Travis, E orcid.org/0000-0003-1140-1822, Kerrison, RS, O'Connor, DB orcid.org/0000-0003-4117-4093 et al. (1 more author) (2022) Barriers and facilitators to colonoscopy for cancer detection: patient and practitioner perspectives. Psychology and Health. ISSN 0887-0446
Abstract
Objective
To further understand the barriers and facilitators to attending colonoscopy examination following a positive routinely offered stool test result, from the perspective of patients and Specialist Screening Practitioners (SSPs).
Methods
Qualitative semi-structured interviews were conducted. Participants (N = 32) were patients (n = 20) who, as part of the Bowel Cancer Screening Programme (BCSP) in England, were invited to attend a colonoscopy examination, and SSPs (n = 12), who worked for the BCSP in England. Framework analysis included inductive and deductive coding.
Results
Anxiety was as a key barrier cited by patients and SSPs, arising from the moment the patient received the invitation letter. Notably, procedural-related anxieties centred upon the fear of pain and discomfort and test invasiveness. The role of family, friends and the SSP were recognised by patients and SSPs to facilitate participation. Many patients, yet not SSPs, emphasised an obligation to attend all medical test invitations.
Conclusion
Practically orientated strategies suggested by patients and SSPs address the patient barriers identified. These include earlier information to patients on the option of sedation for pain relief, earlier notification of potential financial support for patients unable to fund their own travel costs, and fewer uses of the term cancer within written materials.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an open access article distributed under the terms of the creative commons attribution-Noncommercial-NoDerivatives license (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. |
Keywords: | Colonoscopy; cancer screening; foecal immunochemical test; qualitative research; interviews |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Psychology (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 21 Nov 2022 13:50 |
Last Modified: | 21 Nov 2022 13:50 |
Status: | Published online |
Publisher: | Taylor & Francis |
Identification Number: | 10.1080/08870446.2022.2141241 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:193606 |
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Licence: CC-BY-NC-ND 4.0