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Revise user research results content and update date
Updated the date of the user research results content testing and revised sections for clarity, including methodology and participant feedback on HPV test results.
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app/hpv-self-testing/2025/09/ur-results-content-testing/index.md

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---
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title: September User Research - Results content testing
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description: Highlighting findings from the user research sessions conducted on results content.
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date: 2025-09-30
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date: 2026-05-01
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tags:
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- hpv self testing
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- cervical screening
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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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- Whether content meets user needs
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- Understanding of results and next steps
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## Methodology (moderated)
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## Methodology
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Prototypes: HTML content (6 result variants)
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### HPV positive
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We showed participants an example app message and an example letter that would be received in the event of a HPV positive result.
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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 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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We showed participants an example app message and an example letter that would be received in the event of a HPV negative result.
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![An NHS app message explaining that the participant's HPV test returned a negative result and that they do not need to do anything further. There is a section detailing next steps, which advises the participant that their GP has been told the result, and the date of their next routine cervical screening appointment, which the NHS will invite the participant to nearer the time. The participant is also directed to the NHS.UK web page for cervical screening if they would like any further information.](results-negative-app.png)
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![A letter explaining that the participant's HPV test returned a negative result and that they do not need to do anything further. There is a section detailing next steps, which advises the participant that their GP has been told the result, and the date of their next routine cervical screening appointment, which the NHS will invite the participant to nearer the time. The participant is also directed to the NHS.UK web page for cervical screening if they would like any further information.](results-negative-letter.png)
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### HPV unavailable (first)
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### HPV results unavailable, first occurrence
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We showed participants an example app message and an example letter that would be received in the first occurence of a HPV test's results being unavailable, prompting the recipient to complete a repeat test which has already been dispatched.
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![An NHS app message explaining that the participant's first 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, and that this test has already been sent to the participant. There are some instructions on how to take the test again, and a reminder to refer to the instructions provided with the kit.](results-unavailable-1-app.png)
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![A letter explaining that the participant's first 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, and that this test has already been sent to the participant. There are some instructions on how to take the test again, and a reminder to refer to the instructions provided with the kit.](results-unavailable-1-letter.png)
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### HPV unavailable (second)
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### HPV results unavailable, second occurrence
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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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We showed participants an example app message and an example letter that would be received in the second occurence of a HPV test's results being unavailable, prompting the recipient to complete an in-person cervical screening assessment.
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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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![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 their GP has been informed of the results.. ](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 know that their GP has been informed of the results.](results-unavailable-2-letter.png)
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### Rejected sample
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We showed participants an example app message that would be received in the event of a sample being rejected due to the participant recently having a cervical screening assessment.
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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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We showed participants an example app message that would be received in the event of a negative HPV result where the recipient was over 60 years old.
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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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## What we learned

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