Methodological issues in a cross-sectional survey on cervical cancer screening using telephone interviews in Sicily (Italy): a SWOT analysis

Claudio Costantino, Walter Mazzucco, Claudia Marotta, Laura Saporito, Stefania Bono, Giusy Russo Fiorino, Giorgio Graziano, Marialuisa Maniglia, Valentina Marchese, Giuseppe Napoli, Sara Palmeri, Sandro Provenzano, Daniele Domenico Raia, Omar Enzo Santangelo, Gianmarco Ventura, Sofia Colaceci, Angela Giusti, Alessandra Casuccio, Vincenzo Restivo

Research output: Contribution to journalArticlepeer-review


Objective: A cross-sectional study on knowledge, perceptions, and adherence to cervical cancer screening was conducted using telephone interviews of Sicilian women that were performed in 2016. This study aimed to identify areas that need to be addressed to improve the validity of data collection and to minimize possible biases. Methods: We performed a qualitative study through SWOT analysis, which is a multidimensional method based on evaluation of Strengths (S), Weaknesses (W), Opportunities (O), and Threats (T) of the research project. The contents of the SWOT forms underwent categorical, inductive, and deductive data analysis using the long table analysis method. Results: The full availability of an updated address and phone number list was the main organizational aspect to be addressed. Socio-cultural context played a major role for understanding the questions and for acceptability of the topics. In some cases, a family member was a facilitating element, while in others, the family member hindered the interviews. Active involvement of general practitioners was considered essential for success of the interviews. Conclusions: When performing a cross-sectional survey, organizational aspects and active involvement of general practitioners are crucial in the enrolment phase, regardless of the socio-cultural context.

Original languageEnglish
Pages (from-to)5174-5184
Number of pages11
JournalJournal of International Medical Research
Issue number10
Publication statusPublished - Oct 1 2019


  • cervical cancer screening
  • Cross-sectional study
  • general practitioner
  • interviewer training
  • SWOT analysis
  • telephone survey

ASJC Scopus subject areas

  • Biochemistry
  • Cell Biology
  • Biochemistry, medical


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