Barriers to home bowel cancer screening

Goodwin, Belinda C. and Myers, Larry and Ireland, Michael J. and March, Sonja ORCID: and Ralph, Nicholas ORCID: and Dunn, Jeff ORCID: and Chambers, Suzanne and Aitken, Joanne (2021) Barriers to home bowel cancer screening. Psycho-Oncology, 30 (10). pp. 1756-1764. ISSN 1057-9249


Objective: To develop and test a psychometric instrument for measuring common barriers to completing and returning home bowel cancer screening kits. Methods: One hundred and ten items were reviewed by an expert panel (n = 15) and presented in an online cross-sectional survey with 427 Australian adults. Exploratory factor analysis was used to identify an optimal factor solution of latent barrier types and aggregated factor scores were examined and compared between demographic groups. Results: Common barriers included having already been screened (32.3%), forgetting about the kit (24.4%), and a lack of planning (21.8%). Barriers reflecting hygiene concerns were also endorsed by over 15% of the sample. Four clear barrier types were evident reflecting disgust, avoidance, lack of autonomy, and physical difficulties. Conclusions: Findings support calls to apply multi-faceted interventions strategies that address a broad range of barrier types, particularly that which encourage planning, and prompt and facilitate easy stool collection.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions - Centre for Health Research (1 Apr 2020 -)
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling (1 Jan 2015 - 31 Dec 2021)
Date Deposited: 02 Mar 2022 06:45
Last Modified: 10 Jun 2022 02:54
Uncontrolled Keywords: cancer screening; colorectal neoplasms; factor analysis; individual differences; population health; psycho-oncology
Fields of Research (2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111716 Preventive Medicine
Fields of Research (2020): 42 HEALTH SCIENCES > 4206 Public health > 420603 Health promotion
42 HEALTH SCIENCES > 4206 Public health > 420605 Preventative health care
Socio-Economic Objectives (2008): C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920401 Behaviour and Health
C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920412 Preventive Medicine
C Society > 92 Health > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920102 Cancer and Related Disorders
Socio-Economic Objectives (2020): 20 HEALTH > 2004 Public health (excl. specific population health) > 200412 Preventive medicine
20 HEALTH > 2002 Evaluation of health and support services > 200203 Health education and promotion
20 HEALTH > 2004 Public health (excl. specific population health) > 200401 Behaviour and health
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