Examining Psychological and Knowledge Barriers to Colorectal Cancer Screening in Rural Appalachian Kentucky.
Examining Psychological and Knowledge Barriers to Colorectal Cancer Screening in Rural Appalachian Kentucky.
复制标题
检查肯塔基州阿巴拉契亚农村地区结直肠癌筛查的心理和知识障碍。
DOI：
10.1007/s13187-021-02120-0
复制
发表时间：
2023
期刊：
影响因子：
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通讯作者：
Schoenberg,NancyE
中科院分区：
文献类型：
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作者：
Jenkins,CarolineR;Rutledge,Matthew;Hudson,Lauren;Vanderford,NathanL;Schoenberg,NancyE
While recent rates of colorectal cancer (CRC) screening have improved in Appalachian Kentucky due to public health efforts, they remain lower compared to both KY as a whole, and the USA. Suboptimal screening rates represent a missed opportunity to engage in early detection and prevention. The purpose of this study is to determine the impact that lack of knowledge has on psychological barriers (e.g., fear and embarrassment) to CRC screening as well as the potential effect of a psychosocial intervention to reduce these barriers. Participants were recruited through faith-based organizations and other community sites. After randomizing participants to either an early or delayed group, a faith-based group education and motivational interviewing intervention was administered. Existing and pilot tested instruments were used to assess knowledge and potential psychological barriers. Data were analyzed using pairedttests and linear regression. We hypothesized that (1) psychological barriers are associated with inadequate knowledge and (2) the intervention, by improving knowledge, could reduce these barriers and increase screening rates. There was a small but significant reduction in psychological barriers (−0.11,pvalue = 0.015) and moderate increases in CRC knowledge scores (+0.17,pvalue = 0.06). There was no evidence that the intervention affected these measures (+0.10,pvalue = 0.58). The relationship between lower barrier scores and increased knowledge was significant at follow up (−0.05, 95% CI (−0.09, −0.00)). An increase in CRC knowledge was correlated with a small but significant decrease in psychological barriers, although there was no evidence that these changes were associated with one another. Future cognitive-based interventions may be effective in increasing CRC knowledge and reducing barriers, but new intervention approaches should be considered.
