Characteristics and attitudes of first round invitees in the Irish National Colorectal Cancer Screening Programme

2020 ◽  
pp. flgastro-2020-101417
Author(s):  
Susanne M O'Reilly ◽  
Katie N Hughes ◽  
Therese Mooney ◽  
Patricia Fitzpatrick ◽  
Diarmuid O'Donoghue ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Screening Programme ◽  
Health Belief ◽  
Screening Process ◽  
Crc Screening ◽  
Cancer Screening Programme ◽  
Serious Disease ◽  
Fear Of Cancer ◽  
Belief Model ◽  
Risk Of Cancer

Background/objectiveColorectal cancer (CRC) screening is proven to reduce CRC-related mortality. Faecal immunochemical testing (FIT)-positive clients in the Irish National CRC Screening Programme underwent colonoscopy. Round 1 uptake was 40.2%. We sought to identify barriers to participation by assessing knowledge of CRC screening and examining attitudes towards FIT test and colonoscopy.MethodsQuestionnaires based on a modified Champion’s Health Belief Model were mailed to 3500 invitees: 1000 FIT-positive, 1000 FIT-negative and 1500 non-participants. 44% responded: 550 (46%) FIT-positive, 577 (48%) FIT-negative and 69 (6%) non-responders (NR).Results25% of respondents (n=286) did not perceive a personal risk of cancer, did not perceive CRC to be a serious disease and did not perceive benefits to screening. These opinions were more likely to be expressed by men (p=0.035). One-fifth (n=251) found screening stressful. Fear of cancer diagnosis and test results were associated with stress. FIT-positive clients, women and those with social medical insurance were more likely to experience stress.ConclusionsThe CRC screening process causes stress to one-fifth of participants. Greater use of media and involvement of healthcare professionals in disseminating information on the benefits of screening may lead to higher uptake in round 2.

scholarly journals Effect of Health Belief Model on the Participation in FOBT CRC Screening Programme: Case/Control Study

2021 ◽  
Author(s):  
Martín Menéndez ◽  
Natalia García-Morales ◽  
Teresa Seoane Pillado ◽  
Jorge Garau Ramírez ◽  
Alba Traver Salvador ◽  
...  
Keyword(s):  
Health Belief Model ◽  
Case Control Study ◽  
Screening Programme ◽  
Health Belief ◽  
Case Control ◽  
Crc Screening ◽  
Belief Model ◽  
Control Study

Correlation between Faecal Tumour M2 Pyruvate Kinase and Colonoscopy for the Detection of Adenomatous Neoplasia in a Secondary Care Cohort

2016 ◽  
Vol 25 (1) ◽  
pp. 71-77 ◽  
Author(s):  
Ashley D. Bond ◽  
Michael D. Burkitt ◽  
David Sawbridge ◽  
Bernard M. Corfe ◽  
Chris S. Probert
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Pyruvate Kinase ◽  
Predictive Value ◽  
Screening Programme ◽  
Occult Blood ◽  
Faecal Occult ◽  
Faecal Samples ◽  
Cancer Screening Programme ◽  
Bowel Cancer Screening

Background & Aims: Colorectal cancer screening programmes that target detection and excision of adenomatous colonic polyps have been shown to reduce colorectal cancer related mortality. Many screening programmes include an initial faecal occult blood test (FOBt) prior to colonoscopy. To refine the selection of patients for colonoscopy other faecal-based diagnostic tools have been proposed, including tumour M2-pyruvate kinase (tM2-PK). To determine whether tM2-PK quantification may have a role in diverse settings we have assessed the assay in a cohort of patients derived from both the England bowel cancer screening programme (BCSP) and symptomatic individuals presenting to secondary care. Method. Patients undergoing colonoscopy provided faecal samples prior to bowel preparation. Faecal tM2-PK concentrations were measured by ELISA. Sensitivity, specificity, positive predictive value, negative predictive value and ROC analyses were calculated. Results. Ninety-six patients returned faecal samples: 50 of these with adenomas and 7 with cancer. Median age was 68. Median faecal tM2-PK concentration was 3.8 U/mL for individuals without neoplastic findings at colonoscopy, 7.7 U/mL in those with adenomas and 24.4 U/mL in subjects with colorectal cancer (both, p=0.01). ROC analysis demonstrated an AUROC of 0.66 (sensitivity 72.4%, specificity 48.7%, positive predictive value 67.7%, negative predictive value 36.7%). Amongst BCSP patients with a prior positive FOBt faecal tM2-PK was more abundant (median 6.4 U/mL, p=0.03) and its diagnostic accuracy was greater (AUROC 0.82). Conclusion. Our findings confirm that faecal tM2-PK ELISA may have utility as an adjunct to FOBt in a screening context, but do not support its use in symptomatic patients. Abbreviations: BCSP: Bowel cancer screening programme; EMR: Endoscopic mucosal resection; FAP: Familial adenomatous polyposis; FOBt: Faecal occult blood testing; NHS: National Health Service; tM2-PK: tumour M2-pyruvate kinase.

