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A stitch in time saves nine: perceptions about colorectal cancer screening after a non-cancer colonoscopy result. Qualitative study

Kirkegaard, Pia, Edwards, Adrian and Andersen, Berit 2019. A stitch in time saves nine: perceptions about colorectal cancer screening after a non-cancer colonoscopy result. Qualitative study. Patient Education and Counseling , -. 10.1016/j.pec.2019.02.025
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Abstract

Objectives To explore perceptions of colorectal cancer (CRC) screening among participants who have experienced a 'false alarm' for CRC, and to explore perceptions about the relevance of screening for themselves or others. Methods Semi-structured interviews with screening participants who had participated in the Danish CRC screening program and experienced a 'false alarm' for colorectal cancer. A thematic analysis was performed, based on an interpretive tradition of ethnography. Results Perceptions about CRC screening after a non-cancer colonoscopy result were characterized by trust in the colonoscopy result showing no CRC, and satisfaction with the screening offer despite the risk for 'false alarm'. The patient-involving behavior of the healthcare professionals during the examination was for most participants a cornerstone for trusting the validity of the colonoscopy result showing no CRC. Strong notions about perceived obligation to participate in screening were common. Conclusions Prominent themes were trust in the result, satisfaction with the procedure, and moral obligations to participate both for themselves and for others. Practice implications Information to future invitees after a 'false alarm' experience could build on peoples' trust in the validity of a previous non-cancer result and should underscore the importance of subsequent screening even after a 'false alarm' for cancer.

Item Type: Article
Date Type: Published Online
Status: In Press
Schools: Medicine
Publisher: Elsevier
ISSN: 0738-3991
Date of First Compliant Deposit: 6 March 2019
Date of Acceptance: 25 February 2019
Last Modified: 07 Mar 2019 10:15
URI: http://orca.cf.ac.uk/id/eprint/120312

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