61 Determinants of (non)attendance at the Dutch CSPs Reference Study design Number of participants (n) Participants, collection period, region Characteristics Outcomes I-Change model (Tacken, Braspenning et al. 2007) Ref: 31 Questionnaire study Analyses on 1392 women (968 screened and 424 unscreened). 2,224 (1204 screened, 1020 unscreened). Women, age 30-60. Between December 2000 and February 2001. The Netherlands. Women aged 40-50 years who felt a high personal moral obligation, who had only ever had one sexual partner, and who were invited and reminded by their own general practice had the greatest likelihood of screening uptake. Women’s beliefs are the best predictors of uptake. Non-responders (mainly unscreened) thought they had less risk of cervical cancer, were less motivated, less often intended to take part in future screening, and were more convinced that cervical cancer cannot be cured. To improve uptake: focus on moral obligation of eligible women, beliefs about the risk of cervical cancer, and available cures. Invitations and reminders within general practices enhance the uptake rate. Predisposing factors Information factors Motivational factors 2
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