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The importance of people's values and preferences for colorectal cancer screening participation
Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicin- och vårdvetenskap.
Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
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2017 (Engelska)Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27, nr 6, s. 1079-1084Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: To explore how individuals reason when they make decisions about participating in colorectal cancer(CRC) screening.

Methods: Individuals randomized colorectal cancer (CRC) screeningto 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 matrixfor 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 pref-erences between participants and non-participants may be the key to understand why non-participants make theirdecisions not to participate and warrant further exploration.

Ort, förlag, år, upplaga, sidor
2017. Vol. 27, nr 6, s. 1079-1084
Nyckelord [en]
colorectal cancer(CRC) screening, decision making, values, preferences
Nationell ämneskategori
Hälsovetenskaper Klinisk medicin
Identifikatorer
URN: urn:nbn:se:hig:diva-23681DOI: 10.1093/eurpub/ckw266ISI: 000417339000025PubMedID: 28160484Scopus ID: 2-s2.0-85048297465OAI: oai:DiVA.org:hig-23681DiVA, id: diva2:1077063
Forskningsfinansiär
Sveriges Kommuner och Landsting, SKLTillgänglig från: 2017-02-24 Skapad: 2017-02-24 Senast uppdaterad: 2018-12-05Bibliografiskt granskad

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