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Co-authored-by: Ralph Hawkins <info@ralphhawkins.co.uk>
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  • app/hpv-self-testing/2025/09/ur-results-content-testing

app/hpv-self-testing/2025/09/ur-results-content-testing/index.md

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## Unmoderated testing
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Participants: 32
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Participants were shown one of the following result types:
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- HPV positive (6 participants)
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- HPV negative (5 participants)
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- Unavailable result (5 participants)
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- Rejected result (5 participants)
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- HPV negative aged 60+ (11 participants)
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- HPV negative, aged 60+ (11 participants)
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## Moderated testing
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Moderated testing
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Participants: 10
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We ensured a mix of ages and screening attendance behaviours.
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Focus areas:
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- Tone of voice and emotional response
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## Methodology (moderated)
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Prototypes: HTML content (6 result variants)
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Where: Online
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Length: 1 hour
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All participants were shown all result types:
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### HPV positive
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![An NHS app message explaining that the participant's HPV test returned a positive result. It explains that HPV is a common virus that most people will come into contact with and that in many cases the body's immune system can clear the virus, but in some instances, it can causes abnormal cell changes in the cervix. It explains that, as a next step, the participant should undergo a follow-up cervical screening test, also known as a smear test, at their GP practice. It also tells the participant that their GP has been notified of this result. Alternatively, the participant is advised they could visit a sexual health clinic for their cervical screening test, and to find more information by visiting the included link. There is some information about why cervical screening matters, as it reduces the risk of cervical cancer developing. There is also some further information that the participant can read on the NHS.UK website.](results-positive-app.png)
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![An NHS app message explaining that the participant's HPV test returned a positive result. It explains that HPV is a common virus that most people will come into contact with and that in many cases the body's immune system can clear the virus, but in some instances, it can cause abnormal cell changes in the cervix. It explains that, as a next step, the participant should undergo a follow-up cervical screening test, also known as a smear test, at their GP practice. It also tells the participant that their GP has been notified of this result. Alternatively, the participant is advised they could visit a sexual health clinic for their cervical screening test, and to find more information by visiting the included link. There is some information about why cervical screening matters, as it reduces the risk of cervical cancer developing. There is also some further information that the participant can read on the NHS.UK website.](results-positive-app.png)
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![A letter explaining that the participant's HPV test returned a positive result. It explains that HPV is a common virus that most people will come into contact with and that in many cases the body's immune system can clear the virus, but in some instances, it can causes abnormal cell changes in the cervix. It explains that, as a next step, the participant should undergo a follow-up cervical screening test, also known as a smear test, at their GP practice. It also tells the participant that their GP has been notified of this result. Alternatively, the participant is advised they could visit a sexual health clinic for their cervical screening test, and to find more information by visiting the included link. There is some information about why cervical screening matters, as it reduces the risk of cervical cancer developing. There is some further information that the participant can read on the NHS.UK website.](results-positive-letter.png)
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![A letter explaining that the participant's HPV test returned a positive result. It explains that HPV is a common virus that most people will come into contact with and that in many cases the body's immune system can clear the virus, but in some instances, it can cause abnormal cell changes in the cervix. It explains that, as a next step, the participant should undergo a follow-up cervical screening test, also known as a smear test, at their GP practice. It also tells the participant that their GP has been notified of this result. Alternatively, the participant is advised they could visit a sexual health clinic for their cervical screening test, and to find more information by visiting the included link. There is some information about why cervical screening matters, as it reduces the risk of cervical cancer developing. There is some further information that the participant can read on the NHS.UK website.](results-positive-letter.png)
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### HPV negative
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### HPV unavailable (second)
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![An NHS app message explaining that the participant's second HPV test did not provide any results. It is explained that this is nothing to worry about, and does not mean the test was abnormal, but that it is important the participant has a repeat test, recommending that they have a cervical screening test at their GP or a sexual health clinic. It lets the participant that the results have been sent to their GP to update them. ](results-unavailable-2-app.png)
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![An NHS app message explaining that the participant's second HPV test did not provide any results. It is explained that this is nothing to worry about, and does not mean the test was abnormal, but that it is important the participant has a repeat test, recommending that they have a cervical screening test at their GP or a sexual health clinic. It lets the participant know that the results have been sent to their GP to update them. ](results-unavailable-2-app.png)
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![A letter explaining that the participant's second HPV test did not provide any results. It is explained that this is nothing to worry about, and does not mean the test was abnormal, but that it is important the participant has a repeat test, recommending that they have a cervical screening test at their GP or a sexual health clinic. It lets the participant that the results have been sent to their GP to update them.](results-unavailable-2-letter.png)
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### Rejected sample
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![An NHS app message explaining that the participant's HPV test could not be processed as they have recently had a cervical screening test, making them inelligible for HPV self-testing. It advises the participant to follow the advice given with their cervical screening test result, and to speak with their GP if they have any symptoms such as vaginal bleeding, changes to vaginal discharge, pain during sex or pain in their lower back. There is a link to the NHS.UK web page for cervical screening if the participant wants further information. ](rejected-sample-app.png)
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![An NHS app message explaining that the participant's HPV test could not be processed as they have recently had a cervical screening test, making them ineligible for HPV self-testing. It advises the participant to follow the advice given with their cervical screening test result, and to speak with their GP if they have any symptoms such as vaginal bleeding, changes to vaginal discharge, pain during sex or pain in their lower back. There is a link to the NHS.UK web page for cervical screening if the participant wants further information. ](rejected-sample-app.png)
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### HPV negative aged 60+
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### HPV negative, aged 60+
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![An NHS app message explaining that the participant, who is over 60 years of age, received a negative result in their HPV test and that the results have been sent to their GP. It is explained that, because they will be over the age of 65 when their next cervical screening test is due, they will no longer be invited for cervical screening. The participant is told that they are highly unlikely to develop cervical cancer if they are over 65 and do not have a recent history of abnormal screening results. They are asked to speak to their GP if they notice any symptoms such as vaginal bleeding, changes to vaginal discharge, pain during sex or pain in their lower back. There is a link to the NHS.UK web page for cervical screening if the participant wants further information.](results-negative-60-plus-app.png)
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### HPV negative results needed more clarity
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Some participants were unsure what a negative result meant for their long term health.
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Some participants were unsure what a negative result meant for their longterm health.
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We improved this by:
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