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Patient attitudes towards changes in colorectal cancer surveillance: An application of the Health Belief Model.
- Source :
- European Journal of Cancer Care; Nov2022, Vol. 31 Issue 6, p1-9, 9p
- Publication Year :
- 2022
-
Abstract
- Objective: This is to determine whether health beliefs regarding colorectal cancer (CRC) screening could predict discomfort with a change to CRC surveillance proposing regular faecal immunochemical tests (FIT) instead of colonoscopy. Methods: Eight hundred individuals enrolled in a South Australian colonoscopy surveillance programme were invited to complete a survey on surveillance preferences. Responses were analysed using binary logistic regression predicting discomfort with a hypothetical FIT‐based surveillance change. Predictor variables included constructs based on the Health Belief Model: perceived threat of CRC, perceived confidence to complete FIT and colonoscopy (self‐efficacy), perceived benefits from current surveillance and perceived barriers to FIT and colonoscopy. Results: A total of 408 participants (51%) returned the survey (complete data n = 303; mean age 62 years, 52% male). Most participants (72%) were uncomfortable with FIT‐based surveillance reducing colonoscopy frequency. This attitude was predicted by a higher perceived threat of CRC (OR = 1.03 [95% CI 1.01–1.04]), higher colonoscopy self‐efficacy (OR = 1.34 [95% CI 1.13–1.59]) and lower perceived barriers to colonoscopy (OR = 0.92 [95% CI 0.86–0.99]). Conclusions: Health beliefs regarding colonoscopy and perceived threat of CRC may be important to consider when changing CRC surveillance protocols. If guideline changes were introduced, these factors should be addressed to provide patients reassurance concerning the efficacy of the alternative protocol. [ABSTRACT FROM AUTHOR]
- Subjects :
- FECAL analysis
PUBLIC health surveillance
HEALTH Belief Model
IMMUNOCHEMISTRY
STATISTICS
COLONOSCOPY
CONFIDENCE intervals
HEALTH services accessibility
RESEARCH evaluation
MULTIVARIATE analysis
EFFECT sizes (Statistics)
EARLY detection of cancer
INTERVIEWING
MANN Whitney U Test
PATIENTS' attitudes
COLORECTAL cancer
SURVEYS
SELF-efficacy
CRONBACH'S alpha
HEALTH attitudes
DESCRIPTIVE statistics
SCALE analysis (Psychology)
CHI-squared test
RESEARCH funding
FECAL occult blood tests
LOGISTIC regression analysis
ODDS ratio
DATA analysis software
DATA analysis
Subjects
Details
- Language :
- English
- ISSN :
- 09615423
- Volume :
- 31
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- European Journal of Cancer Care
- Publication Type :
- Academic Journal
- Accession number :
- 160426765
- Full Text :
- https://doi.org/10.1111/ecc.13713