Su-I Hou1, Pai-Ho Chen. 1. Department of Health Promotion and Behavior, The University of Georgia, Athens, GA 30602, USA. shou@coe.uga.edu
Abstract
BACKGROUND: This study assessed the perceived acceptance, difficulty level, and screening efficacy of home-administered fecal occult blood test (FOBT) among a Chinese population. METHODS: Participants (age 40 and above) were recruited at various worksites in Taiwan during the summer of 2002. A single group pretest and posttest design was used. RESULTS: The 1-month follow up rate was 81% (304/375). Screening result return rate (76%) and FOBT completion rate (74%) using the home-administered kit (HAK) were both high. Intention towards FOBT in the coming year significantly increased after the intervention (P<0.001). At pretest, participants demonstrated higher perceived acceptance and screening completion efficacy of FOBT using home-administered kit (HAK) than the traditional method (P<0.001). At posttest, the perceived difficulty of FOBT using HAK was significantly lower than the traditional stool-collecting method (P<0.001). While the acceptance of HAK remained high both before and after the intervention, the acceptance and screening efficacy towards traditional FOBT decreased significantly (P<0.001). CONCLUSIONS: This study showed the great potential of using home-administered FOBT to promote colorectal cancer (CRC) screening among a Chinese population. Future intervention using innovative screening strategies will need to consider the participant's stage of adoption and cultural beliefs related to screening and preventive behaviors.
BACKGROUND: This study assessed the perceived acceptance, difficulty level, and screening efficacy of home-administered fecal occult blood test (FOBT) among a Chinese population. METHODS:Participants (age 40 and above) were recruited at various worksites in Taiwan during the summer of 2002. A single group pretest and posttest design was used. RESULTS: The 1-month follow up rate was 81% (304/375). Screening result return rate (76%) and FOBT completion rate (74%) using the home-administered kit (HAK) were both high. Intention towards FOBT in the coming year significantly increased after the intervention (P<0.001). At pretest, participants demonstrated higher perceived acceptance and screening completion efficacy of FOBT using home-administered kit (HAK) than the traditional method (P<0.001). At posttest, the perceived difficulty of FOBT using HAK was significantly lower than the traditional stool-collecting method (P<0.001). While the acceptance of HAK remained high both before and after the intervention, the acceptance and screening efficacy towards traditional FOBT decreased significantly (P<0.001). CONCLUSIONS: This study showed the great potential of using home-administered FOBT to promote colorectal cancer (CRC) screening among a Chinese population. Future intervention using innovative screening strategies will need to consider the participant's stage of adoption and cultural beliefs related to screening and preventive behaviors.
Authors: Thomas D Denberg; Trisha V Melhado; John M Coombes; Brenda L Beaty; Kenneth Berman; Tim E Byers; Alfred C Marcus; John F Steiner; Dennis J Ahnen Journal: J Gen Intern Med Date: 2005-11 Impact factor: 5.128
Authors: Pa Uplap; Ga Mishra; P Majumdar; Sd Gupta; Ps Rane; Pk Sadalge; Am Avasare; Ss Goswami; Va Dhar; Ss Shastri Journal: Indian J Community Med Date: 2011-04
Authors: Martin C S Wong; Jessica Y L Ching; Victor C W Chan; Thomas Y T Lam; Arthur K C Luk; Sunny H Wong; Siew C Ng; Simon S M Ng; Justin C Y Wu; Francis K L Chan; Joseph J Y Sung Journal: Medicine (Baltimore) Date: 2016-03 Impact factor: 1.889