Intention to Undergo Colonoscopy Screening Among Relatives of Colorectal Cancer Cases: a Theory-Based Model
Intention to Undergo Colonoscopy Screening Among Relatives of Colorectal Cancer Cases: a Theory-Based Model
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DOI：
10.1007/s12160-013-9562-y
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发表时间：
2014-06-01
影响因子：
3.8
通讯作者：
Kinney, Anita Y.
中科院分区：
文献类型：
--
作者：
Boonyasiriwat, Watcharaporn;Hung, Man;Kinney, Anita Y.
建议有结直肠癌家族风险的人在比一般人群更早的年龄开始定期结肠镜检查。然而，许多风险增加的个体并没有坚持这些筛查建议。本研究的目的是检查家族性结直肠癌风险增加个体结肠镜检查意愿的认知、情感、社会和行为动机。符合结肠镜筛查条件的结直肠癌患者亲属（N = 481）完成了一项调查，评估了包括恐惧上诉理论在内的几种理论框架的结构。结构方程模型显示，结肠直肠癌风险感知、结肠镜检查经历、对结肠直肠癌的恐惧、家人和朋友的支持以及医疗保健提供者的建议是结肠镜检查意愿的决定因素。未来的干预措施，以促进结肠镜检查在这一增加的风险人群应该针对因素，我们确定为激励。（ClinicalTrials.gov编号NCT01274143）。
It is recommended that persons having familial risk of colorectal cancer begin regular colonoscopy screening at an earlier age than those in the general population. However, many individuals at increased risk do not adhere to these screening recommendations.The goal of this study was to examine cognitive, affective, social, and behavioral motivators of colonoscopy intention among individuals at increased risk of familial colorectal cancer.Relatives of colorectal cancer cases (N = 481) eligible for colonoscopy screening completed a survey assessing constructs from several theoretical frameworks including fear appeal theories.Structural equation modeling indicated that perceived colorectal cancer risk, past colonoscopy, fear of colorectal cancer, support from family and friends, and health-care provider recommendation were determinants of colonoscopy intention.Future interventions to promote colonoscopy in this increased risk population should target the factors we identified as motivators. (ClinicalTrials.gov number NCT01274143).