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Public and Healthcare Professional Attitudes Towards Risk-Stratified Bowel Screening: A Qualitative Study Using an
Hannah Miles1, Una Macleod1, David Weller2
1Hull York Medical School, University of Hull, Hull, UK.
Summary
Public and healthcare professionals find risk-based bowel cancer screening acceptable if it enhances current offers without reducing screening for low-risk individuals. Clear communication is vital for successful implementation.
Area of Science:
- Public Health
- Cancer Screening
- Health Services Research
Background:
- Colorectal cancer (CRC) screening is established, with growing interest in risk-based approaches for improved efficiency and effectiveness.
- This UK qualitative study investigated public and healthcare professional (HCP) views on risk-based bowel cancer screening.
Purpose of the Study:
- To explore public and HCP attitudes towards implementing risk-based bowel cancer screening in the UK.
- To identify potential barriers and facilitators to adopting risk-stratified screening strategies.
Main Methods:
- Five virtual focus groups conducted with the public (aged 60-74 in England, 50-74 in Scotland) and HCPs (n=12 public, n=11 HCPs).
- Discussions facilitated by a co-created info-comic book detailing bowel cancer risk factors.
- Qualitative data analyzed thematically following transcription.
Main Results:
- Consensus exists that higher-risk individuals warrant more intensive screening, but lower-risk individuals should not receive less screening.
- Concerns were raised about potential disadvantage to low-risk individuals if risk factors are overemphasized.
- A desire for streamlined UK-wide bowel screening and clear communication regarding any changes to the equitable current program.
Conclusions:
- Any modifications to bowel screening programs should augment, not diminish, the current screening provision for all risk levels.
- Public and HCP acceptance is crucial; unacceptable changes risk reduced screening uptake and potentially exacerbate health inequities.
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