Improving the smear test experience through research

During this research conversation, Dr Ilhem Berrou senior lecturer in prescribing at the University of the West of England, discussed the CLEAR study. The CLEAR study is aimed at increasing engagement and improving the patient experience of cervical screening.

Cervical screening, commonly known as a smear test, is a public health programme. It involves checking whether a woman or a person with a cervix is affected by the human papilloma virus (HPV). Having HPV means someone may be at higher risk of developing cervical cancer. Knowing whether someone has the virus allows them to access further testing or receive the treatment they need.

Dr Berrou explained that people may not be engaging with cervical screening or may be put off attending because of the discomfort of the traditional position they are asked to assume during their appointment. Offering an alternative position, which involves a patient lying on their side rather than on their back, could be more appropriate for those who are:

• Disabled
• Severely obese
• Survivors of sexual trauma
• Uncomfortable adopting the traditional position due to cultural norms and values they observe

The study team hopes that developing and piloting an intervention offering patients a choice of positions could make the screening more accessible. During the study they will work with patients to produce attractive, meaningful patient-facing materials. They will also discuss with clinicians what their views are and what support they need to offer the alternative position during screenings.

Dr Ilhem Berrou, said:

“Our aim is to make the in-person screening more accessible and comfortable. We want to ensure that patients can make an informed choice about attending. To achieve this, we would like to improve the information available to them and implement a system where they are offered a choice of positions during their appointment.

“Ultimately, we want those who go and get the test done to have a good experience. If they have a good experience, they may not only recommend it to others but also come back when they are invited again in the future.”

Watch the session to find out more about the CLEAR study:

This talk was part of People in Health West of England’s regular research conversation sessions, where members of the public can hear about local research projects and give researchers feedback on their work.

Research conversations are informal and designed to give researchers and public contributors a chance to interact. Public contributors are encouraged to ask questions, learn about, and get involved in projects in their area.

Research conversations will usually take place on Tuesdays or Fridays between 10-11am or 5-6pm.
Get in touch with Carmel McGrath or see our events page for upcoming sessions.