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

Background: The effectiveness of screening in colorectal cancer prevention depends on sustained participation rates. The objective of this study was to explore factors related to the longitudinal adherence of screening behavior in the context of a biennial population-based cancer screening program....

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Autores: Benito-Aracil, Llúcia, Farre, Albert, Binefa i Rodríguez, Gemma, Vidal Lancis, Maria Carmen, Cardona, Àngels, Pla i Consuegra, Margarida, García Martínez, Montserrat
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2017
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/119103
Acceso en línea:https://hdl.handle.net/2445/119103
Access Level:acceso abierto
Palabra clave:Càncer colorectal
Cribratge
Programes de prevenció
Colorectal cancer
Medical screening
Prevention programs
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spelling Factors related to longitudinal adherence in colorectal cancer screening: qualitative research findings.Benito-Aracil, LlúciaFarre, AlbertBinefa i Rodríguez, GemmaVidal Lancis, Maria CarmenCardona, ÀngelsPla i Consuegra, MargaridaGarcía Martínez, MontserratCàncer colorectalCribratgeProgrames de prevencióColorectal cancerMedical screeningPrevention programsBackground: The effectiveness of screening in colorectal cancer prevention depends on sustained participation rates. The objective of this study was to explore factors related to the longitudinal adherence of screening behavior in the context of a biennial population-based cancer screening program. Methods: Eight focus groups were conducted with individuals who were invited two or three consecutive times to a population-based colorectal cancer screening program using a fecal occult blood test and who agreed to participate in the program at least once (n=45). The criteria used to select the study members included adherence to fecal occult blood test maintenance, factors regarding their initial participation in the colorectal cancer screening, sex, and contextual educational level. Results: The participants expressed a high level of satisfaction with the program; however, they showed a low level of understanding with respect to cancer screening. Consulting a general practitioner was cited by all participants as an important factor that mediated their final decision or influenced their behavior as a whole with regard to the program. Fear played a different role in the screening behavior for regular and irregular adherent participants. In the adherent participants, fear facilitated their continued participation in the screening program, whereas for the irregular participants, fear led them to avoid or refuse further screening. Having a close person diagnosed with colorectal cancer was a facilitator for the regular adherent participants. The irregular adherent participants showed some relaxation with respect to screening after a negative result and considered that further screening was no longer necessary. Conclusion: Considering the importance of primary healthcare professionals in the decision regarding sustained participation, it is important to better engage them with cancer screening programs, as well as improve the communication channels to provide accurate and balanced information for both health professionals and individuals.Springer Verlag2018201820172018info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersion12 p.application/pdfhttps://hdl.handle.net/2445/119103Articles publicats en revistes (Infermeria Fonamental i Clínica)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésVersió postprint del document publicat a: https://link.springer.com/article/10.1007%2Fs10552-017-0982-zCancer Causes & Control, 2018, vol. 29, num. 1, p. 103-114(c) Springer Verlag, 2017info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1191032026-05-29T05:05:01Z
dc.title.none.fl_str_mv Factors related to longitudinal adherence in colorectal cancer screening: qualitative research findings.
title Factors related to longitudinal adherence in colorectal cancer screening: qualitative research findings.
spellingShingle Factors related to longitudinal adherence in colorectal cancer screening: qualitative research findings.
Benito-Aracil, Llúcia
Càncer colorectal
Cribratge
Programes de prevenció
Colorectal cancer
Medical screening
Prevention programs
title_short Factors related to longitudinal adherence in colorectal cancer screening: qualitative research findings.
title_full Factors related to longitudinal adherence in colorectal cancer screening: qualitative research findings.
title_fullStr Factors related to longitudinal adherence in colorectal cancer screening: qualitative research findings.
title_full_unstemmed Factors related to longitudinal adherence in colorectal cancer screening: qualitative research findings.
title_sort Factors related to longitudinal adherence in colorectal cancer screening: qualitative research findings.
dc.creator.none.fl_str_mv Benito-Aracil, Llúcia
Farre, Albert
Binefa i Rodríguez, Gemma
Vidal Lancis, Maria Carmen
Cardona, Àngels
Pla i Consuegra, Margarida
García Martínez, Montserrat
author Benito-Aracil, Llúcia
author_facet Benito-Aracil, Llúcia
Farre, Albert
Binefa i Rodríguez, Gemma
Vidal Lancis, Maria Carmen
Cardona, Àngels
Pla i Consuegra, Margarida
García Martínez, Montserrat
author_role author
author2 Farre, Albert
Binefa i Rodríguez, Gemma
Vidal Lancis, Maria Carmen
Cardona, Àngels
Pla i Consuegra, Margarida
García Martínez, Montserrat
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Càncer colorectal
Cribratge
Programes de prevenció
Colorectal cancer
Medical screening
Prevention programs
topic Càncer colorectal
Cribratge
Programes de prevenció
Colorectal cancer
Medical screening
Prevention programs
description Background: The effectiveness of screening in colorectal cancer prevention depends on sustained participation rates. The objective of this study was to explore factors related to the longitudinal adherence of screening behavior in the context of a biennial population-based cancer screening program. Methods: Eight focus groups were conducted with individuals who were invited two or three consecutive times to a population-based colorectal cancer screening program using a fecal occult blood test and who agreed to participate in the program at least once (n=45). The criteria used to select the study members included adherence to fecal occult blood test maintenance, factors regarding their initial participation in the colorectal cancer screening, sex, and contextual educational level. Results: The participants expressed a high level of satisfaction with the program; however, they showed a low level of understanding with respect to cancer screening. Consulting a general practitioner was cited by all participants as an important factor that mediated their final decision or influenced their behavior as a whole with regard to the program. Fear played a different role in the screening behavior for regular and irregular adherent participants. In the adherent participants, fear facilitated their continued participation in the screening program, whereas for the irregular participants, fear led them to avoid or refuse further screening. Having a close person diagnosed with colorectal cancer was a facilitator for the regular adherent participants. The irregular adherent participants showed some relaxation with respect to screening after a negative result and considered that further screening was no longer necessary. Conclusion: Considering the importance of primary healthcare professionals in the decision regarding sustained participation, it is important to better engage them with cancer screening programs, as well as improve the communication channels to provide accurate and balanced information for both health professionals and individuals.
publishDate 2017
dc.date.none.fl_str_mv 2017
2018
2018
2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/119103
url https://hdl.handle.net/2445/119103
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a: https://link.springer.com/article/10.1007%2Fs10552-017-0982-z
Cancer Causes & Control, 2018, vol. 29, num. 1, p. 103-114
dc.rights.none.fl_str_mv (c) Springer Verlag, 2017
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Springer Verlag, 2017
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 12 p.
application/pdf
dc.publisher.none.fl_str_mv Springer Verlag
publisher.none.fl_str_mv Springer Verlag
dc.source.none.fl_str_mv Articles publicats en revistes (Infermeria Fonamental i Clínica)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.812455

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