Gretel Jianlin Wong1, Jerrald Lau1,2, Ker-Kan Tan3. 1. Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore. 2. Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, C/O NUHS Tower Block, Level 8 1E Kent Ridge Road, Singapore, 119228, Singapore. 3. Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, C/O NUHS Tower Block, Level 8 1E Kent Ridge Road, Singapore, 119228, Singapore. surtkk@nus.edu.sg.
Abstract
PURPOSE: Colorectal cancer (CRC) screening has been shown to improve patient outcomes. A widely utilised preliminary screening tool is the faecal immunochemical test (FIT). However, follow-up rates after a positive FIT result remain suboptimal. METHODS: In order to improve FIT-positive individuals' compliance to follow-up consultation and to elucidate barriers to action, a simple 5- to 10-min telephone intervention with a structured script based on the protection motivation theory (PMT) was conducted. RESULTS: Ninety-two FIT-positive individuals who had previously rejected follow-up consultation in the National University Hospital, Singapore, were interviewed by the study team. Individuals reported barriers to action such as the denial of a positive FIT result (41.8%) and a lack of knowledge (34.5%). More than 20% of the participants who had yet to schedule follow-up consultation changed their minds after the intervention. CONCLUSION: The results suggest that a simple, structured telephone call can potentially encourage more FIT-positive individuals to pursue follow-up investigation.
PURPOSE:Colorectal cancer (CRC) screening has been shown to improve patient outcomes. A widely utilised preliminary screening tool is the faecal immunochemical test (FIT). However, follow-up rates after a positive FIT result remain suboptimal. METHODS: In order to improve FIT-positive individuals' compliance to follow-up consultation and to elucidate barriers to action, a simple 5- to 10-min telephone intervention with a structured script based on the protection motivation theory (PMT) was conducted. RESULTS: Ninety-two FIT-positive individuals who had previously rejected follow-up consultation in the National University Hospital, Singapore, were interviewed by the study team. Individuals reported barriers to action such as the denial of a positive FIT result (41.8%) and a lack of knowledge (34.5%). More than 20% of the participants who had yet to schedule follow-up consultation changed their minds after the intervention. CONCLUSION: The results suggest that a simple, structured telephone call can potentially encourage more FIT-positive individuals to pursue follow-up investigation.
Authors: Kevin Selby; Christine Baumgartner; Theodore R Levin; Chyke A Doubeni; Ann G Zauber; Joanne Schottinger; Christopher D Jensen; Jeffrey K Lee; Douglas A Corley Journal: Ann Intern Med Date: 2017-10-10 Impact factor: 25.391
Authors: Shabnam Malmir; Majid Barati; Ali Khani Jeihooni; Saeed Bashirian; Seyed Mohammad Mehdi Hazavehei Journal: Asian Pac J Cancer Prev Date: 2018-03-27