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- Title
The importance of people's values and preferences for colorectal cancer screening participation.
- Authors
Fritzell, Kaisa; Stake Nilsson, Kerstin; Jervaeus, Anna; Hultcrantz, Rolf; Wengström, Yvonne
- Abstract
Background: To explore how individuals reason when they make decisions about participating in colorectal cancer (CRC) screening. Methods: Individuals randomized to FIT or colonoscopy included in the Screening of Swedish Colons (SCREESCO) program was invited to focus group discussions and individual telephone interviews. The concept of shared decision-making (SDM: information; values/preferences; involvement) was used as a matrix for the analyses. To validate findings, additional focus group discussions using the nominal group technique were performed. Results: Lack of knowledge of CRC and CRC screening was prominent for participants and non-participants, while the results differed between the groups in relation to their values and preferences. The influence of significant others promoted participation while it prevented it among non-participants. Those who participated and those who did not made it clear that there was no need to involve health care professionals when making the decision. Conclusions: Based on the results, a display of different ways to spread knowledge and communicate about CRC and CRC-screening could be applied such as, community-based information campaigns, decisions aids, interactive questionnaires, chat-functions and telephone support. The disparity in values and preferences between participants and non-participants may be the key to understand why non-participants make their decisions not to participate and warrant further exploration.
- Subjects
RECTUM tumors; COLON tumors; COLONOSCOPY; DECISION making; FOCUS groups; INTERVIEWING; QUESTIONNAIRES; VALUES (Ethics); EARLY detection of cancer; DIAGNOSIS
- Publication
European Journal of Public Health, 2017, Vol 27, Issue 6, p1079
- ISSN
1101-1262
- Publication type
Article
- DOI
10.1093/eurpub/ckw266