Responses to procedural information about colorectal cancer screening using faecal occult blood testing: the role of consideration of future consequences

Wagner, Christian von; Good, Anna; Smith, Samuel G.; Wardle, Jane

doi:10.1111/j.1369-7625.2011.00675.x

Cited by 35 publications

(33 citation statements)

References 52 publications

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“…Cole et al (2003) claimed that this was because taking fewer samples makes the test more convenient and lessens the aversion to handle faecal samples. These findings support von Wagner et al (2011) andWeller et al (2009), and provide a possible explanation as to why the FIT was not as favourable in Levi et al (2011); i.e. because participants were required to take the same amount of samples for the FIT as the G-FOBt.…”

Section: Discussionsupporting

confidence: 68%

Comparing participation rates between immunochemical and guaiac faecal occult blood tests: A systematic review and meta-analysis

Vart

Banzi

Minozzi

2012

Preventive Medicine

114

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Section: Discussionsupporting

confidence: 68%

Comparing participation rates between immunochemical and guaiac faecal occult blood tests: A systematic review and meta-analysis

Vart

Banzi

Minozzi

2012

Preventive Medicine

114

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“…The responsibility for completing the screening test by the individual and any perceived difficulty may lead to lower levels of participation. Von Wagner and colleagues found that the intention to participate in CRC screening decreased when participants were given detailed information about how to collect fecal samples for a guaiacbased FOBT (32). The FIT, which does not require dietary restrictions and only one stool sample, has been found to result in significantly higher participation rates than the guaiac-based FOBT (30,36).…”

Section: Discussionmentioning

confidence: 99%

“…Whether or not a reduction in the number of dietary restrictions will lead to improved screening participation has yet to be determined. Research has also found that individuals are more reluctant to participate in CRC screening if they perceive the test as impractical, awkward, or embarrassing (32)(33)(34). The guaiacbased FOBT requires individuals to apply a small sample from three separate bowel movements onto a test card with the aid of a cardboard spatula (35).…”

Section: Discussionmentioning

confidence: 99%

Colorectal Cancer Screening in First Nations People Living in Manitoba

Decker¹,

Demers²,

Kliewer³

et al. 2015

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: Because the burden of colorectal cancer (CRC) seems to be increasing in First Nations, it is important to better understand CRC screening utilization. The objective of this study was to describe CRC screening among First Nations living in Manitoba.Methods: The Federal Indian Register was linked to two provincial databases. A negative binomial model was used to compare the probability of First Nations having a fecal occult blood test (FOBT), colonoscopy, or flexible sigmoidoscopy (FS) with all other Manitobans.Results: First Nations who lived in Winnipeg were significantly less likely to have had a FOBT in the previous 2 years than all other Manitobans who lived in Winnipeg [rate ratio (RR) ¼ 0.40; 95% confidence intervals (CI), 0.37-0.44]. There

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“…Colorectal cancer (CRC) is a leading cause of cancer death in North America (American Cancer Society 2012;Canadian Cancer Society 2011;von Wagner et al 2012); upwards of 1 million cases are newly diagnosed each year (Center et al 2009; International Agency for Research on Cancer 2008). The risk of CRC includes a substantial heritable component (Dunlop et al 2012;Hawken et al 2010), largely consisting of numerous low penetrance variants (Hawken et al 2010;Khoury et al 2004).…”

Section: Cancer Screeningmentioning

confidence: 99%

Public attitudes towards genomic risk profiling as a component of routine population screening

Nicholls

Wilson

Craigie

et al. 2013

Genome

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Abstract:Including low penetrance genomic variants in population-based screening might enable personalization of screening intensity and follow up. The application of genomics in this way requires formal evaluation. Even if clinically beneficial, uptake would still depend on the attitudes of target populations. We developed a deliberative workshop on two hypothetical applications (in colorectal cancer and newborn screening) in which we applied stepped, neutrally-framed, information sets. Data were collected using nonparticipant observation, free-text comments by individual participants, and a structured survey. Qualitative data were transcribed and analyzed using thematic content analysis. Eight workshops were conducted with 170 individuals (120 colorectal cancer screening and 50 newborn screening for type 1 diabetes). The use of information sets promoted informed deliberation. In both contexts, attitudes appeared to be heavily informed by assessments of the likely validity of the test results and its personal and health care utility. Perceived benefits included the potential for early intervention, prevention, and closer monitoring while concerns related to costs, education needs regarding the probabilistic nature of risk, the potential for worry, and control of access to personal genomic information. Differences between the colorectal cancer and newborn screening groups appeared to reflect different assessments of potential personal utility, particularly regarding prevention.Key words: personalized medicine, screening, public health, evaluation, utility.Résumé : L'inclusion de variants génomiques à faible pénétrance dans des dépistages à l'échelle de populations pourrait permettre une personnalisation de l'intensité du dépistage et de son suivi. Un tel recours à la génomique doit cependant faire l'objet d'une évaluation formelle. Même si bénéfique au plan clinique, l'adoption d'une telle approche dépendrait des attitudes au sein des populations ciblées. Les auteurs ont mis au point un atelier de discussion pour deux applications hypothétiques (dépistage pour le cancer colorectal et chez les nouveau-nés) où ils ont fait appel à des ensembles d'information gradués et neutres. Les données ont été obtenues auprès d'observateurs non-participants, des commentaires écrits produits par les participants individuels et au moyen d'un sondage structuré. Des données qualitatives ont été transcrites et analysées par analyse du contenu thématique. Huit ateliers ont été tenus impliquant un total de 170 individus (120 pour le dépistage du cancer colorectal et 50 pour le dépistage du diabète de type 1 chez les nouveau-nés). L'emploi d'ensembles d'information a favorisé les échanges informés. Dans les deux cas, les attitudes ont semblé fortement influencées par la vraisemblable validité des résultats des tests ainsi que leur utilité en matière de soins. Les bénéfices perçus incluaient la possibilité d'une intervention précoce, la prévention et un suivi plus serré tandis que les inquiétudes concernaient les coûts, la nécessité d'...

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Responses to procedural information about colorectal cancer screening using faecal occult blood testing: the role of consideration of future consequences

Abstract: Background Colorectal cancer (CRC) screening participation is low despite its effectiveness in reducing CRC mortality. Identifying benefits and barriers requires consideration of specific characteristics of screening modalities.

Cited by 35 publications

References 52 publications

Comparing participation rates between immunochemical and guaiac faecal occult blood tests: A systematic review and meta-analysis

Comparing participation rates between immunochemical and guaiac faecal occult blood tests: A systematic review and meta-analysis

Colorectal Cancer Screening in First Nations People Living in Manitoba

Public attitudes towards genomic risk profiling as a component of routine population screening

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