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Barriers to bowel scope (flexible sigmoidoscopy) screening: a comparison of non-responders, active decliners and non-attenders
BACKGROUND: Participation in bowel scope screening (BSS) is low (43%), limiting its potential to reduce colorectal cancer (CRC) incidence and mortality. This study aimed to quantify the prevalence of barriers to BSS and examine the extent to which these barriers differed according to non-participant...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6173878/ https://www.ncbi.nlm.nih.gov/pubmed/30290783 http://dx.doi.org/10.1186/s12889-018-6071-8 |
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author | von Wagner, Christian Bonello, Bernardette Stoffel, Sandro Skrobanski, Hanna Freeman, Madeleine Kerrison, Robert S McGregor, Lesley M |
author_facet | von Wagner, Christian Bonello, Bernardette Stoffel, Sandro Skrobanski, Hanna Freeman, Madeleine Kerrison, Robert S McGregor, Lesley M |
author_sort | von Wagner, Christian |
collection | PubMed |
description | BACKGROUND: Participation in bowel scope screening (BSS) is low (43%), limiting its potential to reduce colorectal cancer (CRC) incidence and mortality. This study aimed to quantify the prevalence of barriers to BSS and examine the extent to which these barriers differed according to non-participant profiles: non-responders to the BSS invitation, active decliners of the invitation, and non-attenders of confirmed appointments. METHODS: Individuals invited for BSS between March 2013 and December 2015, across 28 General Practices in England, were sent a questionnaire. Questions measured initial interest in BSS, engagement with the information booklet, BSS participation, and, where applicable, reasons for BSS non-attendance. Chi-square tests of independence were performed to examine the relationship between barriers, non-participant groups and socio-demographic variables. RESULTS: 1478 (45.8%) questionnaires were returned for analysis: 1230 (83.2%) attended screening, 114 (7.7%) were non-responders to the BSS invitation, 100 (6.8%) were active decliners, and 34 (2.3%) were non-attenders. Non-responders were less likely to have read the whole information booklet than active decliners (x(2) (2, N = 157) = 7.00, p = 0.008) and non-attenders (x(2) (2, N = 101) = 8.07, p = 0.005). Non-responders also had lower initial interest in having BSS than either active decliners (x(2) (2, N = 213) = 6.07, p = 0.014) or non-attenders (x(2) (2, N = 146) = 32.93, p < 0.001). Overall, anticipated pain (33%) and embarrassment (30%) were the most commonly cited barriers to BSS participation. For non-attenders, however, practical, appointment-related reasons were most common (27%). CONCLUSIONS: Interventions to improve BSS uptake should be more nuanced and use targeted strategies to address the specific needs of each group. |
format | Online Article Text |
id | pubmed-6173878 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-61738782018-10-15 Barriers to bowel scope (flexible sigmoidoscopy) screening: a comparison of non-responders, active decliners and non-attenders von Wagner, Christian Bonello, Bernardette Stoffel, Sandro Skrobanski, Hanna Freeman, Madeleine Kerrison, Robert S McGregor, Lesley M BMC Public Health Research Article BACKGROUND: Participation in bowel scope screening (BSS) is low (43%), limiting its potential to reduce colorectal cancer (CRC) incidence and mortality. This study aimed to quantify the prevalence of barriers to BSS and examine the extent to which these barriers differed according to non-participant profiles: non-responders to the BSS invitation, active decliners of the invitation, and non-attenders of confirmed appointments. METHODS: Individuals invited for BSS between March 2013 and December 2015, across 28 General Practices in England, were sent a questionnaire. Questions measured initial interest in BSS, engagement with the information booklet, BSS participation, and, where applicable, reasons for BSS non-attendance. Chi-square tests of independence were performed to examine the relationship between barriers, non-participant groups and socio-demographic variables. RESULTS: 1478 (45.8%) questionnaires were returned for analysis: 1230 (83.2%) attended screening, 114 (7.7%) were non-responders to the BSS invitation, 100 (6.8%) were active decliners, and 34 (2.3%) were non-attenders. Non-responders were less likely to have read the whole information booklet than active decliners (x(2) (2, N = 157) = 7.00, p = 0.008) and non-attenders (x(2) (2, N = 101) = 8.07, p = 0.005). Non-responders also had lower initial interest in having BSS than either active decliners (x(2) (2, N = 213) = 6.07, p = 0.014) or non-attenders (x(2) (2, N = 146) = 32.93, p < 0.001). Overall, anticipated pain (33%) and embarrassment (30%) were the most commonly cited barriers to BSS participation. For non-attenders, however, practical, appointment-related reasons were most common (27%). CONCLUSIONS: Interventions to improve BSS uptake should be more nuanced and use targeted strategies to address the specific needs of each group. BioMed Central 2018-10-05 /pmc/articles/PMC6173878/ /pubmed/30290783 http://dx.doi.org/10.1186/s12889-018-6071-8 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article von Wagner, Christian Bonello, Bernardette Stoffel, Sandro Skrobanski, Hanna Freeman, Madeleine Kerrison, Robert S McGregor, Lesley M Barriers to bowel scope (flexible sigmoidoscopy) screening: a comparison of non-responders, active decliners and non-attenders |
title | Barriers to bowel scope (flexible sigmoidoscopy) screening: a comparison of non-responders, active decliners and non-attenders |
title_full | Barriers to bowel scope (flexible sigmoidoscopy) screening: a comparison of non-responders, active decliners and non-attenders |
title_fullStr | Barriers to bowel scope (flexible sigmoidoscopy) screening: a comparison of non-responders, active decliners and non-attenders |
title_full_unstemmed | Barriers to bowel scope (flexible sigmoidoscopy) screening: a comparison of non-responders, active decliners and non-attenders |
title_short | Barriers to bowel scope (flexible sigmoidoscopy) screening: a comparison of non-responders, active decliners and non-attenders |
title_sort | barriers to bowel scope (flexible sigmoidoscopy) screening: a comparison of non-responders, active decliners and non-attenders |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6173878/ https://www.ncbi.nlm.nih.gov/pubmed/30290783 http://dx.doi.org/10.1186/s12889-018-6071-8 |
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