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Health Expect. 2017 Aug;20(4):584-592. doi: 10.1111/hex.12484. Epub 2016 Jul 14.

Understanding of a negative bowel screening result and potential impact on future symptom appraisal and help-seeking behaviour: a focus group study.

Author information

1
University of Edinburgh, Edinburgh, UK.
2
Midlands and NW Bowel Cancer Screening Programme Hub, UHCW NHS Trust, Rugby, UK.
3
University of Essex, Colchester, UK.
4
University of Aarhus, Aarhus, Denmark.
5
University of Dundee, Dundee, UK.
6
University of Cambridge, Cambridge, UK.
7
Queen Mary University of London, London, UK.
8
University of Oxford, Oxford, UK.

Abstract

BACKGROUND:

Colorectal cancer (CRC) screening using a faecal occult blood test (FOBt) has the potential to reduce cancer-related mortality. Symptom vigilance remains crucial as a proportion of cancers will be diagnosed between screening rounds. A negative FOBt has the potential to influence how participants respond to future symptoms of CRC.

OBJECTIVE:

To explore (i) understanding of a negative FOBt and (ii) the potential impact of a negative FOBt upon future symptom appraisal and help-seeking behaviour.

DESIGN:

Qualitative methodology utilizing focus groups with participants who received a negative FOBt within the National Bowel Cancer Screening Programme in Coventry and Lothian. Topics explored included: experience of screening participation, interpretation and understanding of a negative result, symptom awareness and attitudes towards help-seeking.

RESULTS:

Four broad themes were identified: (i) emotional response to a negative FOBt, (ii) understanding the limitations of FOBt screening, (iii) symptom knowledge and interpretation and (iv) over-reassurance from a negative FOBt. Participants were reassured by a negative FOBt, but there was variability in the extent to which the result was interpreted as an "all clear". Some participants acknowledged the residual risk of cancer and the temporal characteristic of the result, while others were surprised that the result was not a guarantee that they did not have cancer.

DISCUSSION AND CONCLUSIONS:

Participants recognized that reassurance from a negative FOBt could lead to a short-term delay in help-seeking if symptoms developed. Screening programmes should seek to emphasize the importance of the temporal nature of FOBt results with key messages about symptom recognition and prompt help-seeking behaviour.

KEYWORDS:

Scotland; bowel cancer; colorectal cancer; colorectal cancer screening; focus groups; guaiac faecal occult blood test; health knowledge; negative screening results; symptom appraisal

PMID:
27414462
PMCID:
PMC5512994
DOI:
10.1111/hex.12484
[Indexed for MEDLINE]
Free PMC Article

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