Factors related to longitudinal adherence in colorectal cancer screening: qualitative research findings

Benito, Llúcia; Farré, Albert; Binefa, Gemma; Vidal, Carmen; Cardona, Àngels; Pla, M.; García, Montse

doi:10.1007/s10552-017-0982-z

Cited by 14 publications

(23 citation statements)

References 59 publications

(52 reference statements)

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“…The publicity for screening programs in Spanish autonomous communities has led to more general knowledge about the significance of early detection of CRC [11,17,31,34,43,44,45,46,47].…”

Section: Discussionmentioning

confidence: 99%

Temporal Trends in Fecal Occult Blood Test: Associated Factors (2009–2017)

Cobo-Cuenca

Laredo-Aguilera

Rodríguez-Borrego

et al. 2019

IJERPH

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A cross-sectional study with 27,821 records of non-institutionalized people in Spain aged between 50–69 years old (59.94 ± 5.8 years), who participated in the European Health Survey in Spain (2009, 2014) and National Health Survey (2011/12, 2017). Fecal occult testing, the reason for performing the test, age, sex, nationality, social status, marital status, education level, body mass index (BMI), and place of residence. Overall, 54% were women, 93.9% were Spanish, 47.8% had a secondary study, and 66.4% were married. Across the years, the rate of the fecal occult blood test (FOBT) increased significantly (p < 0.001). This increase can be accounted for a letter campaign advising testing (45%, p < 0.001). FOBT was associated with more age (odds ratio—OR 1.04, 95% confidence interval—CI 1.04–1.05, p < 0.001), Spanish nationality (OR 1.91, 95% CI 1.25–2.93, p = 0.003), being married (OR 1.13, 95% CI 1.02–1.25, p = 0.025), having a higher level of education (OR 2.46, 95% CI 2.17–2.81, p < 0.001), belonging to high social classes (OR 1.35, 95% CI 1.12–1.64, p = 0.001), and BMI <25 (OR 1.72, 95% CI 1.25–2.37). Frequency of FOBT has increased in recent years. Performing FOBT is associated with age, nationality, marital status, higher education level, and social class.

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“…The publicity for screening programs in Spanish autonomous communities has led to more general knowledge about the significance of early detection of CRC [11,17,31,34,43,44,45,46,47].…”

Section: Discussionmentioning

confidence: 99%

Temporal Trends in Fecal Occult Blood Test: Associated Factors (2009–2017)

Cobo-Cuenca

Laredo-Aguilera

Rodríguez-Borrego

et al. 2019

IJERPH

View full text Add to dashboard Cite

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“…While people seem to dislike automated phone calls [142], video decision aids (DAs) were appreciated by participants interviewed by Brackett et al [143], Coughlin et al [141], and Gwede et al [62], with the latter suggesting that a physician should serve as the narrator. In this regard, many studies reported that suggestions by a physician, particularly if this was the patient's general practitioner, could positively influence screening participation [46,50,52,53,62,[106][107][108]114,133,137,139,144]. For example, participants interviewed by Gordon and Green [114] reported that they would undergo screening "if the doctor told them why it is important for them to get screened".…”

Section: Other Potential Addressing Measures For Increasing Participation In Crc Screeningmentioning

confidence: 99%

Colorectal Cancer Screening: Have We Addressed Concerns and Needs of the Target Population?

Tran

Ferrari

Hoeck

et al. 2021

Gastrointestinal Disorders

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Despite the recognized benefits of colorectal cancer (CRC) screening, uptake is still suboptimal in many countries. In addressing this issue, one important element that has not received sufficient attention is population preference. Our review provides a comprehensive summary of the up-to-date evidence relative to this topic. Four OVID databases were searched: Ovid MEDLINE® ALL, Biological Abstracts, CAB Abstracts, and Global Health. Among the 742 articles generated, 154 full texts were selected for a more thorough evaluation based on predefined inclusion criteria. Finally, 83 studies were included in our review. The general population preferred either colonoscopy as the most accurate test, or fecal occult blood test (FOBT) as the least invasive for CRC screening. The emerging blood test (SEPT9) and capsule colonoscopy (nanopill), with the potential to overcome the pitfalls of the available techniques, were also favored. Gender, age, race, screening experience, education and beliefs, the perceived risk of CRC, insurance, and health status influence one’s test preference. To improve uptake, CRC screening programs should consider offering test alternatives and tailoring the content and delivery of screening information to the public’s preferences. Other logistical measures in terms of the types of bowel preparation, gender of endoscopist, stool collection device, and reward for participants can also be useful.

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“…This indicates that confirmation of good health has a value in itself (57) and may be established as a meaningful narrative with drama and relief, expressed and interpreted in a social context (37,58). It has been suggested that a 'false alarm' might elicit a feeling of being examined for good, triggering a 'relaxation effect', potentially delaying visits to the doctor in case of emerging symptoms or not participating in future screening (19,59). Our study indicated that participants e pe ie es did not hamper intentions for future screening.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

“…However, screening also involves risks for 'false alarm' for the individual participant if the FOBT detects blood in the stool, indicating a risk of CRC, and it is followed by a diagnostic colonoscopy which does not detect CRC. This might cause residual uncertainty and distress in some individuals, but results about distress related to CRC screening participation are inconsistent, suggesting no clinically relevant distress in most participants (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19). Some studies indicate that feelings of trust and moral obligation are drivers of participants' intentions to be screened (20)(21)(22)(23).…”

Section: Introductionmentioning

confidence: 99%

A stitch in time saves nine: Perceptions about colorectal cancer screening after a non-cancer colonoscopy result. Qualitative study

Kirkegaard

Edwards

Andersen

2019

Patient Education and Counseling

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Objectives: To explore perceptions of colorectal cancer (CRC) screening among participants who have experienced a 'false alarm' for CRC, and to explore perceptions about the relevance of screening for themselves or others.Methods: Semi-structured interviews with screening participants who had participated in the Danish CRC screening program and experienced a 'false alarm' for colorectal cancer. A thematic analysis was performed, based on an interpretive tradition of ethnography. Results: Perceptions about CRC screening after a non-cancer colonoscopy result were characterized by trust in the colonoscopy result showing no CRC, and satisfaction with the screening offer despite the risk for 'false alarm'. The patient-involving behavior of the healthcare professionals during the examination was for most participants a cornerstone for trusting the validity of the colonoscopy result showing no CRC. Strong notions about perceived obligation to participate in screening were common.Conclusions: Prominent themes were trust in the result, satisfaction with the procedure, and moral obligations to participate both for themselves and for others.Practice implications: Information to future invitees after a 'false alarm' experience could build on peoples' trust in the validity of a previous non-cancer result and should underscore the importance of subsequent screening even after a 'false alarm' for cancer.

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Factors related to longitudinal adherence in colorectal cancer screening: qualitative research findings

Cited by 14 publications

References 59 publications

Temporal Trends in Fecal Occult Blood Test: Associated Factors (2009–2017)

Temporal Trends in Fecal Occult Blood Test: Associated Factors (2009–2017)

Colorectal Cancer Screening: Have We Addressed Concerns and Needs of the Target Population?

A stitch in time saves nine: Perceptions about colorectal cancer screening after a non-cancer colonoscopy result. Qualitative study

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