Consistency of Reported Barriers for Colorectal Cancer Screening Among Adults Who Have Never Been Screened
Morbidity and mortality from colorectal cancer can be decreased by addressing patient barriers to colorectal cancer screening; especially among adults who have never been screened. Assessing changes in barriers over time may help practitioners better tailor interventions to address patient barriers....
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New Prairie Press
2019
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oai:doaj.org-article:fb358a602c484fe9a03b5d9782b564a32021-11-30T19:25:13ZConsistency of Reported Barriers for Colorectal Cancer Screening Among Adults Who Have Never Been Screened10.4148/2572-1836.10572572-1836https://doaj.org/article/fb358a602c484fe9a03b5d9782b564a32019-10-01T00:00:00Zhttps://newprairiepress.org/cgi/viewcontent.cgi?article=1057&context=hbrhttps://doaj.org/toc/2572-1836Morbidity and mortality from colorectal cancer can be decreased by addressing patient barriers to colorectal cancer screening; especially among adults who have never been screened. Assessing changes in barriers over time may help practitioners better tailor interventions to address patient barriers. We assessed among adults ages 50 -75 who have never been screened for colorectal cancer (CRC) which barriers predict prospective screening. A sample of 560 adults who had never been screened, recruited from Growth for Knowledge’s online panel, completed a baseline and a six-month follow-up survey. Both surveys assessed screening barriers after an online intervention that involved conveying tailored comparative risk estimates and message framing. Among those who did not get screened, we examined the consistency between reported barriers at baseline and at six-month follow-up. At baseline, participants identified 27 barriers; some reported no barriers. Among those never screened (n = 362), there was a significant increase from baseline to follow-up in five barriers: ‘time/too busy’, ‘no symptoms’, ‘in good health’, ‘no motivation’, and ‘hadn’t thought about it’. Reporting ‘no barriers’ at baseline was a significant predictor of being screened at follow-up (OR = 3.67, 95% CI = 1.44-9.30,p < .007). Among people who have never been screened, interventions should focus on addressing the most consistently reported barriers (i.e., ‘time/too busy’, and on improving knowledge and beliefs about who should be screened and when, as well as attitudes toward screening, to design more efficacious and tailored interventions.Cherie ConleyAmanda J. DillardConstance M. JohnsonJohn A. UpdegraffWei PanAlyssa LangenbergIsaac LipkusNew Prairie Pressarticlecancercolorectal cancercancer screeningbarriersSpecial aspects of educationLC8-6691Public aspects of medicineRA1-1270ENHealth Behavior Research, Vol 2, Iss 4 (2019) |
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cancer colorectal cancer cancer screening barriers Special aspects of education LC8-6691 Public aspects of medicine RA1-1270 |
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cancer colorectal cancer cancer screening barriers Special aspects of education LC8-6691 Public aspects of medicine RA1-1270 Cherie Conley Amanda J. Dillard Constance M. Johnson John A. Updegraff Wei Pan Alyssa Langenberg Isaac Lipkus Consistency of Reported Barriers for Colorectal Cancer Screening Among Adults Who Have Never Been Screened |
description |
Morbidity and mortality from colorectal cancer can be decreased by addressing patient barriers to colorectal cancer screening; especially among adults who have never been screened. Assessing changes in barriers over time may help practitioners better tailor interventions to address patient barriers. We assessed among adults ages 50 -75 who have never been screened for colorectal cancer (CRC) which barriers predict prospective screening. A sample of 560 adults who had never been screened, recruited from Growth for Knowledge’s online panel, completed a baseline and a six-month follow-up survey. Both surveys assessed screening barriers after an online intervention that involved conveying tailored comparative risk estimates and message framing. Among those who did not get screened, we examined the consistency between reported barriers at baseline and at six-month follow-up. At baseline, participants identified 27 barriers; some reported no barriers. Among those never screened (n = 362), there was a significant increase from baseline to follow-up in five barriers: ‘time/too busy’, ‘no symptoms’, ‘in good health’, ‘no motivation’, and ‘hadn’t thought about it’. Reporting ‘no barriers’ at baseline was a significant predictor of being screened at follow-up (OR = 3.67, 95% CI = 1.44-9.30,p < .007). Among people who have never been screened, interventions should focus on addressing the most consistently reported barriers (i.e., ‘time/too busy’, and on improving knowledge and beliefs about who should be screened and when, as well as attitudes toward screening, to design more efficacious and tailored interventions. |
format |
article |
author |
Cherie Conley Amanda J. Dillard Constance M. Johnson John A. Updegraff Wei Pan Alyssa Langenberg Isaac Lipkus |
author_facet |
Cherie Conley Amanda J. Dillard Constance M. Johnson John A. Updegraff Wei Pan Alyssa Langenberg Isaac Lipkus |
author_sort |
Cherie Conley |
title |
Consistency of Reported Barriers for Colorectal Cancer Screening Among Adults Who Have Never Been Screened |
title_short |
Consistency of Reported Barriers for Colorectal Cancer Screening Among Adults Who Have Never Been Screened |
title_full |
Consistency of Reported Barriers for Colorectal Cancer Screening Among Adults Who Have Never Been Screened |
title_fullStr |
Consistency of Reported Barriers for Colorectal Cancer Screening Among Adults Who Have Never Been Screened |
title_full_unstemmed |
Consistency of Reported Barriers for Colorectal Cancer Screening Among Adults Who Have Never Been Screened |
title_sort |
consistency of reported barriers for colorectal cancer screening among adults who have never been screened |
publisher |
New Prairie Press |
publishDate |
2019 |
url |
https://doaj.org/article/fb358a602c484fe9a03b5d9782b564a3 |
work_keys_str_mv |
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