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Could stool collection devices help increase uptake in bowel cancer screening programmes?
J R Morling1,2, A N Barke1, C J Chapman1
11 Bowel Cancer Screening Programme (Eastern Hub), Queens Medical Centre, Nottingham, UK.
A faecal collection device was tested in the National Health Service Bowel Cancer Screening Programme. Most participants found the device difficult or unpleasant to use, suggesting it won't significantly increase screening uptake.
Area of Science:
- Gastroenterology
- Public Health
- Medical Device Technology
Background:
- The National Health Service Bowel Cancer Screening Programme aims to reduce bowel cancer mortality through early detection.
- Faecal occult blood tests (FOBt) are a key component of screening programmes, requiring stool sample collection.
- Improving the user experience of stool collection methods is crucial for enhancing screening participation and adherence.
Purpose of the Study:
- To assess the usability and acceptability of a novel faecal collection device among participants in a national screening programme.
- To determine the impact of the device on the ease and pleasantness of stool sample collection compared to traditional methods.
- To inform future strategies for improving bowel cancer screening uptake through device innovation.
Main Methods:
- A prospective study involving participants undergoing faecal occult blood test retests in Eastern England.
- Participants received a faecal collection device and questionnaire to evaluate their experience with prior stool collection methods and the new device.
- Data collected included ease of use, pleasantness of collection, and overall usefulness of the faecal collection device.
Main Results:
- Out of 1087 invited participants, 679 (62.5%) completed the questionnaire.
- 429 participants (63.2% of respondents) used the faecal collection device.
- A significant proportion found the device made collection more difficult (44.6%) or unpleasant (25.0%) compared to previous methods; only 38.4% found it easier.
Conclusions:
- The faecal collection device showed limited utility and acceptability among screening programme participants.
- A majority of users did not find the device helpful, with many reporting increased difficulty or unpleasantness.
- The widespread adoption of this specific faecal collection device is unlikely to substantially increase overall bowel cancer screening uptake.
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