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The importance of peoples values and preferences in promoting 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.
Karolinska University Hospital, Stockholm, Sweden.
Vise andre og tillknytning
(engelsk)Inngår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360XArtikkel i tidsskrift (Fagfellevurdert) Accepted
Abstract [en]

Background: To explore how individuals reason when they make decisions about colorectal cancer (CRC) screening participation from the perspective of participants and non-participants.

Methods: Individuals randomized to FIT or colonoscopy included in the Screening of Swedish Colons (SCREESCO) program were 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: The results covered the SDM concept. Lack of knowledge of CRC and CRC screening was prominent in both 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 among participants while it prevented it among non-participants. Both participants and non-participants made it clear that there was no need to involve health care professionals when making their decision.

Conclusion: Based on the results, a display of different ways to promote knowledge and communication about CRC and CRC-screening, e.g. community-based information campaigns, decisions aids, interventions, such as interactive questionnaires, chat-functions and telephone support, should be provided. 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 should be further explored.

Emneord [en]
Colorectal Neoplasms, Decision Making, Prevention and control, Qualitative research
HSV kategori
Identifikatorer
URN: urn:nbn:se:hig:diva-23328OAI: oai:DiVA.org:hig-23328DiVA, id: diva2:1066573
Prosjekter
SCREESCO, Karolinska UniversityTilgjengelig fra: 2017-01-18 Laget: 2017-01-18 Sist oppdatert: 2018-03-13bibliografisk kontrollert

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