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Peter Vedsted

Understanding of a negative bowel screening result and potential impact on future symptom appraisal and help-seeking behaviour: a focus group study

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Understanding of a negative bowel screening result and potential impact on future symptom appraisal and help-seeking behaviour : a focus group study. / Barnett, Karen N; Weller, David; Smith, Steve; Orbell, Sheina; Vedsted, Peter; Steele, Robert J C; Melia, Jane W; Moss, Sue M; Patnick, Julietta; Campbell, Christine.

I: Health Expectations, 14.07.2016.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Harvard

Barnett, KN, Weller, D, Smith, S, Orbell, S, Vedsted, P, Steele, RJC, Melia, JW, Moss, SM, Patnick, J & Campbell, C 2016, 'Understanding of a negative bowel screening result and potential impact on future symptom appraisal and help-seeking behaviour: a focus group study', Health Expectations. https://doi.org/10.1111/hex.12484

APA

Barnett, K. N., Weller, D., Smith, S., Orbell, S., Vedsted, P., Steele, R. J. C., Melia, J. W., Moss, S. M., Patnick, J., & Campbell, C. (2016). Understanding of a negative bowel screening result and potential impact on future symptom appraisal and help-seeking behaviour: a focus group study. Health Expectations. https://doi.org/10.1111/hex.12484

CBE

MLA

Vancouver

Author

Barnett, Karen N ; Weller, David ; Smith, Steve ; Orbell, Sheina ; Vedsted, Peter ; Steele, Robert J C ; Melia, Jane W ; Moss, Sue M ; Patnick, Julietta ; Campbell, Christine. / Understanding of a negative bowel screening result and potential impact on future symptom appraisal and help-seeking behaviour : a focus group study. I: Health Expectations. 2016.

Bibtex

@article{538b3e7698164727883164b14c04a69e,
title = "Understanding of a negative bowel screening result and potential impact on future symptom appraisal and help-seeking behaviour: a focus group study",
abstract = "BACKGROUND: Colorectal cancer (CRC) screening using a faecal occult blood test (FOBt) has the potential to reduce cancer-related mortality. Symptom vigilance remains crucial as a proportion of cancers will be diagnosed between screening rounds. A negative FOBt has the potential to influence how participants respond to future symptoms of CRC.OBJECTIVE: To explore (i) understanding of a negative FOBt and (ii) the potential impact of a negative FOBt upon future symptom appraisal and help-seeking behaviour.DESIGN: Qualitative methodology utilizing focus groups with participants who received a negative FOBt within the National Bowel Cancer Screening Programme in Coventry and Lothian. Topics explored included: experience of screening participation, interpretation and understanding of a negative result, symptom awareness and attitudes towards help-seeking.RESULTS: Four broad themes were identified: (i) emotional response to a negative FOBt, (ii) understanding the limitations of FOBt screening, (iii) symptom knowledge and interpretation and (iv) over-reassurance from a negative FOBt. Participants were reassured by a negative FOBt, but there was variability in the extent to which the result was interpreted as an {"}all clear{"}. Some participants acknowledged the residual risk of cancer and the temporal characteristic of the result, while others were surprised that the result was not a guarantee that they did not have cancer.DISCUSSION AND CONCLUSIONS: Participants recognized that reassurance from a negative FOBt could lead to a short-term delay in help-seeking if symptoms developed. Screening programmes should seek to emphasize the importance of the temporal nature of FOBt results with key messages about symptom recognition and prompt help-seeking behaviour.",
author = "Barnett, {Karen N} and David Weller and Steve Smith and Sheina Orbell and Peter Vedsted and Steele, {Robert J C} and Melia, {Jane W} and Moss, {Sue M} and Julietta Patnick and Christine Campbell",
note = "{\textcopyright} 2016 John Wiley & Sons Ltd.",
year = "2016",
month = jul,
day = "14",
doi = "10.1111/hex.12484",
language = "English",
journal = "Health Expectations",
issn = "1369-6513",
publisher = "Wiley-Blackwell Publishing Ltd.",

