Increasing Screening Uptake for a Cervical Smear Test: Predictors of Attendance and the use of Action Plans in Prior Non-Attenders

Abstract

The present study investigated the role of anticipated regret within the framework of the theory of planned behaviour (TPB) in predicting attendance for a cervical smear test in prior non-attenders. The study also examined the effect of “action planning” on attendance for cervical screening in this “at risk” group. The results showed that intention was the only variable consistently related to attendance. The factors that were most predictive of intention were perceived behaviouralcontrol, anticipated regret and, to a lesser degree, subjective norm. Forming an action plan did not increase the likelihood of attendance. Low levels of intention should be addressed as a first step to achieving behaviour change. This might best be achieved by asking women to consider the possible aversive emotional consequences of not attending for a smear, and by developing strategies to foster a sense of personal control over engaging in the behaviour in this target group.