Assessing knowledge and attitudes towards screening among users of Faecal Immunochemical Test (FIT)

Datos Bibliográficos

ID19508437
AutoresMaaike J Denters (Department of Gastroenterology and Hepatology Amsterdam The Netherlands), Marije Deutekom (0000-0001-5280-5204, Department of Public Health Amsterdam The Netherlands), Marie-Louise Essink-Bot (0000-0002-4650-5886, GGD Amsterdam), Marie‐Louise Essink‐Bot (Department of Public Health Amsterdam The Netherlands), Patrick M Bossuyt (0000-0003-4427-0128, Department of Clinical Epidemiology and Biostatistics Academic Medical Center Amsterdam the Netherlands), Paul Fockens (0000-0002-2382-0672, Department of Gastroenterology and Hepatology Amsterdam The Netherlands), Evelien Dekker (0000-0002-4363-0745, Department of Gastroenterology and Hepatology Amsterdam The Netherlands, autor de correspondencia)
Año2015
Volumen18
Número5
Páginas839-849
Fecha de publicación2015-10-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth Expectations (JOURNAL)
Identificadores de la revistaISSN: 1369-6513 • E-ISSN: 1369-7625
EditorialWiley (PUBLISHER • GB)
DOI10.1111/hex.12056
PMID23432931
OpenAlexW1978248900
IdiomaEN
Citas recibidas4
Referencias citadas22

BACKGROUND: Informed decision making is recognized as important in screening. Invitees should be provided with relevant information, enabling them to make an informed decision. This may be more difficult in ethnic minority and low socio-economic status groups. We aimed to assess the proportion of informed decisions to participate in a faecal immunochemical test (FIT)-based colorectal cancer (CRC) screening pilot and to explore differences in knowledge and attitude across various subgroups. METHODS: Asymptomatic persons aged 50-74 were invited to a second round of a Dutch FIT-based pilot screening programme for CRC. An information leaflet containing all information relevant to enable informed decision making accompanied the invitation. Informed choice was assessed by a mailed questionnaire. Knowledge was elicited through 18 items and attitude towards screening through four items. Main outcome measure was the proportion of informed decision makers among participants. Differences between subgroups were evaluated using logistic regression. RESULTS: Of 5367 screening participants, 2774 (52%) completed the questionnaire. Knowledge was adequate in 2554 (92%); 2736 (99%) showed a positive attitude towards screening. A total of 2525 persons had made an informed choice (91%); male gender, low education level, non-Dutch ethnicity and not speaking Dutch at home were negatively associated with having adequate knowledge in multivariable analysis. CONCLUSION: In FIT-based screening for CRC, the majority of responders made an informed decision to participate. However, we did not succeed in equally providing all population subgroups with sufficient information. Future initiatives should be aimed at reaching these groups to further enable informed decision making

Alternative medicine · Decision aids · Environmental health · Ethnic group · Family medicine · Logistic regression · Pathology · Population · Colorectal Cancer Screening and Detection · Genetic factors in colorectal cancer · Global Cancer Incidence and Screening · Medicine · Psychology · Internal Medicine