Predicting attendance at health screening: Organizational factors and patients' health beliefs

Norman, Paul; Fitter, Mike

doi:10.1080/09515079108256718

Cited by 21 publications

(22 citation statements)

References 25 publications

(22 reference statements)

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“…This indicates that a response bias might have occurred (women who decline screening also decline questionnaires about this screening). Such response bias seems to be inevitable, and has been reported in previous studies (Fallowfield et al, 1990;Norman and Fitter, 1991;Scaf-Klomp et al, 1997;Burton et al, 1998). The response bias may have led to a somewhat over-optimistic picture with respect to women's attitudes to breast cancer screening.…”

Section: Discussionmentioning

confidence: 84%

Prospective Study on the Determinants of Repeat Attendance and Attendance Patterns in Breast Cancer Screening Using the Theory of Planned Behaviour

Drossaert

Boer

Seydel

2003

Psychology & Health

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This prospective study, using the Theory of Planned Behaviour (TPB) as a theoretical framework, was carried out to identify the determinants of repeat attendance and attendance patterns in organised breast screening. A group of 2657 women filled out a baseline questionnaire, approximately 8 weeks after having been invited for an initial screening in the Dutch Breast Cancer Screening Programme. Data on actual attendance in second and third screening round were subsequently collected. Personal variables such as family history of breast cancer, breast cancer in someone close and fear of breast cancer were not related to repeat attendance. The TPB variables could explain approximately 17% of the variance in attendance in the second and third round. Maintenance behaviour (consistent attendance vs. dropout) was related to the TPB variables, but the amount of variance explained was only 6%. Initiation of behaviour (consistent refusal vs. delayed attendance) also was related to TPB variables, with a substantially higher amount of explained variance than with maintenance behaviour. Results indicate that the TPB variables are more related to the initiation of screening behaviour than to the maintenance of screening behaviour. Implications of these findings for breast cancer screening are discussed.

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Section: Discussionmentioning

confidence: 84%

Prospective Study on the Determinants of Repeat Attendance and Attendance Patterns in Breast Cancer Screening Using the Theory of Planned Behaviour

Drossaert

Boer

Seydel

2003

Psychology & Health

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“…Concerns related to the procedure itself were also apparent in relation to a fear of needles or a general fear of doctors or medical settings, anxiety about what the tests might involve [45,47] or the experience level of those carrying out the tests [45]. …”

Section: Resultsmentioning

confidence: 99%

What do we know about who does and does not attend general health checks? Findings from a narrative scoping review

et al. 2012

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BackgroundGeneral and preventive health checks are a key feature of contemporary policies of anticipatory care. Ensuring high and equitable uptake of such general health checks is essential to ensuring health gain and preventing health inequalities. This literature review explores the socio-demographic, clinical and social cognitive characteristics of those who do and do not engage with general health checks or preventive health checks for cardiovascular disease.MethodsAn exploratory scoping study approach was employed. Databases searched included the British Nursing Index and Archive, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Database of Systematic Reviews (CDSR) and Database of Abstracts of Reviews of Effects (DARE), EMBASE, MEDLINE, PsycINFO and the Social Sciences Citation Index (SSCI). Titles and abstracts of 17463 papers were screened; 1171 papers were then independently assessed by two researchers. A review of full text was carried out by two of the authors resulting in 39 being included in the final review.ResultsThose least likely to attend health checks were men on low incomes, low socio-economic status, unemployed or less well educated. In general, attenders were older than non-attenders. An individual’s marital status was found to affect attendance rates with non-attenders more likely to be single. In general, white individuals were more likely to engage with services than individuals from other ethnic backgrounds. Non-attenders had a greater proportion of cardiovascular risk factors than attenders, and smokers were less likely to attend than non-smokers. The relationship between health beliefs and health behaviours appeared complex. Non-attenders were shown to value health less strongly, have low self-efficacy, feel less in control of their health and be less likely to believe in the efficacy of health checks.ConclusionRoutine health check-ups appear to be taken up inequitably, with gender, age, socio-demographic status and ethnicity all associated with differential service use. Furthermore, non-attenders appeared to have greater clinical need or risk factors suggesting that differential uptake may lead to sub-optimal health gain and contribute to inequalities via the inverse care law. Appropriate service redesign and interventions to encourage increased uptake among these groups is required.

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“…1989;Champion, 1990); attendance for dental checks Land, 1986. 1990); attendance for cervical smears (Hennig and Knowles, 1990); and attendance for routine medical checks (Norman and Fitter, 1991 1. The largest category.…”

Section: Social Psychological Processesmentioning

confidence: 99%

Social psychological mediators of the relationship between demographic factors and health outcomes: A theoretical model and some preliminary data

Rutter

Quine

1996

Psychology & Health

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Predicting attendance at health screening: Organizational factors and patients' health beliefs

Cited by 21 publications

References 25 publications

Prospective Study on the Determinants of Repeat Attendance and Attendance Patterns in Breast Cancer Screening Using the Theory of Planned Behaviour

Prospective Study on the Determinants of Repeat Attendance and Attendance Patterns in Breast Cancer Screening Using the Theory of Planned Behaviour

What do we know about who does and does not attend general health checks? Findings from a narrative scoping review

Social psychological mediators of the relationship between demographic factors and health outcomes: A theoretical model and some preliminary data

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