S1154 National Colorectal Cancer Screening Programme in the Czech Republic

2010 ◽  
Vol 138 (5) ◽  
pp. S-192
Author(s):  
Stepan Suchanek ◽  
Miroslav Zavoral ◽  
Ondrej Majek ◽  
Ladislav Dusek ◽  
Premysl Fric
Keyword(s):  
Colorectal Cancer ◽  
Czech Republic ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Screening Programme ◽  
The Czech Republic ◽  
Cancer Screening Programme

Obstacles to Colorectal Cancer Screening in Chinese: A Study Based on the Health Belief Model

2008 ◽  
Vol 103 (4) ◽  
pp. 974-981 ◽  
Author(s):  
Joseph J. Y. Sung ◽  
Susanne Y. P. Choi ◽  
Francis K. L. Chan ◽  
Jessica Y. L. Ching ◽  
Joseph T. F. Lau ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Health Belief Model ◽  
Colorectal Cancer Screening ◽  
Health Belief ◽  
Belief Model ◽  
The Health Belief Model

scholarly journals Interval cancers after negative immunochemical test compared to screen and non-responders’ detected cancers in Slovenian colorectal cancer screening programme

2018 ◽  
Vol 52 (4) ◽  
pp. 413-421 ◽  
Author(s):  
Dominika Novak Mlakar ◽  
Tatjana Kofol Bric ◽  
Ana Lucija Škrjanec ◽  
Mateja Krajc
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Screening Test ◽  
Screening Programme ◽  
Interval Cancers ◽  
Faecal Immunochemical Test ◽  
Test Sensitivity ◽  
Cancer Screening Programme ◽  
Immunochemical Test

Abstract Background We assessed the incidence and characteristics of interval cancers after faecal immunochemical occult blood test and calculated the test sensitivity in Slovenian colorectal cancer screening programme. Patients and methods The analysis included the population aged between 50 to 69 years, which was invited for screening between April 2011 and December 2012. The persons were followed-up until the next foreseen invitation, in average for 2 years. The data on interval cancers and cancers in non-responders were obtained from cancer registry. Gender, age, years of schooling, the cancer site and stage were compared among three observed groups. We used the proportional incidence method to calculate the screening test sensitivity. Results Among 502,488 persons invited for screening, 493 cancers were detected after positive screening test, 79 interval cancers after negative faecal immunochemical test and 395 in non-responders. The proportion of interval cancers was 13.8%. Among the three observed groups cancers were more frequent in men (p = 0.009) and in persons aged 60+ years (p < 0.001). Comparing screen detected and cancers in non-responders with interval cancers more interval cancers were detected in persons with 10 years of schooling or more (p = 0.029 and p = 0.001), in stage III (p = 0.027) and IV (p < 0.001), and in right hemicolon (p < 0.001). Interval cancers were more frequently in stage I than non-responders cancers (p = 0.004). Test sensitivity of faecal immunochemical test was 88.45%. Conclusions Interval cancers in Slovenian screening programme were detected in expected proportions as in similar programmes. Test sensitivity was among the highest when compared to similar programmes and was accomplished using test kit for two stool samples.

scholarly journals Theoretically designed interventions for colorectal cancer prevention: A Case of the Health Belief Model

2020 ◽  
Author(s):  
Sakineh Rakhshanderou ◽  
Maryam Maghsoudloo ◽  
Ali Safari-Moradabadi ◽  
Mohtasham Ghaffari
Keyword(s):  
Colorectal Cancer ◽  
Health Belief Model ◽  
Educational Intervention ◽  
Health Belief ◽  
Text Messages ◽  
Analysis Of Covariance ◽  
Automation System ◽  
Significant Difference ◽  
The Mean ◽  
Belief Model

Abstract Background: According to the WHO, most chronic diseases, including cancer, can be prevented by identifying their risk factors such as unhealthy diet, smoking and physical inactivity. This research examined the effectiveness of a theory-based educational intervention on colorectal cancer-related preventive nutritional behaviors among a sample of organizational staff. Methods: In this interventional study, 110 employees of Shahid Beheshti University of Medical Sciences were randomly divided into two groups (intervention and control) with cluster sampling. The data gathering tool was a researcher-made questionnaire containing two parts of 10-dimensional information and health belief model constructs. The educational intervention was conducted for one month and in four sessions in the form of classroom lecture, pamphlet, educational text messages via mobile phones and educational pamphlets through the office automation system. Two groups were evaluated in two stages, pre-test and post-test. Data were analyzed using SPSS-18 software, analysis of Covariance (ANCOVA) and independent t-test (intergroup comparisons). Results: Two groups were evaluated for variables such as age, sex, education level and family history of colorectal cancer, and there was no significant difference between the two groups (P < 0.05). After the two months since intervention, except for the mean score of perceived barriers, which was not significant after intervention, the mean scores of knowledge, perceived susceptibility, perceived severity, perceived benefits, perceived self-efficacy, behavioral intention, and preventive behaviors were significantly increased after the intervention in the intervention group compared to the control group (P > 0.05). Conclusion: Implementation of educational intervention based on health belief model was effective for the personnel, and can enhance the preventative nutritional behaviors related to colorectal cancer.

scholarly journals Risk stratification for colorectal neoplasia detection in the Flemish colorectal cancer screening programme

2018 ◽  
Vol 56 ◽  
pp. 90-96 ◽  
Author(s):  
Wessel van de Veerdonk ◽  
Guido Van Hal ◽  
Marc Peeters ◽  
Isabel De Brabander ◽  
Geert Silversmit ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Risk Stratification ◽  
Colorectal Cancer Screening ◽  
Screening Programme ◽  
Colorectal Neoplasia ◽  
Cancer Screening Programme
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