Mail-out bowel cancer screening: Identifying the behavioural stumbling blocks

Myers, Larry and Goodwin, Belinda and Ireland, Michael and March, Sonya ORCID: https://orcid.org/0000-0001-8425-7126 and Aitken, Joanne (2021) Mail-out bowel cancer screening: Identifying the behavioural stumbling blocks. Psycho-Oncology. ISSN 1057-9249


Abstract

Objective: To describe the actions taken by recipients of mail-out faecal occult blood test (FOBT) kits and to identify the points at which progress towards kit completion typically stops. Differences according to gender, age, and screening intention were also examined.

Methods: 1599 people completed an online survey identifying the actions they took upon receiving an FOBT kit. Latent class analysis was conducted to identify latent subgroups of participants that reported similar actions. Differences between gender, age, and intention status were assessed using non-invariance testing.

Results: Four latent subgroups of FOBT invitees were identified: those who complete and return their FOBT kit ('completers'); those who bring the kit into their house but go no further ('ignorers'); those who open the package and read the bowel cancer information materials but go no further ('readers'); and those who read the instructions but do not place the kit near the toilet and do not complete their FOBT kit ('leavers'). Non-completers who intended to use the kit were most likely to be in the 'leavers' class, while those who had no intention were most likely to be in the 'readers' class.

Conclusions: Distinct subgroups of non-responders exist among bowel cancer screening invitees, suggesting different behaviour change interventions are needed to facilitate participation. Some invitees, especially those with high participatory intention, are likely to benefit from prompts to take the kit into the toilet, while others, with little participatory intention, often read the invitation materials presenting an opportunity to intervene with health messages.


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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: 04 Mar 2022 05:50
Last Modified: 07 Apr 2022 01:29
Uncontrolled Keywords: FOBT; barriers; bowel cancer screening; cancer; latent class analysis; oncology; population screening.
Fields of Research (2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111710 Health Counselling
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111716 Preventive Medicine
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111712 Health Promotion
Fields of Research (2020): 42 HEALTH SCIENCES > 4206 Public health > 420603 Health promotion
52 PSYCHOLOGY > 5203 Clinical and health psychology > 520304 Health psychology
42 HEALTH SCIENCES > 4206 Public health > 420605 Preventative health care
Socio-Economic Objectives (2020): 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
Identification Number or DOI: https://doi.org/10.1002/pon.5866
URI: http://eprints.usq.edu.au/id/eprint/47108

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