Reactions to a targeted intervention to increase fecal occult blood testing among average-risk adults waiting for screening colonoscopy
| Autor: | Robert J. Hilsden, S. Elizabeth McGregor, Ronald E. Myers, Paul Ritvo, Ashley Kornblum, Jill Tinmouth, Lawrence Paszat, Linda Rabeneck |
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| Předmět: |
Male
medicine.medical_specialty Waiting Lists Colorectal cancer Colonoscopy Screening colonoscopy Risk Assessment Gastroenterology Health Services Accessibility 03 medical and health sciences 0302 clinical medicine Internal medicine Intervention (counseling) Cancer screening medicine Humans 030212 general & internal medicine lcsh:RC799-869 Aged Average risk medicine.diagnostic_test business.industry Fecal occult blood General Medicine Focus Groups Middle Aged medicine.disease 3. Good health Editorial Occult Blood 030220 oncology & carcinogenesis Colonic Neoplasms Emergency medicine Original Article Female lcsh:Diseases of the digestive system. Gastroenterology business Risk assessment |
| Zdroj: | Scopus-Elsevier Canadian Journal of Gastroenterology, Vol 25, Iss 5, Pp 248-252 (2011) |
| Popis: | BACKGROUND: Increasing demand combined with limited capacity has resulted in long wait times for average-risk adults referred for screening colonoscopy for colorectal cancer. Management of patients on these growing wait lists is an emerging clinical issue.OBJECTIVE: To inform the content and design of a mailed targeted invitation for patients to undergo annual fecal occult blood testing (FOBT) while awaiting colonoscopy.METHODS: Focus groups (FGs) with average-risk patients on a wait list for screening colonoscopy at a high-throughput academic outpatient colonoscopy facility were conducted. During each FG session, feedback regarding a range of materials under consideration for the planned intervention was elicited using a semistructured facilitator guide. The FG sessions were recorded and transcribed verbatim, and analyzed using the constant comparative method to identify key themes.RESULTS: Findings from the three FGs (n=28) suggested that average-risk patients on a wait list for screening colonoscopy would be receptive to a targeted intervention recommending they undergo FOBT while waiting. Participants indicated that the invitation to undergo FOBT was an important acknowledgement that they were on an actively managed list, and that a mechanism to ensure that they were correctly triaged while waiting was in place. Several specific suggestions to improve the design of the targeted intervention were obtained.CONCLUSIONS: Results of the present study provide useful information for developing effective strategies to manage average-risk individuals facing long wait times for screening colonoscopy. |
| Databáze: | OpenAIRE |
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