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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Factors Associated With Intention to Undergo Colonoscopy Reexamination Based on Pender's Health Promotion Model: A
1Eun Jou Mun, MSD, RN, Department of Nursing, Chonnam National University Hospital, Gwangju, Republic of Korea.
Summary
Perceived benefits and high self-efficacy significantly influence the intention for colonoscopy reexamination. Emphasizing these factors can increase follow-up screening rates for better health outcomes.
Area of Science:
- Health Promotion
- Preventive Medicine
- Health Behavior Research
Background:
- Colonoscopy is a critical screening tool for colorectal cancer prevention.
- Understanding factors influencing patient adherence to follow-up colonoscopy reexaminations is essential for improving screening program effectiveness.
- Pender's Health Promotion Model provides a framework for analyzing health-related behaviors.
Purpose of the Study:
- To identify key factors influencing the intention to undergo colonoscopy reexamination, irrespective of initial results.
- To apply Pender's Health Promotion Model to understand the determinants of colonoscopy reexamination intention.
- To inform strategies for enhancing patient compliance with recommended colonoscopy surveillance schedules.
Main Methods:
- A cross-sectional study involving 152 participants who had undergone colonoscopy.
- Data collection via structured, self-administered questionnaires administered post-procedure.
- Statistical analysis to identify factors associated with the intention for colonoscopy reexamination.
Main Results:
- Perceived benefits (β = 0.33) and perceived self-efficacy (β = 0.19) were significant positive predictors of intention to reexamine.
- Employment status (β = 0.18) and marital status (β = 0.16) also showed significant associations with reexamination intention.
- The identified variables collectively explained 33.9% of the variance in the intention to undergo colonoscopy reexamination.
Conclusions:
- Individuals with higher perceived benefits and self-efficacy are more likely to intend to undergo repeat colonoscopies.
- Socio-demographic factors like employment and marital status play a role in the intention for follow-up screening.
- Interventions should focus on reinforcing the benefits of colonoscopy and bolstering patient confidence to improve reexamination rates.
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