Why do some participants in colorectal cancer screening choose not to undergo colonoscopy following a positive test result? A qualitative study
Why do some participants in colorectal cancer screening choose not to undergo colonoscopy following a positive test result? A qualitative study
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DOI：
10.1080/02813432.2018.1487520
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发表时间：
2018-01-01
影响因子：
2.1
通讯作者：
Brodersen, John
中科院分区：
文献类型：
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作者：
Bie, Anne Katrine Lykke;Brodersen, John
目的：我们的目的是调查为什么参与者在结直肠癌筛查结果阳性后选择退出结肠镜检查。设计：半结构化、定性、单一访谈。我们逐字录音并转录了所有访谈，并使用Strauss和Corbin的开放、轴向和选择性编码的概念来确定所有访谈共享的主要类别。这些构成了我们研究结果的基础。背景：丹麦国家结直肠癌筛查项目。对象：对13名拒绝结肠镜检查的参与者进行单次访谈。主要观察指标：筛查阳性后拒绝结肠镜检查的原因。结果：参与者给出了42种决定不做结肠镜检查的不同原因，我们将其分为9大类；实际障碍，检查的不适，个人诚信，多重疾病，感觉健康，没有精力，相信癌症不存在，并发症的风险，不信任iFOBT的准确性。结论：我们的研究结果表明，通过为参与者提供替代的管理和程序，可以很容易地解决一些实际障碍。
Objective: Our aim was to investigate why participants opted out of colonoscopy following a positive screening result for colorectal cancer.Design: Semi-structured, qualitative, single interviews. We audio-recorded and transcribed all interviews verbatim and used Strauss and Corbin's concept of open, axial, and selective coding to identify the main categories shared across all interviews. These formed the basis of our findings.Setting: A Danish national colorectal cancer screening programme.Subjects: Single interviews with 13 participants who declined to have a colonoscopy.Main outcome measures: Reasons to decline colonoscopy after positive screening test.Results: Participants gave 42 different reasons for deciding not to have a colonoscopy and we coded them into nine main categories; Practical barriers, Discomfort of the examination, Personal integrity, Multimorbidity, Feeling healthy, Not having the energy, Belief that cancer is not present, Risk of complications, and Distrust in the accuracy of the iFOBT.Conclusions: Our findings suggest that some practical barriers could be quite easily addressed, by offering the participants alternative management and procdures.