Personalised colorectal cancer screening strategies: Information needs of the target population
Prior faecal Hemoglobin (f-Hb) concentrations of a negative fecal immunochemical test (FIT) can be used for risk stratification in colorectal cancer (CRC) screening. Individuals with higher f-Hb concentrations may benefit from a shorter screening interval (1 year), whereas individuals with undetecta...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335523002164 |
| _version_ | 1827813733328486400 |
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| author | Esther Toes-Zoutendijk Lucie de Jonge Emilie C.H. Breekveldt Ida J. Korfage Juliet A. Usher-Smith Iris Lansdorp-Vogelaar Rebecca A. Dennison |
| author_facet | Esther Toes-Zoutendijk Lucie de Jonge Emilie C.H. Breekveldt Ida J. Korfage Juliet A. Usher-Smith Iris Lansdorp-Vogelaar Rebecca A. Dennison |
| author_sort | Esther Toes-Zoutendijk |
| collection | DOAJ |
| description | Prior faecal Hemoglobin (f-Hb) concentrations of a negative fecal immunochemical test (FIT) can be used for risk stratification in colorectal cancer (CRC) screening. Individuals with higher f-Hb concentrations may benefit from a shorter screening interval (1 year), whereas individuals with undetectable f-Hb concentrations could benefit from a longer screening interval (3 year). Individuals’ views on personalised CRC screening and information needed to make a well-informed decision is unknown. We conducted three semi-structured focus groups among individuals eligible for CRC screening (i.e. men and women aged 55 to 75) in the Netherlands. Thematic analysis was used to analyse participants’ information need on personalised CRC screening strategies. Fourteen individuals took part. The majority were positive about CRC screening and indicated that they would participate in personalised CRC screening. The rationale for a longer interval among those at lowest risk was, however, unclear for many. The preferred information on individual risk was variable: ranging from full information to only information on the personalised strategy without mentioning the risk. It was not possible to address everyone’s need with a single approach. Additional communications, e.g. public media campaigns, billboards, videos on social media, were also suggested as necessary. This study showed that preferences on receiving information on individual CRC risk varied substantially and no consensus was reached. Introducing a personalised screening programme will require careful communication, particularly around the rationale for the strategy, and a layered approach to deliver information. |
| first_indexed | 2024-03-11T23:36:16Z |
| format | Article |
| id | doaj.art-bc4eb558599246f8b88df16afbfdf810 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-03-11T23:36:16Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-bc4eb558599246f8b88df16afbfdf8102023-09-20T04:21:02ZengElsevierPreventive Medicine Reports2211-33552023-10-0135102325Personalised colorectal cancer screening strategies: Information needs of the target populationEsther Toes-Zoutendijk0Lucie de Jonge1Emilie C.H. Breekveldt2Ida J. Korfage3Juliet A. Usher-Smith4Iris Lansdorp-Vogelaar5Rebecca A. Dennison6Department of Public Health, Erasmus MC University Medical Centre, Rotterdam, The Netherlands; Corresponding author.Department of Public Health, Erasmus MC University Medical Centre, Rotterdam, The NetherlandsDepartment of Public Health, Erasmus MC University Medical Centre, Rotterdam, The Netherlands; Department of Gastroenterology and Hepatology, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, The NetherlandsDepartment of Public Health, Erasmus MC University Medical Centre, Rotterdam, The NetherlandsPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UKDepartment of Public Health, Erasmus MC University Medical Centre, Rotterdam, The NetherlandsPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UKPrior faecal Hemoglobin (f-Hb) concentrations of a negative fecal immunochemical test (FIT) can be used for risk stratification in colorectal cancer (CRC) screening. Individuals with higher f-Hb concentrations may benefit from a shorter screening interval (1 year), whereas individuals with undetectable f-Hb concentrations could benefit from a longer screening interval (3 year). Individuals’ views on personalised CRC screening and information needed to make a well-informed decision is unknown. We conducted three semi-structured focus groups among individuals eligible for CRC screening (i.e. men and women aged 55 to 75) in the Netherlands. Thematic analysis was used to analyse participants’ information need on personalised CRC screening strategies. Fourteen individuals took part. The majority were positive about CRC screening and indicated that they would participate in personalised CRC screening. The rationale for a longer interval among those at lowest risk was, however, unclear for many. The preferred information on individual risk was variable: ranging from full information to only information on the personalised strategy without mentioning the risk. It was not possible to address everyone’s need with a single approach. Additional communications, e.g. public media campaigns, billboards, videos on social media, were also suggested as necessary. This study showed that preferences on receiving information on individual CRC risk varied substantially and no consensus was reached. Introducing a personalised screening programme will require careful communication, particularly around the rationale for the strategy, and a layered approach to deliver information.http://www.sciencedirect.com/science/article/pii/S2211335523002164Personalised cancer screeningColorectal cancerInformation needParticipationCancer riskInformation provision |
| spellingShingle | Esther Toes-Zoutendijk Lucie de Jonge Emilie C.H. Breekveldt Ida J. Korfage Juliet A. Usher-Smith Iris Lansdorp-Vogelaar Rebecca A. Dennison Personalised colorectal cancer screening strategies: Information needs of the target population Preventive Medicine Reports Personalised cancer screening Colorectal cancer Information need Participation Cancer risk Information provision |
| title | Personalised colorectal cancer screening strategies: Information needs of the target population |
| title_full | Personalised colorectal cancer screening strategies: Information needs of the target population |
| title_fullStr | Personalised colorectal cancer screening strategies: Information needs of the target population |
| title_full_unstemmed | Personalised colorectal cancer screening strategies: Information needs of the target population |
| title_short | Personalised colorectal cancer screening strategies: Information needs of the target population |
| title_sort | personalised colorectal cancer screening strategies information needs of the target population |
| topic | Personalised cancer screening Colorectal cancer Information need Participation Cancer risk Information provision |
| url | http://www.sciencedirect.com/science/article/pii/S2211335523002164 |
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