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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
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Assessing Colorectal Cancer Screening Barriers by Two Methods.

Mira L Katz1,2,3, Gregory S Young4, Barret J Zimmermann5,4

  • 1College of Public Health, The Ohio State University, Suite 525 1590 North High Street, Columbus, OH, 43201, USA. Mira.Katz@osumc.edu.

Journal of Cancer Education : the Official Journal of the American Association for Cancer Education
|December 10, 2016
PubMed
Summary

Identifying patient barriers to colorectal cancer (CRC) screening is crucial. A lay health advisor using probing questions identified more CRC screening barriers than open-ended questions, influencing intervention content.

Keywords:
Colorectal neoplasmsEarly detection of cancerScreening

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Area of Science:

  • Public Health
  • Preventive Medicine
  • Health Communication

Background:

  • Colorectal cancer (CRC) remains a significant health concern in the USA, despite advances in screening technologies.
  • Improving CRC screening rates is essential for reducing incidence and mortality.
  • Identifying patient-level barriers is key to developing effective CRC screening interventions.

Purpose of the Study:

  • To compare two methods for identifying patient-level barriers to colorectal cancer (CRC) screening.
  • To determine if the assessment method influences the number or type of reported barriers.
  • To inform the design of patient-directed CRC screening interventions.

Main Methods:

  • A group-randomized trial involving ten primary-care clinics compared a multi-level CRC screening intervention to usual care.
  • A patient-level intervention included a counseling call with a lay health advisor (LHA).
  • Two methods were used to identify CRC screening barriers: an open-ended question and a probed question list.

Main Results:

  • The probed question list identified significantly more CRC screening barriers than the open-ended question (OR 2.10, p < 0.01).
  • The ranking of reported barriers did not differ between the two assessment methods.
  • Participant demographics included 59% female, mean age 57.2 years, 67% white, 31% black, 79% with some college/degree, 60% with income >$30,000, and 80% with health insurance.

Conclusions:

  • The methodology for assessing CRC screening barriers impacts the number of barriers identified.
  • Probing questions are more effective in eliciting a comprehensive list of patient-level barriers.
  • Intervention content should consider the chosen method for barrier assessment to maximize effectiveness.