}

RIS

TY - JOUR

T1 - Understanding of a negative bowel screening result and potential impact on future symptom appraisal and help-seeking behaviour

T2 - a focus group study

AU - Barnett, Karen N

AU - Weller, David

AU - Smith, Steve

AU - Orbell, Sheina

AU - Vedsted, Peter

AU - Steele, Robert J C

AU - Melia, Jane W

AU - Moss, Sue M

AU - Patnick, Julietta

AU - Campbell, Christine

N1 - © 2016 John Wiley & Sons Ltd.

PY - 2016/7/14

Y1 - 2016/7/14

N2 - BACKGROUND: Colorectal cancer (CRC) screening using a faecal occult blood test (FOBt) has the potential to reduce cancer-related mortality. Symptom vigilance remains crucial as a proportion of cancers will be diagnosed between screening rounds. A negative FOBt has the potential to influence how participants respond to future symptoms of CRC.OBJECTIVE: To explore (i) understanding of a negative FOBt and (ii) the potential impact of a negative FOBt upon future symptom appraisal and help-seeking behaviour.DESIGN: Qualitative methodology utilizing focus groups with participants who received a negative FOBt within the National Bowel Cancer Screening Programme in Coventry and Lothian. Topics explored included: experience of screening participation, interpretation and understanding of a negative result, symptom awareness and attitudes towards help-seeking.RESULTS: Four broad themes were identified: (i) emotional response to a negative FOBt, (ii) understanding the limitations of FOBt screening, (iii) symptom knowledge and interpretation and (iv) over-reassurance from a negative FOBt. Participants were reassured by a negative FOBt, but there was variability in the extent to which the result was interpreted as an "all clear". Some participants acknowledged the residual risk of cancer and the temporal characteristic of the result, while others were surprised that the result was not a guarantee that they did not have cancer.DISCUSSION AND CONCLUSIONS: Participants recognized that reassurance from a negative FOBt could lead to a short-term delay in help-seeking if symptoms developed. Screening programmes should seek to emphasize the importance of the temporal nature of FOBt results with key messages about symptom recognition and prompt help-seeking behaviour.

AB - BACKGROUND: Colorectal cancer (CRC) screening using a faecal occult blood test (FOBt) has the potential to reduce cancer-related mortality. Symptom vigilance remains crucial as a proportion of cancers will be diagnosed between screening rounds. A negative FOBt has the potential to influence how participants respond to future symptoms of CRC.OBJECTIVE: To explore (i) understanding of a negative FOBt and (ii) the potential impact of a negative FOBt upon future symptom appraisal and help-seeking behaviour.DESIGN: Qualitative methodology utilizing focus groups with participants who received a negative FOBt within the National Bowel Cancer Screening Programme in Coventry and Lothian. Topics explored included: experience of screening participation, interpretation and understanding of a negative result, symptom awareness and attitudes towards help-seeking.RESULTS: Four broad themes were identified: (i) emotional response to a negative FOBt, (ii) understanding the limitations of FOBt screening, (iii) symptom knowledge and interpretation and (iv) over-reassurance from a negative FOBt. Participants were reassured by a negative FOBt, but there was variability in the extent to which the result was interpreted as an "all clear". Some participants acknowledged the residual risk of cancer and the temporal characteristic of the result, while others were surprised that the result was not a guarantee that they did not have cancer.DISCUSSION AND CONCLUSIONS: Participants recognized that reassurance from a negative FOBt could lead to a short-term delay in help-seeking if symptoms developed. Screening programmes should seek to emphasize the importance of the temporal nature of FOBt results with key messages about symptom recognition and prompt help-seeking behaviour.

U2 - 10.1111/hex.12484

DO - 10.1111/hex.12484

M3 - Journal article

C2 - 27414462

JO - Health Expectations

JF - Health Expectations

SN - 1369-6513

ER -