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Self-adherence to post-colonoscopy consults in patients undergoing diagnostic colonoscopy: Findings from a cross-sectional, quantitative survey at a South African quaternary hospital

Post-colonoscopy consults empower patients to make informed decisions around their subsequent treatment, and non-compliance with these consults (“no-shows”) hinders disease management. There is a paucity in the literature regarding self-adherence to post-colonoscopy consults in resource-limited sett...

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Autores principales: Moodley, Yoshan, van Wyk, Jacqueline, Ning, Yuming, Wexner, Steven, Gounden, Cathrine, Naidoo, Vasudevan, Kader, Shakeel, Neugut, Alfred I., Kiran, Ravi P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353782/
https://www.ncbi.nlm.nih.gov/pubmed/37463177
http://dx.doi.org/10.1371/journal.pone.0288752
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author Moodley, Yoshan
van Wyk, Jacqueline
Ning, Yuming
Wexner, Steven
Gounden, Cathrine
Naidoo, Vasudevan
Kader, Shakeel
Neugut, Alfred I.
Kiran, Ravi P.
author_facet Moodley, Yoshan
van Wyk, Jacqueline
Ning, Yuming
Wexner, Steven
Gounden, Cathrine
Naidoo, Vasudevan
Kader, Shakeel
Neugut, Alfred I.
Kiran, Ravi P.
author_sort Moodley, Yoshan
collection PubMed
description Post-colonoscopy consults empower patients to make informed decisions around their subsequent treatment, and non-compliance with these consults (“no-shows”) hinders disease management. There is a paucity in the literature regarding self-adherence to post-colonoscopy consults in resource-limited settings such as South Africa. An understanding of self-adherence to post-colonoscopy consults in this setting is required to establish whether improved interventions are needed, and what specific elements of self-adherence should be addressed with these interventions. The objective of this hypothesis-generating, cross-sectional, quantitative survey was to conduct a baseline assessment of cognitive, motivational, social, and behavioural variables related to self-adherence to post-colonoscopy consults in patients who underwent diagnostic colonoscopy at a South African quaternary hospital. The Adherence Determinants Questionnaire (ADQ) was administered in 47 patients to establish a baseline assessment of elements related to self-adherence to post-colonoscopy consults, including interpersonal aspects of care, perceived utility, severity, susceptibility, subjective norms, intentions, and supports/barriers. ADQ scores were transformed to a percentage of the maximum score for each element (100.0%). The overall mean transformed ADQ score was 57.8%. The mean transformed scores for specific ADQ components were as follows: subjective norms (40.8%), perceived severity (55.4%), perceived utility (56.6%), intentions (59.4%), supports/barriers (59.9%), interpersonal aspects (62.2%), and perceived susceptibility (65.9%). There were no statistically significant differences in overall mean transformed ADQ scores and individual ADQ elements across categories of participant age (p-values ranging between 0.180 and 0.949 when compared between participants ≤40 years and >40 years old), gender (p-values ranging between 0.071 and 0.946 when compared between males and females), and race (p-values ranging between 0.119 and 0.774 when compared between Black Africans and non-Black Africans). Our findings suggest a general need for appropriate interventions to improve self-adherence to post-colonoscopy consults in our setting.
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spelling pubmed-103537822023-07-19 Self-adherence to post-colonoscopy consults in patients undergoing diagnostic colonoscopy: Findings from a cross-sectional, quantitative survey at a South African quaternary hospital Moodley, Yoshan van Wyk, Jacqueline Ning, Yuming Wexner, Steven Gounden, Cathrine Naidoo, Vasudevan Kader, Shakeel Neugut, Alfred I. Kiran, Ravi P. PLoS One Research Article Post-colonoscopy consults empower patients to make informed decisions around their subsequent treatment, and non-compliance with these consults (“no-shows”) hinders disease management. There is a paucity in the literature regarding self-adherence to post-colonoscopy consults in resource-limited settings such as South Africa. An understanding of self-adherence to post-colonoscopy consults in this setting is required to establish whether improved interventions are needed, and what specific elements of self-adherence should be addressed with these interventions. The objective of this hypothesis-generating, cross-sectional, quantitative survey was to conduct a baseline assessment of cognitive, motivational, social, and behavioural variables related to self-adherence to post-colonoscopy consults in patients who underwent diagnostic colonoscopy at a South African quaternary hospital. The Adherence Determinants Questionnaire (ADQ) was administered in 47 patients to establish a baseline assessment of elements related to self-adherence to post-colonoscopy consults, including interpersonal aspects of care, perceived utility, severity, susceptibility, subjective norms, intentions, and supports/barriers. ADQ scores were transformed to a percentage of the maximum score for each element (100.0%). The overall mean transformed ADQ score was 57.8%. The mean transformed scores for specific ADQ components were as follows: subjective norms (40.8%), perceived severity (55.4%), perceived utility (56.6%), intentions (59.4%), supports/barriers (59.9%), interpersonal aspects (62.2%), and perceived susceptibility (65.9%). There were no statistically significant differences in overall mean transformed ADQ scores and individual ADQ elements across categories of participant age (p-values ranging between 0.180 and 0.949 when compared between participants ≤40 years and >40 years old), gender (p-values ranging between 0.071 and 0.946 when compared between males and females), and race (p-values ranging between 0.119 and 0.774 when compared between Black Africans and non-Black Africans). Our findings suggest a general need for appropriate interventions to improve self-adherence to post-colonoscopy consults in our setting. Public Library of Science 2023-07-18 /pmc/articles/PMC10353782/ /pubmed/37463177 http://dx.doi.org/10.1371/journal.pone.0288752 Text en © 2023 Moodley et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Moodley, Yoshan
van Wyk, Jacqueline
Ning, Yuming
Wexner, Steven
Gounden, Cathrine
Naidoo, Vasudevan
Kader, Shakeel
Neugut, Alfred I.
Kiran, Ravi P.
Self-adherence to post-colonoscopy consults in patients undergoing diagnostic colonoscopy: Findings from a cross-sectional, quantitative survey at a South African quaternary hospital
title Self-adherence to post-colonoscopy consults in patients undergoing diagnostic colonoscopy: Findings from a cross-sectional, quantitative survey at a South African quaternary hospital
title_full Self-adherence to post-colonoscopy consults in patients undergoing diagnostic colonoscopy: Findings from a cross-sectional, quantitative survey at a South African quaternary hospital
title_fullStr Self-adherence to post-colonoscopy consults in patients undergoing diagnostic colonoscopy: Findings from a cross-sectional, quantitative survey at a South African quaternary hospital
title_full_unstemmed Self-adherence to post-colonoscopy consults in patients undergoing diagnostic colonoscopy: Findings from a cross-sectional, quantitative survey at a South African quaternary hospital
title_short Self-adherence to post-colonoscopy consults in patients undergoing diagnostic colonoscopy: Findings from a cross-sectional, quantitative survey at a South African quaternary hospital
title_sort self-adherence to post-colonoscopy consults in patients undergoing diagnostic colonoscopy: findings from a cross-sectional, quantitative survey at a south african quaternary hospital
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353782/
https://www.ncbi.nlm.nih.gov/pubmed/37463177
http://dx.doi.org/10.1371/journal.pone.0288752
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