Lower Adherence: A Description of Colorectal Cancer Screening Barrier Talk. Academic Article uri icon

Overview

abstract

  • Understanding how patients and physicians discuss screening barriers may illuminate reasons for non-adherence to recommended colorectal cancer (CRC) screening. The goal of the present study was to describe patients' reporting of and physicians' responses to CRC screening barriers and examine their associations with patients' CRC screening behaviors. Audio-recorded primary care consultations (N = 413) with patients due for CRC screening were used to identify CRC screening-related barrier talk and physician responses. Presence of barrier talk was associated with less patient adherence to CRC screening (OR = 0.568, p = 0.007). Neither CRC screening talk (n = 413) nor physician responses (n = 151) were associated with patients' CRC screening. Among the consultations in which barrier talk occurred (n = 151), patients most often reported test-related (28.9%) and psychological (26.1%) barriers. Barriers were most often reported in the context of CRC screening discussions (45.7%) or in direct response to a physician's question about CRC screening (48.6%). Results indicated that patients rarely raised CRC screening barriers unprompted and that presence of barrier talk was predictive of CRC screening behavior. These findings may help improve future clinical practice by highlighting that patients may benefit from physicians initiating and facilitating discussions of CRC screening barriers and directly helping patients overcome known barriers to CRC screening.

publication date

  • December 4, 2019

Research

keywords

  • Colorectal Neoplasms
  • Communication
  • Early Detection of Cancer
  • Health Services Accessibility
  • Physician-Patient Relations
  • Treatment Adherence and Compliance

Identity

PubMed Central ID

  • PMC6981046

Scopus Document Identifier

  • 85075933327

Digital Object Identifier (DOI)

  • 10.1080/10810730.2017.1367337?needAccess=true

PubMed ID

  • 31795843

Additional Document Info

volume

  • 25

issue

  • 1