J Dressler1, A T Johnsen2, L J Madsen3, M Rasmussen4, L N Jorgensen5. 1. Digestive Disease Center, Bispebjerg Hospital, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark. Electronic address: jannie.dressler@regionh.dk. 2. Institute of Psychology, University of Southern Denmark, Odense, Denmark. Electronic address: atjohnsen@health.sdu.dk. 3. Digestive Disease Center, Bispebjerg Hospital, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark. Electronic address: laura.juulmadsen@gmail.com. 4. Digestive Disease Center, Bispebjerg Hospital, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark. Electronic address: morten.rasmusssen@regionh.dk. 5. Digestive Disease Center, Bispebjerg Hospital, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark. Electronic address: larsnjorgensen@hotmail.com.
Abstract
OBJECTIVES: Colorectal cancer (CRC) is the third most common cancer. Many countries in Europe have already implemented systematic screening programmes as per the recommendations by the European Union. The impact of screening is highly dependent on participation rates. The aim of the study was to identify barriers, facilitators and modifiers to participation in systematised, stool sample-based, publicly financed CRC screening programmes. STUDY DESIGN: Systematic review. METHODS: A systematic search in PubMed, Embase, MEDLINE, CINAHL, Cochrane CENTRAL, Google Scholar and PsycINFO was undertaken. We included both qualitative and quantitative studies reporting on barriers and facilitators (excluding sociodemographic variables) to participation in stool sample-based CRC screening. Barriers and facilitators to participation were summarised and analysed. RESULTS: The inclusion criteria were met in 21 studies. Reported barriers and facilitators were categorised into the following seven themes (examples): psychology (fear of cancer), religion (believing cancer is the will of God), logistics (not knowing how to conduct the test), health-related factors (mental health), knowledge and awareness (lack of knowledge about the test), role of the general practitioner (being supported in taking the test by the general practitioner), and environmental factors (knowing someone who has participated in a screening programme). Six studies reported that non-participation was not due to a negative attitude towards screening for CRC. CONCLUSION: Many barriers to screening were found. It is important to work with peoples' fear of screening. Moreover, this review suggests that it might be possible to increase participation rates, if the population-wide awareness and knowledge of potential health benefits of CRC screening are increased and proper logistical support is provided.
OBJECTIVES:Colorectal cancer (CRC) is the third most common cancer. Many countries in Europe have already implemented systematic screening programmes as per the recommendations by the European Union. The impact of screening is highly dependent on participation rates. The aim of the study was to identify barriers, facilitators and modifiers to participation in systematised, stool sample-based, publicly financed CRC screening programmes. STUDY DESIGN: Systematic review. METHODS: A systematic search in PubMed, Embase, MEDLINE, CINAHL, Cochrane CENTRAL, Google Scholar and PsycINFO was undertaken. We included both qualitative and quantitative studies reporting on barriers and facilitators (excluding sociodemographic variables) to participation in stool sample-based CRC screening. Barriers and facilitators to participation were summarised and analysed. RESULTS: The inclusion criteria were met in 21 studies. Reported barriers and facilitators were categorised into the following seven themes (examples): psychology (fear of cancer), religion (believing cancer is the will of God), logistics (not knowing how to conduct the test), health-related factors (mental health), knowledge and awareness (lack of knowledge about the test), role of the general practitioner (being supported in taking the test by the general practitioner), and environmental factors (knowing someone who has participated in a screening programme). Six studies reported that non-participation was not due to a negative attitude towards screening for CRC. CONCLUSION: Many barriers to screening were found. It is important to work with peoples' fear of screening. Moreover, this review suggests that it might be possible to increase participation rates, if the population-wide awareness and knowledge of potential health benefits of CRC screening are increased and proper logistical support is provided.
Authors: Désirée Schliemann; Kogila Ramanathan; Nicholas Matovu; Ciaran O'Neill; Frank Kee; Tin Tin Su; Michael Donnelly Journal: BMC Cancer Date: 2021-10-19 Impact factor: 4.430
Authors: Jacopo Troisi; Maria Tafuro; Martina Lombardi; Giovanni Scala; Sean M Richards; Steven J K Symes; Paolo Antonio Ascierto; Paolo Delrio; Fabiana Tatangelo; Carlo Buonerba; Biancamaria Pierri; Pellegrino Cerino Journal: Metabolites Date: 2022-01-25
Authors: Federica Vallone; Daniela Lemmo; Maria Luisa Martino; Anna Rosa Donizzetti; Maria Francesca Freda; Francesco Palumbo; Elvira Lorenzo; Angelo D'Argenzio; Daniela Caso Journal: Psychooncology Date: 2022-07-12 Impact factor: 3.955