Two sides of every coin: individuals’ experiences of undergoing colorectal cancer screening by faecal immunochemical test and colonoscopy

Autor: Fritzell Kaisa, Wengström Yvonne, Wangmar Johanna, Jervaeus Anna
Rok vydání: 2021
Předmět:
Zdroj: European Journal of Public Health. 31:1290-1295
ISSN: 1464-360X
1101-1262
DOI: 10.1093/eurpub/ckab171
Popis: BackgroundAcceptability of the recommended screening procedure represents a crucial determinant of the impact of colorectal cancer (CRC) screening programmes. This study aims to explore how individuals in CRC screening experience the screening procedure.MethodsStudy participants (n = 44), aged 60–62 years, screened by faecal immunochemical test (FIT) and/or colonoscopy, were recruited from the Screening of Swedish Colons (SCREESCO) study. Data were collected through six focus group discussions and 20 individual telephone interviews and analyzed using qualitative content analysis.ResultsThe analysis resulted in 30 subcategories together forming four categories describing individuals’ experiences of the CRC screening procedure: From no worries to bothering emotions; Varying logistical concerns; Being well treated, but inconsistently informed and involved and Expectations not matching reality. Some subcategories only applied to either FIT or colonoscopy screening, while others applied to both screening procedures.ConclusionsUndergoing CRC screening by FIT or colonoscopy is an individual experience. Strategies to improve patient experiences may include using one-sample FITs and optimizing bowel preparation and scheduling of colonoscopies according to individual preferences. Ensuring that needs for emotional support are acknowledged, together with clear and adequate information delivered at right time are further important aspects to consider.
Databáze: OpenAIRE