Faecal immunochemical test for suspected colorectal cancer symptoms: patient survey of usability and acceptability
Background: Recent evidence suggests that the faecal immunochemical test (FIT) can rule out colorectal cancer (CRC) in symptomatic patients. To date, there is no research on usability and perception of FIT for these patients. Aim: To measure variation in attitudes and perception of FIT in patients w...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Royal College of General Practitioners
2022-03-01
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| Series: | BJGP Open |
| Subjects: | |
| Online Access: | https://bjgpopen.org/content/6/1/BJGPO.2021.0102 |
| _version_ | 1819159717972279296 |
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| author | Theo Georgiou Delisle Nigel D'Souza Bethan Davies Sally Benton Michelle Chen Helen Ward Muti Abulafi The NICE FIT Steering Committee |
| author_facet | Theo Georgiou Delisle Nigel D'Souza Bethan Davies Sally Benton Michelle Chen Helen Ward Muti Abulafi The NICE FIT Steering Committee |
| author_sort | Theo Georgiou Delisle |
| collection | DOAJ |
| description | Background: Recent evidence suggests that the faecal immunochemical test (FIT) can rule out colorectal cancer (CRC) in symptomatic patients. To date, there is no research on usability and perception of FIT for these patients. Aim: To measure variation in attitudes and perception of FIT in patients with suspected CRC symptoms. Design & setting: A cross-sectional survey of a subset of participants of the NICE FIT study. Method: A questionnaire was co-developed with patients covering four themes on a Likert scale: FIT feasibility, faecal aversion, patient knowledge, and future intentions. Questionnaire and FIT kits were sent to patients with suspected CRC symptoms participating in the NICE FIT study. Logistic regression explored differences in patients’ test perception by ethnic group, language, age, location, deprivation, FIT use, and previous experience. Results: A total of 1151 questionnaires were analysed; 90.2% (95% confidence interval [CI] = 88.3% to 91.8%) of patients found faecal collection straightforward, 76.3% (95% CI = 73.7% to 78.6%) disagreed FIT was unhygienic, and 78.1% (95% CI = 75.6% to 80.4%) preferred FIT to colonoscopy. Preference for FIT over colonoscopy was weaker in patients aged 40–64 years than those >65 years (odds ratio [OR] 0.60; 95% CI = 0.43 to 0.84). Intention to use FIT again was stronger in patients who successfully used FIT than those unsuccessful (OR 11.08; 95% CI = 2.74 to 44.75), and white compared with non-white patients assessed (OR 3.20; 95% CI = 1.32 to 7.75). Conclusion: While most patients found FIT practical and hygienic, perception differences were found. Strategies to engage patients with more negative FIT perception should underpin symptomatic FIT pathways. |
| first_indexed | 2024-12-22T16:45:00Z |
| format | Article |
| id | doaj.art-65de2e1791b24c8caa3af47aff4997f5 |
| institution | Directory Open Access Journal |
| issn | 2398-3795 |
| language | English |
| last_indexed | 2024-12-22T16:45:00Z |
| publishDate | 2022-03-01 |
| publisher | Royal College of General Practitioners |
| record_format | Article |
| series | BJGP Open |
| spelling | doaj.art-65de2e1791b24c8caa3af47aff4997f52022-12-21T18:19:45ZengRoyal College of General PractitionersBJGP Open2398-37952022-03-016110.3399/BJGPO.2021.0102Faecal immunochemical test for suspected colorectal cancer symptoms: patient survey of usability and acceptabilityTheo Georgiou Delisle0Nigel D'Souza1Bethan Davies2Sally Benton3Michelle Chen4Helen Ward5Muti Abulafi6The NICE FIT Steering CommitteeCroydon University Hospital, London, UKCroydon University Hospital, London, UKImperial College London, London, UKRoyal Surrey County Hospital, Guildford, UKRM Partners, The West London Cancer Alliance, London, UKImperial College London, London, UKCroydon University Hospital, London, UKBackground: Recent evidence suggests that the faecal immunochemical test (FIT) can rule out colorectal cancer (CRC) in symptomatic patients. To date, there is no research on usability and perception of FIT for these patients. Aim: To measure variation in attitudes and perception of FIT in patients with suspected CRC symptoms. Design & setting: A cross-sectional survey of a subset of participants of the NICE FIT study. Method: A questionnaire was co-developed with patients covering four themes on a Likert scale: FIT feasibility, faecal aversion, patient knowledge, and future intentions. Questionnaire and FIT kits were sent to patients with suspected CRC symptoms participating in the NICE FIT study. Logistic regression explored differences in patients’ test perception by ethnic group, language, age, location, deprivation, FIT use, and previous experience. Results: A total of 1151 questionnaires were analysed; 90.2% (95% confidence interval [CI] = 88.3% to 91.8%) of patients found faecal collection straightforward, 76.3% (95% CI = 73.7% to 78.6%) disagreed FIT was unhygienic, and 78.1% (95% CI = 75.6% to 80.4%) preferred FIT to colonoscopy. Preference for FIT over colonoscopy was weaker in patients aged 40–64 years than those >65 years (odds ratio [OR] 0.60; 95% CI = 0.43 to 0.84). Intention to use FIT again was stronger in patients who successfully used FIT than those unsuccessful (OR 11.08; 95% CI = 2.74 to 44.75), and white compared with non-white patients assessed (OR 3.20; 95% CI = 1.32 to 7.75). Conclusion: While most patients found FIT practical and hygienic, perception differences were found. Strategies to engage patients with more negative FIT perception should underpin symptomatic FIT pathways.https://bjgpopen.org/content/6/1/BJGPO.2021.0102patientscolorectal neoplasmscolonoscopyperceptionfaecesgeneral practice |
| spellingShingle | Theo Georgiou Delisle Nigel D'Souza Bethan Davies Sally Benton Michelle Chen Helen Ward Muti Abulafi The NICE FIT Steering Committee Faecal immunochemical test for suspected colorectal cancer symptoms: patient survey of usability and acceptability BJGP Open patients colorectal neoplasms colonoscopy perception faeces general practice |
| title | Faecal immunochemical test for suspected colorectal cancer symptoms: patient survey of usability and acceptability |
| title_full | Faecal immunochemical test for suspected colorectal cancer symptoms: patient survey of usability and acceptability |
| title_fullStr | Faecal immunochemical test for suspected colorectal cancer symptoms: patient survey of usability and acceptability |
| title_full_unstemmed | Faecal immunochemical test for suspected colorectal cancer symptoms: patient survey of usability and acceptability |
| title_short | Faecal immunochemical test for suspected colorectal cancer symptoms: patient survey of usability and acceptability |
| title_sort | faecal immunochemical test for suspected colorectal cancer symptoms patient survey of usability and acceptability |
| topic | patients colorectal neoplasms colonoscopy perception faeces general practice |
| url | https://bjgpopen.org/content/6/1/BJGPO.2021.0102 |
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