Development of an evidence-based brief ‘talking’ intervention for non-responders to bowel screening for use in primary care: stakeholder interviews
Abstract Background Bowel cancer is the third most common cause of cancer death worldwide. Bowel screening has been shown to reduce mortality and primary care interventions have been successful in increasing uptake of screening. Using evidence-based theory to inform the development of such intervent...
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| Format: | Article |
| Language: | English |
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BMC
2018-06-01
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| Series: | BMC Family Practice |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12875-018-0794-6 |
| _version_ | 1818522184370356224 |
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| author | Debbie Cavers Natalia Calanzani Sheina Orbell Gabriele Vojt Robert J. C. Steele Linda Brownlee Steve Smith Julietta Patnick David Weller Christine Campbell |
| author_facet | Debbie Cavers Natalia Calanzani Sheina Orbell Gabriele Vojt Robert J. C. Steele Linda Brownlee Steve Smith Julietta Patnick David Weller Christine Campbell |
| author_sort | Debbie Cavers |
| collection | DOAJ |
| description | Abstract Background Bowel cancer is the third most common cause of cancer death worldwide. Bowel screening has been shown to reduce mortality and primary care interventions have been successful in increasing uptake of screening. Using evidence-based theory to inform the development of such interventions has been shown to increase their effectiveness. This study aimed to develop and refine a brief evidence-based intervention for eligible individuals whom have not responded to their last bowel screening invitation (non-responders), for opportunistic use by primary care providers during routine consultations. Methods The development of a brief intervention involving a conversation between primary care providers and non-responders was informed by a multi-faceted model comprising: research team workshop and meetings to draw on expertise; evidence from the literature regarding barriers to bowel screening and effective strategies to promote informed participation; relevant psychological theory, and intervention development and behaviour change guidance. Qualitative telephone interviews with 1) bowel screening stakeholders and 2) patient non-responders explored views regarding the acceptability of the intervention to help refine its content and process. Results The intervention provides a theory and evidence-based tool designed to be incorporated within current primary care practice. Bowel screening stakeholders were supportive of the intervention and recognised the importance of the role of primary care. Interviews highlighted the importance of brevity and simplicity to incorporate the intervention into routine clinical care. Non-responders similarly found the intervention acceptable, valuing a holistic approach to their care. Moreover, they expected their primary care provider to encourage participation. Conclusions A theory-based brief conversation for use in a primary care consultation was acceptable to bowel screening stakeholders and potential recipients, reflecting a health promoting primary care ethos. Findings indicate that it is appropriate to test the intervention in primary care in a feasibility study. |
| first_indexed | 2024-12-11T05:29:56Z |
| format | Article |
| id | doaj.art-d594cc3368a2412e993a7eec71751625 |
| institution | Directory Open Access Journal |
| issn | 1471-2296 |
| language | English |
| last_indexed | 2024-12-11T05:29:56Z |
| publishDate | 2018-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Family Practice |
| spelling | doaj.art-d594cc3368a2412e993a7eec717516252022-12-22T01:19:27ZengBMCBMC Family Practice1471-22962018-06-0119111010.1186/s12875-018-0794-6Development of an evidence-based brief ‘talking’ intervention for non-responders to bowel screening for use in primary care: stakeholder interviewsDebbie Cavers0Natalia Calanzani1Sheina Orbell2Gabriele Vojt3Robert J. C. Steele4Linda Brownlee5Steve Smith6Julietta Patnick7David Weller8Christine Campbell9The Usher Institute of Population Health Sciences and Informatics, Medical School, University of EdinburghThe Usher Institute of Population Health Sciences and Informatics, Medical School, University of EdinburghDepartment of Psychology, University of EssexDepartment of Psychology, Social Work and Health Sciences, Glasgow Caledonian UniversityDivision of Cancer Research, Ninewells Hospital and Medical SchoolScottish Bowel Screening Centre, Kings Cross HospitalNHS Bowel Cancer Screening Midlands and North West Programme HubCancer Epidemiology Unit, Oxford UniversityThe Usher Institute of Population Health Sciences and Informatics, Medical School, University of EdinburghThe Usher Institute of Population Health Sciences and Informatics, Medical School, University of EdinburghAbstract Background Bowel cancer is the third most common cause of cancer death worldwide. Bowel screening has been shown to reduce mortality and primary care interventions have been successful in increasing uptake of screening. Using evidence-based theory to inform the development of such interventions has been shown to increase their effectiveness. This study aimed to develop and refine a brief evidence-based intervention for eligible individuals whom have not responded to their last bowel screening invitation (non-responders), for opportunistic use by primary care providers during routine consultations. Methods The development of a brief intervention involving a conversation between primary care providers and non-responders was informed by a multi-faceted model comprising: research team workshop and meetings to draw on expertise; evidence from the literature regarding barriers to bowel screening and effective strategies to promote informed participation; relevant psychological theory, and intervention development and behaviour change guidance. Qualitative telephone interviews with 1) bowel screening stakeholders and 2) patient non-responders explored views regarding the acceptability of the intervention to help refine its content and process. Results The intervention provides a theory and evidence-based tool designed to be incorporated within current primary care practice. Bowel screening stakeholders were supportive of the intervention and recognised the importance of the role of primary care. Interviews highlighted the importance of brevity and simplicity to incorporate the intervention into routine clinical care. Non-responders similarly found the intervention acceptable, valuing a holistic approach to their care. Moreover, they expected their primary care provider to encourage participation. Conclusions A theory-based brief conversation for use in a primary care consultation was acceptable to bowel screening stakeholders and potential recipients, reflecting a health promoting primary care ethos. Findings indicate that it is appropriate to test the intervention in primary care in a feasibility study.http://link.springer.com/article/10.1186/s12875-018-0794-6CancerPrimary careBehaviour changeBowel screeningIntervention |
| spellingShingle | Debbie Cavers Natalia Calanzani Sheina Orbell Gabriele Vojt Robert J. C. Steele Linda Brownlee Steve Smith Julietta Patnick David Weller Christine Campbell Development of an evidence-based brief ‘talking’ intervention for non-responders to bowel screening for use in primary care: stakeholder interviews BMC Family Practice Cancer Primary care Behaviour change Bowel screening Intervention |
| title | Development of an evidence-based brief ‘talking’ intervention for non-responders to bowel screening for use in primary care: stakeholder interviews |
| title_full | Development of an evidence-based brief ‘talking’ intervention for non-responders to bowel screening for use in primary care: stakeholder interviews |
| title_fullStr | Development of an evidence-based brief ‘talking’ intervention for non-responders to bowel screening for use in primary care: stakeholder interviews |
| title_full_unstemmed | Development of an evidence-based brief ‘talking’ intervention for non-responders to bowel screening for use in primary care: stakeholder interviews |
| title_short | Development of an evidence-based brief ‘talking’ intervention for non-responders to bowel screening for use in primary care: stakeholder interviews |
| title_sort | development of an evidence based brief talking intervention for non responders to bowel screening for use in primary care stakeholder interviews |
| topic | Cancer Primary care Behaviour change Bowel screening Intervention |
| url | http://link.springer.com/article/10.1186/s12875-018-0794-6 |
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