Decision-making in fecal occult blood test compliance: A quali-quantitative study investigating motivational processes.
Fiche publication
Date publication
décembre 2017
Journal
Preventive medicine
Auteurs
Membres identifiés du Cancéropôle Est :
Dr GENDRE Isabelle
Tous les auteurs :
Broc G, Denis B, Fassier JB, Gendre I, Perrin P, Quintard B
Lien Pubmed
Résumé
The qualitative-quantitative study investigates the co-existence of barriers and levers to FOBT screening in 5894 individuals reluctant to be screened, identifying operational motivational patterns that may increase screening compliance. Co-occurrence analysis was performed according to three motivational conditions (barriers, levers, or both).Cluster analysis then identified motivational predictors of effective screening. One quarter of the individuals who had refused screening nevertheless expressed at least one motivation towards FOBT. As such, co-existence of barriers and levers within the same individual demonstrates ambivalence tendencies. Intrinsic motivations appear to be the most likely to increase FOBT compliance. This study finds that certain factors well-known to improve CRC screening compliance generally, may not have much impact on reluctant individuals due to ambivalence and contextual nuances. Several practical recommendations to encourage screening participation are offered, such as focusing on levers rather barriers, providing tailored education to improve awareness and readiness, and fostering intrinsic motivation with relevant approaches.
Mots clés
Colorectal cancer, Motivation, Practical recommendations, Qualitative analysis, Screening
Référence
Prev Med. 2017 Dec;105:58-65