Challenges and Recommendations to Recruiting Women Who Do Not Adhere to Follow-Up Gynecological Care.


Journal Article

PURPOSE: Non-adherence to recommended follow-up visits after an abnormal cytological finding is associated with poorer outcomes and higher health care costs. The purpose of this paper is to describe the challenges when examining reasons for non-adherence to cervical cancer screening follow-up and to discuss the recommendations to overcome those challenges. METHODS: We conducted a telephone survey with two subgroups of women: 1) those which adhered to recommended follow-up care after an abnormal Pap test, and 2) those which did not adhere. RESULTS: The follow-up accrual among non-adherent women lagged behind that of adherers. We were able to contact and conduct a survey with 51% of the adherers and 26% of the non-adherers. The challenges in studying non-adherent women were related to several distinct factors: 1) the definition of non-adherence, 2) the availability of alternate contact information, 3) the amount and type of financial incentives, and 4) the availability of staffing. We describe strategies employed to increase the accrual of non-adherent women. DISCUSSION: This paper describes four recommendations that may play a role in understanding and reducing non-adherence to follow-up gynecological care.

Full Text

Duke Authors

Cited Authors

  • Wordlaw-Stinson, L; Jones, S; Little, S; Fish, L; Vidal, A; Smith, JS; Hoyo, C; Moorman, PG

Published Date

  • March 20, 2014

Published In

Volume / Issue

  • 4 / 3

Start / End Page

  • 123 - 128

PubMed ID

  • 24991485

Pubmed Central ID

  • 24991485

International Standard Serial Number (ISSN)

  • 2162-2477

Digital Object Identifier (DOI)

  • 10.4236/ojpm.2014.43017


  • eng

Conference Location

  • United States