How sharp can a screening tool be? A qualitative study of patients' experience of completing a bowel cancer screening questionnaire.

There is evidence to suggest that the Patient Consultation Questionnaire (PCQ) is a reliable tool to predict symptomatic left-sided colorectal cancer. While previous research has examined the sensitivity and specificity of the PCQ as a tool, it has not addressed patients' perspectives. To examine qu...

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Publicado en:Health Expectations Vol. 14; no. 2; pp. 170 - 178
Autores principales: Pugh, Wendy, Porter, Alison M.
Formato: research Journal Article
Publicado: Wiley-Blackwell Jun2011
Acceso en línea:Ver este registro en EBSCOhost
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        atl: How sharp can a screening tool be? A qualitative study of patients' experience of completing a bowel cancer screening questionnaire.
      aug:
        au:
          Pugh, Wendy
          Porter, Alison M.
        affil: Specialist Screening Practitioner, Nurse Endoscopist and GRS Lead Nurse for North Wales, North West Wales NHS Trust and National Leadership and Innovations Agency for Healthcare, Endoscopy Unit, Ysbyty Gwynedd, Bangor
      sug:
        subj:
          Patient Attitudes
          Colorectal Neoplasms Prevention and Control
          Health Screening Methods
          Qualitative Studies
          Human
          Questionnaires
          Wales
          Middle Age
          Aged
          Aged, 80 and Over
          Semi-Structured Interview
          Audiorecording
          Content Analysis
          Thematic Analysis
          Male
          Female
          Information Literacy
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: There is evidence to suggest that the Patient Consultation Questionnaire (PCQ) is a reliable tool to predict symptomatic left-sided colorectal cancer. While previous research has examined the sensitivity and specificity of the PCQ as a tool, it has not addressed patients' perspectives. To examine qualitatively patients' perspectives on ease of use of the PCQ, and their attitude to completing it. The target population were patients in North Wales between 55 and 85 years with colorectal symptoms who had completed the PCQ. A sample of six was randomly selected. The approach was qualitative, using semi-structured, in-depth cognitive interviews, which were recorded and transcribed before content and thematic analysis. The study found some areas of concern in relation to the PCQ's design and presentation, concerning such issues as the use of medical jargon or ambiguous wording, and the use of questions to which patients may not have an answer. It also found that patients responded to the form as something more than a screening tool, treating it variously as way of speeding up diagnosis and treatment, an opportunity to 'play the system', and a way of bypassing embarrassing encounters. Although major problems were not identified, the minor issues observed in the PCQ's design and presentation may reduce accuracy and patient satisfaction. A greater understanding of patients' perception of the role and function of the PCQ may help clinicians to interpret responses to the form more accurately.
      pubtype: Academic Journal
      doctype:
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        Journal Article
      ougenre: Article
    language: English
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