

POPULATION OF PATIENTS WITH PAP SMEAR ABNORMALITIES: A SURVEY<br />

APPROACH.<br />

Andrea N. Simpson [M](1), Catriona J. Buick(2), K. Joan Murphy(2)<br />

(1)<strong>University</strong> <strong>of</strong> <strong>Toronto</strong>, (2)<strong>Department</strong> <strong>of</strong> Gynaecologic Oncology, Princess Margaret Hospital,<br />

<strong>University</strong> <strong>of</strong> <strong>Toronto</strong>.<br />

Objective: To determine the underlying health beliefs <strong>and</strong> demographic, lifestyle, psychological,<br />

<strong>and</strong> social factors that predict patterns <strong>of</strong> compliance or non-compliance to follow-up among<br />

women requiring care for Pap smear abnormalities.<br />

Methods: A comparative survey design method will be used to examine thirty women who have<br />

been referred to Princess Margaret Hospital/<strong>University</strong> Health Network (UHN) in <strong>Toronto</strong>,<br />

Ontario, for an abnormal Pap smear. On completion <strong>of</strong> consent <strong>and</strong> the survey, women who have<br />

missed one or more scheduled appointments will be assigned to the study group. Women who have<br />

complied with appointments will be assigned to the contrast group. The survey has been adapted<br />

from a previously validated survey, the Mammography Screening Beliefs Questionnaire, <strong>and</strong> is<br />

based on the Health Belief Model. The survey will also encompass demographic information, a<br />

brief health history, <strong>and</strong> an open-ended qualitative portion where participants may address their<br />

specific concerns. The study was approved by the UHN Research Ethics Board in November 2008.<br />

Results: Data will be analyzed for common themes <strong>and</strong> for differences between the group <strong>of</strong><br />

women who attended their scheduled appointment(s) <strong>and</strong> those who did not.<br />

Conclusions: To our knowledge, barriers to compliance with follow-up for abnormal Pap smears<br />

have never been studied in a diverse population <strong>of</strong> women in a large metropolitan area, specifically<br />

the Greater <strong>Toronto</strong> Area. The information collected in this study is valuable in future program<br />

planning to manage the needs <strong>of</strong> the target population(s) <strong>and</strong> potentially improve adherence to, <strong>and</strong><br />

thus efficacy <strong>of</strong>, recommended screening algorithm.

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