Formative Research on Knowledge and Preferences for Stool-based Tests compared to Colonoscopy: What Patients and Providers Think.
The rates of colorectal cancer (CRC) screening in the U.S. remain below national targets, so many people at risk are not being screened. The objective of this qualitative research project was to assess patient and provider knowledge and preferences about CRC screening modalities and specifically the...
| Publicado en: | Journal of Community Health Vol. 43; no. 6; pp. 1085 - 1093 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
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Springer Nature
Dec2018
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=132789379&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 132789379 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Dec2018 vid: 43 iid: 6 pid: 237 pub: Springer Nature artinfo: ui: 132789379 10.1007/s10900-018-0525-x ppf: 1085 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P size: 709KB tig: atl: Formative Research on Knowledge and Preferences for Stool-based Tests compared to Colonoscopy: What Patients and Providers Think. aug: au: Luque, John S. Wallace, Kristin Blankenship, Bridgette F. Roos, Lydia G. Berger, Franklin G. LaPelle, Nancy R. Melvin, Cathy L. affil: Institute of Public Health, College of Pharmacy and Pharmaceutical Sciences, Florida A&M University, Science Research Center, 1515 South MLK Boulevard, 32307, Tallahassee, FL, USA Department of Public Health Sciences, College of Medicine, Medical University of South Carolina, 68 President Street, 29425, Charleston, SC, USA Hollings Cancer Center, Medical University of South Carolina, 86 Jonathan Lucas Street, 29425, Charleston, SC, USA Health Psychology Ph.D. Program, The University of North Carolina at Charlotte, 9201 University City Boulevard, 28223, Charlotte, NC, USA Center for Colon Cancer Research, University of South Carolina, 29208, Columbia, SC, USA Division of Preventive and Behavioral Medicine, University of Massachusetts, 01655, Worcester, MA, USA su: United States Attitude (Psychology) Focus groups Interviewing Medical personnel Qualitative research Health literacy Patients' attitudes Rectum tumors Colon tumors Fecal analysis Colonoscopy Industrial research Thematic analysis Medically underserved persons Early detection of cancer Tumor risk factors Cancer risk factors sug: subj: Attitude (Psychology) Focus groups Interviewing Medical personnel Qualitative research Health literacy Patients' attitudes United States Rectum tumors Colon tumors Fecal analysis Colonoscopy Industrial research Thematic analysis Medically underserved persons Early detection of cancer Tumor risk factors Cancer risk factors keyword: Colorectal cancer Fecal immunochemical test Medically underserved Colorectal cancer Fecal immunochemical test Medically underserved ab: The rates of colorectal cancer (CRC) screening in the U.S. remain below national targets, so many people at risk are not being screened. The objective of this qualitative research project was to assess patient and provider knowledge and preferences about CRC screening modalities and specifically the use of the fecal immunochemical test (FIT) as a first line screening choice. Nine focus groups were conducted with a medically underserved patient population and qualitative interviews were administered to their medical providers. Thematic analysis was used to synthesize key findings. Both providers and patients thought that the FIT would be a good option for CRC screening both as an individual choice and for an overall program approach. The test is less expensive and therefore more readily available for patients compared to colonoscopy. Overall, there was consensus that the FIT offers a reasonably priced, simple approach to CRC screening which has broad appeal to both providers and patients. Concerns identified by patients and providers included the possibility of false positives with the FIT which could be caused by test contamination or failing to perform the test properly. Patients also described feelings of disgust toward performing the FIT and difficulties in following the instructions. Study findings indicate provider and patient support for using the FIT for CRC screening at both the individual and system-wide levels of implementation. While barriers to the use of the FIT were listed, benefits of using the FIT were perceived as positive motivators to engage previously unscreened and uninsured or under-insured individuals in CRC screening. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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