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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Autores principales: Cherie Conley, Amanda J. Dillard, Constance M. Johnson, John A. Updegraff, Wei Pan, Alyssa Langenberg, Isaac Lipkus
Formato: article
Lenguaje:EN
Publicado: New Prairie Press 2019
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Acceso en línea:https://doaj.org/article/fb358a602c484fe9a03b5d9782b564a3
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spelling 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&amp;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)
institution DOAJ
collection DOAJ
language EN
topic cancer
colorectal cancer
cancer screening
barriers
Special aspects of education
LC8-6691
Public aspects of medicine
RA1-1270
spellingShingle 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
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AT constancemjohnson consistencyofreportedbarriersforcolorectalcancerscreeningamongadultswhohaveneverbeenscreened
AT johnaupdegraff consistencyofreportedbarriersforcolorectalcancerscreeningamongadultswhohaveneverbeenscreened
AT weipan consistencyofreportedbarriersforcolorectalcancerscreeningamongadultswhohaveneverbeenscreened
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AT isaaclipkus consistencyofreportedbarriersforcolorectalcancerscreeningamongadultswhohaveneverbeenscreened
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