None listed
Conditions
Brief summary
This is a small feasibility project to explore whether a colposcopy service provided at an urban marae kaupapa Maori primary health clinic facilitates access. We have purposefully designed the outcomes as qualitative to prioritise people’s experiences and views toward acceptability. Colposcopy is performed when women have abnormal cervical screening tests (smears or HPV tests). Currently colposcopy is performed at Wellington Hospital. This trial will offer women requiring colposcopy the option of having it performed at an urban marae based kaupapa Maori primary health clinic. All wahine who were eligible for colposcopy at the marae and their whanau will be invited to share their views, experiences, and through prompt questions as necessary, to ascertain how provision of a marae-based service facilitated access. People who have declined to attend the marae health centre colposcopy clinic will be offered the opportunity to share their views as to their reasons for choosing to be seen at the Wellington hospital colposcopy clinic.
Interventions
Women requiring colposcopy will be offered the option of having this performed at the marae primary health clinic. The colposcopy will be performed by one gynaecologist (JO) who is a certified colposcopist. She will be adhering to national cervical screening and Cervical Quality Improvement Programme (cQUIP) guidelines. It is anticipated that this colposcopy will be equivalent to a colposcopy performed at the hospital (which is routine care). These colposcopy outcomes will be audited against na
Women requiring colposcopy will be offered the option of having this performed at the marae primary health clinic. The colposcopy will be performed by one gynaecologist (JO) who is a certified colposcopist. She will be adhering to national cervical screening and Cervical Quality Improvement Programme (cQUIP) guidelines. It is anticipated that this colposcopy will be equivalent to a colposcopy performed at the hospital (which is routine care). These colposcopy outcomes will be audited against national guidelines, as is standard for colposcopy. Colposcopy results and outcomes will be recorded in the hospital system, as is routine for colposcopy. Following their colposcopy, women will be asked to participate in an interview seeking to explore their experiences of the colposcopy. It is this information that the research is primarily seeking. It is anticipated this will take about one hour. THe interviews will be conducted by one researcher (MC) at a time and venue convenient to the women - this may be at the marae health clinic, in their homes, over zoom. There will only be one interview and it will take place within one month of the colposcopy. The interview will be recorded and transcribed. Women have the option of having their colposcopy at the marae and declining to paticipate in the interview.
Sponsors
Wellington Hospital / Te Whatu Ora
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Diagnosis
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Wahine who are willing to undertake colposcopy an an urban based marae kaupapa Maori primary health clinic.. Women referred for colposcopy at Wellington Hospital / Te Whatu ora. Women who were offered colposcopy at an urban based marae kaupapa Maori primary health clinic but declined and elected to be seen at Wellington Hosptial / Te Whatu ora.
Exclusion criteria
none
Outcome results
None listed