The view from two sides: A qualitative study of community and medical perspectives on screening for colorectal cancer using FOBT

Clavarino, AM, Janda, M, Hughes, KL, Del Mar, C, Tong, SL, Stanton, WR, Aitken, JF, Leggett, BA and Newman, B (2004) The view from two sides: A qualitative study of community and medical perspectives on screening for colorectal cancer using FOBT. Preventive Medicine, 39 3: 482-490. doi:10.1016/j.ypmed.2004.05.015


Author Clavarino, AM
Janda, M
Hughes, KL
Del Mar, C
Tong, SL
Stanton, WR
Aitken, JF
Leggett, BA
Newman, B
Title The view from two sides: A qualitative study of community and medical perspectives on screening for colorectal cancer using FOBT
Journal name Preventive Medicine   Check publisher's open access policy
ISSN 0091-7435
1096-0260
Publication date 2004-09-01
Year available 2004
Sub-type Article (original research)
DOI 10.1016/j.ypmed.2004.05.015
Open Access Status Not Open Access
Volume 39
Issue 3
Start page 482
End page 490
Total pages 9
Place of publication New York , U.S.A; London, U.K.
Publisher Academic Press
Language eng
Subject C1
321216 Health Promotion
730219 Behaviour and health
1106 Human Movement and Sports Science
1117 Public Health and Health Services
Formatted abstract
Background.: Population-wide screening for people at average risk of colorectal cancer (CRC) by faecal occult blood test (FOBT) is under consideration in Australia. Methods: Qualitative methods were used to examine the views of community members who did (n = 18) or did not (n = 12) participate in a pilot program of FOBT screening. In addition, views were obtained from general practitioners (GPs) and specialist gastroenterologists directly involved in the implementation of the program. Two focus group sessions were conducted with screening participants and interviews were conducted with nonparticipants, GPs and gastroenterologists.
Results: The findings suggest that CRC screening by FOBT distributed to households by mail was well accepted by the community and by the medical practitioners involved in its implementation. The trial had little negative effect on general practice. Both medical practitioners and consumers raised concerns about the efficacy of FOBT screening. Medical practitioners were also concerned about the potential burden mass screening could place on the public (government-funded) health care sector. Conclusions: It would seem that CRC screening using FOBT will not enjoy unqualified support from the community or from medical practitioners involved in the continuum of screening. Information about the objectives of screening programs, in general, and the efficacy of FOBT screening in particular, needs to be provided to the community to ensure informed individual choice.
(C) 2004 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved.
Keyword Public, environmental and occupational health
Medicine, general and internal
Colorectal cancer
Screening
Fobt
Qualitative research
Occult blood-test
Participation
Prevention
Population
Education
Programs
Reasons
Risk
Q-Index Code C1
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
2005 Higher Education Research Data Collection
School of Pharmacy Publications
 
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Created: Wed, 15 Aug 2007, 14:06:35 EST